How to choose a reputable hair transplant surgeon in the UK
Finding the right surgeon is by far the most important thing for anyone considering a hair transplant procedure.
Are You a Good Candidate for Hair Transplant Surgery?
Dr Bonaros is often asked, “Can anyone get a hair transplant?” Unfortunately, the answer is no. Despite medical advancements, not everyone suffering from hair loss is a good hair transplant candidate.
If you are considering this procedure, it is essential to educate yourself about who is eligible for a hair transplant.
Reviewed by Dr Epameinondas Bonaros
Table of Contents
Who Is a Good Candidate for a Hair Transplant?
Determining if you are a good candidate for a hair transplant procedure depends on several factors. These are always considered in conjunction with one another. While a patient might have a low density of hair follicles in the donor areas, other favourable characteristics can offset this disadvantage.
Here are some key factors Dr Bonaros will consider during your consultation to determine if you are a good candidate for hair transplant surgery.
1. Hair Loss Diagnosis
Before undergoing a hair transplant, it is crucial to determine the underlying cause of your hair loss. There are many possible causes of hair loss, and not all of them can or should be treated with hair transplantation.
Male and female pattern hair loss is the primary indication for hair restoration surgery. Other common examples include:
- Scars from accidents or burns
- Traction alopecia
- Complications from prior cosmetic procedures
Please note that only licensed physicians and trichologists should perform the diagnostic evaluation and consultation of patients presenting with hair loss.
Male and female pattern hair loss
In men, the diagnosis of androgenetic alopecia is generally straightforward. It is based upon the characteristic pattern of associated hair loss, as well as signs present in trichoscopy. If these signs are absent, further examination may be necessary.
When it comes to women, determining the exact cause of hair loss can be more difficult. In some cases, an underlying condition such as hypothyroidism may have to be treated before the patient can undergo hair transplant surgery.
Male and female pattern baldness usually affects hair follicles on the front and top of the head. Those on the sides and back of the head remain largely unaffected and may be transplanted successfully to thinning areas.
Diffuse unpatterned hair loss
Diffuse Unpatterned Alopecia (DUPA) is a relatively uncommon condition, affecting only 2–6% of men with hair loss. Unlike with androgenetic alopecia, DUPA lacks a stable donor zone considered safe for surgical transplantation.
With DUPA, hair thinning takes place along the front, top, back and sides of the scalp, and the majority of hairs are or will eventually become miniaturised. Hair transplantation, therefore, is not a viable treatment option.
A hair transplant performed on a patient with DUPA may look good for a few years, but the transplanted hairs are likely to thin out over time. In addition, existing hair in the donor area may appear severely depleted. Keeping this in mind, it is best to manage DUPA with non-surgical medical treatment options like minoxidil, finasteride, and low-level laser therapy.
Hair transplantation is generally not recommended for patients with DUPA or Alopecia areata
Alopecia areata
Alopecia areata, also known as spot baldness, is an autoimmune condition in which hair loss occurs in some or all areas of the body. It can cause bald patches on the scalp, each about the size of a penny. Generally, patients with alopecia areata are not candidates for hair transplantation.
Hair transplantation can be considered if the affected area is small, has remained unchanged for several years, and a scalp biopsy shows no evidence of inflammation below the scalp. However, this would require a very detailed discussion with an expert physician. Additionally, patients need to be aware of and accept the risk that the transplanted hair is susceptible to falling out again at any time.
Scarring alopecia
Scarring alopecia, otherwise known as cicatricial alopecia, is a condition most common in women between 30 and 50 years of age. It refers to irreversible inflammatory follicular damage — the immune system permanently damages hair follicles’ stem cells, resulting in scarring and hair loss.
Primary scarring alopecias include:
- Lichen planopilaris
- Frontal fibrosing alopecia
- Central centrifugal cicatricial alopecia
Lichen planopilaris and frontal fibrosing alopecia patients are not ideal candidates for hair transplant surgery
Hair transplantation is not recommended for patients with active cicatricial alopecia. Not only is the risk of failure high – graft survival rates are usually less than 50% – but the procedure can also exacerbate the condition.
Before considering surgical hair restoration, patients with inactive scarring alopecias must undergo an evaluation by a hair transplant surgeon. This will help determine if they are a suitable candidate for an FUE hair transplant.
2. Patient Age
While there are no age restrictions for hair transplants, an ideal candidate is over 25 years old.
According to the ISHRS 2017 practice consensus, the majority of male hair transplant patients were aged 30–39. There is no upper age limit for a hair transplant procedure. As long as a patient is healthy, they can undergo a minimally invasive FUE hair transplant.
Read More
3. General Health
In order to be a good candidate for a hair transplant, you need to be in good general health. This will help you recover quickly and prevent complications.
Although hair transplantation is a simple procedure, there are a few contraindications for the surgery. These include:
- Active autoimmune disease
- Uncontrolled diabetes
- Uncontrolled hypertension
- Patients allergic to local anaesthetics
- Certain skin conditions, such as keloids and pemphigus
- Severe systemic and scalp infections
Patients with contraindications to hair transplant surgery may experience poor hair growth and other suboptimal results. In some cases, they may even experience worse hair density due to a flare-up of an underlying hair disease.
Other contraindications include:
Recent Childbirth
Recent childbirth is another contraindication to hair transplantation. Approximately 90% of new mothers suffer some degree of temporary hair loss between three and six months after giving birth. While hair transplants are a safe, proven, and effective method of treating hair loss in women, the procedure should not be undertaken for at least a year postpartum.
Mental health
Patients with body dysmorphic disorder (BDD) are excessively preoccupied with non-existent or minimal appearance flaws involving several parts of their bodies. While hair loss is their second most common concern, BDD patients will usually present with trivial defects that are not even apparent to hair loss experts. Patients with BDD are at a high risk of being dissatisfied with transplant results, seeking ever-more corrective surgeries.
Trichotillomania is also a contraindication to hair loss surgery. This obsessive-compulsive disorder involves incessant hair pulling and plucking. Before undergoing treatment for their hair loss, patients with trichotillomania should seek psychological support.
Medication
Before undergoing hair transplant surgery, it is crucial to ensure that your surgeon is fully aware of any medication you take and any long-term health conditions you have.
Several medications, including immunosuppressants, can affect your hair growth. Others, such as antiplatelet and anticoagulation medications, should be stopped before surgery to reduce your risk of bleeding.
4. Hair Loss Stability
The stability of your hair loss is always assessed during your initial consultation with Dr Bonaros. It is safe to proceed with surgery if your hair loss has not changed or accelerated recently, and if the recipient area has not undergone extensive miniaturisation.
In cases where hair loss has been rapid and the recipient area has a high degree of miniaturisation, Dr Bonaros will advise you to undergo medical therapy for 6 to 12 months. This will help stabilise your condition before you proceed with surgery.
Hair Characteristics
Hair calibre, hair colour, and hair texture are three important cosmetic features for transplant patients.
In general, patients with thicker hair should be able to achieve better results than those with thinner hair. This is because balding appears when light penetrates past the hair and is reflected off the scalp.
Read MoreHair Density
Patients with high donor hair density are generally good candidates for hair transplantation.
For example:
- A patient with a donor area that contains at least 80 grafts per square centimetre is an excellent candidate.
- On the other hand, patients with donor hair density less than 40 grafts per square centimetre are poor candidates.
5. Hair Transplant Expectations
At our Glasgow hair loss clinic, we ensure patients understand the potential limitations of hair restoration surgery and set realistic expectations.
During your consultation, Dr Bonaros will explain the exact hair transplant procedure, as well as the timelines for healing and hair growth and the results you can expect.
Read More
Dr Bonaros: Glasgow’s Leading Hair Restoration Specialist
Based at his established hair loss clinic in Glasgow, Dr Bonaros is a leading hair restoration specialist. Not only is he a full member of the British Association of Hair Restoration Surgery (BAHRS), but he is also Scotland’s only full member of the International Society of Hair Restoration (ISHRS).
When you choose our clinic, you can rest assured that you will receive compassionate and professional care. Dr Bonaros offers various hair loss solutions, including FUE transplants and prescription medication. During your consultation, he will provide you with tailored treatment plans to address your unique situation and concerns.
If you are experiencing hair loss, schedule a consultation with Dr Bonaros to discuss your options, including whether you are a good candidate for hair transplant surgery.
Other posts you may like
Finance
Our Glasgow clinic offers our patients affordable hair transplant finance through our partnering finance provider Chrysalis.
Hair transplants are performed more than ever before. Unfortunately, so is hair transplant repair surgery.
FUE vs FUT Hair Transplant — What’s the Difference?
FUE vs FUT Hair Transplant — What’s the Difference? Follicular Unit Extraction (FUE) and Follicular Unit Transplantation (FUT) are two of the most common hair transplant methods. Popularised in the 1980s, FUT surgery is a more conventional procedure. However, scientific advances in the early 2000s led to the development of
The Latest Hair Transplant Technology & Treatments
The Latest Hair Transplant Technology & Treatments Some of the latest hair transplant technologies may seem attractive, but they require further research. Meanwhile, others are already improving the hair density of patients and offering permanent solutions to hair loss. At Dr. Bonaros’ Hair Transplant Clinic, we stay up-to-date with the
Can Women Have Hair Transplants?
Can Women Have Hair Transplants? Hair loss can be a distressing experience; no gender is spared. However, while hair transplantation is commonly associated with male pattern baldness and receding hairlines, women also take great care to consider hair restoration treatments. So, can women have hair transplants? Read further as we