Does Hair Transplant Really Work?

The Honest Truth Based on 100+ Years of Evidence

Every Patient Wants the Answer - Does it Work?

Last Updated: 6 Nov 2025

“Will this actually work… or will I look back in five years and wish I’d never done it?”

This isn’t just a question—it’s the defining concern behind every consultation. At Dr. Bertram Hair Transplant, we believe you deserve more than glossy before-and-after photos or sales-driven reassurances. You deserve radical honesty grounded in over a century of medical science. So let’s be direct:

Yes—hair transplantation works.
But not for everyone.
⚠️ And never without expert judgment.

When performed on the right candidate by a qualified surgical team using proven techniques, a hair transplant is a permanent, biologically sound solution to genetic hair loss. But when rushed, misapplied, or sold as a quick cosmetic fix, it becomes a source of lifelong regret.

That’s why a “No Regret” Statement begins not with a procedure—but with truth.

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Why we care if hair transplant really works?

We don’t measure success by how many grafts we place in a day. We measure it by whether your results still look natural — and feel right — ten years later.

With over 3,500 procedures performed, and a commitment to transparent outcomes, we’ve learned what leads to lasting satisfaction and what leads to disappointment. Our protocols are built on peer-reviewed science, historical lessons, and real-world data from both Asian and Caucasian patients.

We would never offer a treatment that lacks scientific validation, global medical recognition, or long-term predictability. Because for us, your trust isn’t a transaction — it’s a responsibility.

The Science That Makes It Work: Donor Dominance

Hair transplantation isn’t magic—it’s biology. Your scalp contains two types of hair:

  • DHT-sensitive hair, which thins and falls out due to genetics, and
  • DHT-resistant hair, which lives permanently in the donor zone at the back and sides of your head.


In 1959, Dr. Norman Orentreich formally documented the Principle of Donor Dominance: when DHT-resistant follicles are moved to a thinning area, they continue growing for life — unchanged by their new environment.

This principle is observable, repeatable, and permanent.
→ There’s no risk of immune rejection because the grafts are your own tissue.
→ The transplanted hair doesn’t fade or weaken over time—it retains its original genetic programming.
→ In qualified candidates under proper technique, graft survival rates consistently exceed 95%.

But here’s the nuance most clinics omit: A transplant moves hair — it doesn’t stop hair loss.

Without a long-term medical strategy—such as finasteride, minoxidil, or regular monitoring—untreated areas will continue to thin. Over time, this can make even a technically perfect transplant appear unnatural or isolated. That’s why our “No Regret” consultation always includes a 10-year hair loss forecast, not just a hairline sketch.

A Century of Proof: From Okuda to Modern FUE

This isn’t a passing trend. It’s a medical discipline refined over more than 100 years:

  • In 1939Dr. Shoji Okuda in Japan reported 30 successful cases using punch-graft techniques—work that was largely lost to the Western world due to World War II but is now recognized as pioneering.
  • In 1959Dr. Norman Orentreich established the scientific foundation of modern transplantation with his discovery of donor dominance.
  • During the 1990sFollicular Unit Transplantation ( FUT ) emerged, followed by Follicular Unit Excision ( FUE ), enabling natural density with minimal scarring.
  • By 2025, our internal audit confirmed that using a 0.8mm sharp punch for Asian patients reduces follicle transection to under 2%, maximizing graft survival while preserving precious donor supply.

This evolution wasn’t accidental — it came from learning hard lessons, especially the irreversible mistakes of the outdated “plug” era.

Visible, Verifiable Evidence

You don’t have to take our word for it.

Thousands of documented before-and-after photos from clinics worldwide—including our own extensive gallery featuring East Asian, Southeast Asian, and Caucasian patients—demonstrate consistent, natural-looking outcomes.

Hair restoration is also well-established in major dermatology textbooks like Rook’s Textbook of Dermatology and has been published in peer-reviewed medical journals since the 1930s.

Globally, the International Society of Hair Restoration Surgery (ISHRS) 2022 Census reported approximately 1.36 million hair transplant procedures annually — a 20% increase from the previous survey. Notably, Asia now accounts for nearly one-third of all procedures, reflecting widespread clinical acceptance.

In Hong Kong, the Centre for Health Protection officially recognizes hair transplantation as a legitimate medical treatment for androgenetic alopecia.

And perhaps the strongest endorsement comes from within the profession itself : many leading hair restoration surgeons have undergone transplants themselves — trusting their own scalps to the very science they practice.

The “No Regret” Warning : Who Should Not Get a Transplant

This is the most important section—and the one too many clinics skip.

Surgical skill matters less than patient selection. At our clinic, we routinely decline patients who aren’t ideal candidates—because we’d rather lose a sale than create a regret.

You may not be a good candidate if your hair loss is still unstable—especially if you’re under 25 or experiencing rapid shedding. Transplanting too early can leave you with “islands” of hair as surrounding areas continue to thin.

Similarly, if you have very advanced baldness or poor donor density, there may simply not be enough quality grafts to achieve a meaningful or natural-looking result.

Unrealistic expectations are another red flag. A transplant restores natural-looking hair—not the full density of a teenager. Our goal is harmony with your age, face shape, and remaining hair.

Finally, certain underlying health conditions—such as uncontrolled autoimmune disorders, poor circulation, or active scalp inflammation—can impair healing and reduce graft survival. These must be addressed before considering surgery.

Our promise is simple: If you’re not a candidate today, we’ll tell you — and help you protect what you have until the timing is right.

Conclusion: It Works — But Only With Wisdom

Yes, hair transplantation works.

  • It is permanent.
  • It is scientifically validated.
  • It is globally accepted.


But its success in your life depends on three things:

  1. Your biology—a stable hair loss pattern and sufficient donor supply,
  2. Your expectations—realistic, age-appropriate goals, and
  3. Your surgeon’s integrity—someone who prioritizes your long-term outcome over short-term profit.


At Dr. Bertram Hair Transplant, we’ve built our reputation on saying “no” when it matters most — so you can say “yes” with confidence.

Your “No Regret” Journey Starts With a Consultation...

The first step isn’t surgery. It’s understanding.
Schedule a doctor-led consultation with clinical experience in both Asian and Caucasian hair types — not a sales pitch, but a comprehensive medical assessment of your candidacy, donor capacity, and long-term hair preservation plan.

Because the best result isn’t just hair that grows.
It’s peace of mind that lasts a lifetime.

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conditions of use

Medical Disclaimer

Information provided on this website is for educational purposes only and is not intended as medical advice. It should not be interpreted as promotional material or as claims of superiority over other techniques or providers.

Individual results may vary, and no outcome can be guaranteed. Always consult with a qualified healthcare professional before making any decisions about medical treatment.

Pre-Consultation Review

Ensure You're a Good Candidate for FUE hair transplant

Why pay for a consultation if you’re not a candidate? Start with our free WhatsApp assessment — the first step in our ‘No-Regret’ protocol to see if hair transplant is a realistic solution for your hair loss.

Still Have Questions ?

If you want to get a personalized answer from our medical team, you can reach us using this form here. We will cantact you as soon as possible.

Our ‘No Regret’ Safety & Precision Protocol

At Dr. Bertram Hair Transplant, we only offer what aligns with natural results, minimal risk, and realistic expectations. Since 2009, our FUE protocols are in strict accordance with evidence-based guidelines from ISHRS and WFI. Every procedure is internally audited against ABHRS surgical benchmarks,

ISHRS

International Society of Hair Restoration Surgery is the leading global medical association that establishes international practice standards and patient safety protocols.

ABHRS

The American Board of Hair restoration Surgery represents the highest standard. To maintain rigorous certification requirements the physician must demonstrate surgical expertise.

WFI

Worls FUE InstituteI serves as the premier educational body focused exclusively on Follicular Unit Extraction methodology. The institute ensures consistent application of safe FUE.

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