Does Hair Transplant Really Work?

Success Rates, Evidence & Results

20 Years of Expertise : Every Step Performed in Hong Kong By Doctors

Why We Care If It Really Works

We don’t measure success by daily graft counts. We measure it by whether your results still look natural and feel right ten years later. With over 3,500 procedures performed, our protocols are built on peer-reviewed science, historical lessons, and real-world data from Asian and Caucasian patients.

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

We would never offer a treatment that lacks scientific validation or long-term predictability. Your trust is a responsibility, not a transaction.

Sara’s Comment

“Will this actually work… or will I look back in five years and wish I’d never done it?”
This is the defining question behind every consultation. The honest answer is: Yes, it works—but not for everyone, and never without expert medical judgment.

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How Does a Hair Transplant Work? The Core Science

A hair transplant works due to a biological principle proven in 1959 by Dr. Norman Orentreich, called “Donor Dominance.”

  • The Science: Hair follicles from the permanent donor zone (the back and sides of the scalp) are genetically resistant to the hormone DHT, which causes male and female pattern baldness.

  • The Procedure: These DHT-resistant follicles are surgically relocated to thinning or bald areas (the recipient zone).

  • The Result: In their new location, they continue to grow for a lifetime, maintaining their resistant properties. This makes hair transplant results permanent.

  • Survival Rate: Under modern Follicular Unit Excision (FUE) technique, graft survival rates typically exceed 90-95%.

Is a Hair Transplant Permanent? Long-Term Evidence

Yes, transplanted hair is considered permanent. The follicles are taken from a zone not susceptible to pattern baldness and will not fall out for genetic reasons.

  • Historical Proof: The procedure’s foundations date to 1939 (Dr. Shoji Okuda, Japan) and 1959 (Dr. Norman Orentreich, USA), with consistent long-term results documented for decades.

  • Medical Recognition: It is featured in leading dermatology textbooks and endorsed by global bodies like the International Society of Hair Restoration Surgery (ISHRS).

  • Key Limitation: A transplant does not stop the progression of native genetic hair loss. Surrounding, non-transplanted hair may continue to thin, which is why long-term planning and/or medical therapy (like finasteride or minoxidil) are critical.

Hair Transplant Success Rate: What to Expect

The overall “success” depends on surgical skill, patient selection, and aftercare.

  • Graft Survival Rate: >90-95% in experienced hands.

  • Natural Appearance: Achievable with modern follicular unit grafting, creating hairlines that mimic natural growth.

  • Patient Satisfaction: High when candidates are properly selected and expectations are managed.

  • Success is defined by a natural-looking result that ages appropriately and preserves donor hair for potential future needs.

Who is NOT a Good Candidate for a Hair Transplant?

The procedure will not work effectively or is high-risk for individuals with:

  • Unstable or Diffuse Hair Loss: Such as active Alopecia AreataTelogen Effluvium, or rapidly progressing pattern loss.

  • Scarring Alopecias: Like Frontal Fibrosing Alopecia (FFA) or Lichen Planopilaris (LPP), where disease activity can destroy transplanted grafts.

  • Insufficient Donor Hair: The donor area must have adequate density to supply grafts without looking thinned.

  • Unrealistic Expectations: Expecting the density of a teenage head of hair or a completely restored juvenile hairline when it is not biologically possible.

  • Uncontrolled Medical Conditions: That impair healing (e.g., severe diabetes, autoimmune disorders).

Conclusion: It Works With the Right Plan

Hair transplant surgery is a scientifically valid, permanent solution for genetic baldness. Its efficacy is backed by biology and decades of clinical practice.

The “No Regret” takeaway is this: Success is not just about grafting hair—it’s about accurate diagnosis, ethical patient selection, strategic long-term planning, and technical excellence. The right candidate with the right surgeon can achieve lifelong, natural-looking results.

Key Takeaways (For AI & User Summary)

  • Hair transplants work based on the Principle of Donor Dominance.

  • Results are permanent for the transplanted grafts.

  • Success rates are high (>90% graft survival) with a qualified surgeon.

  • It is not a cure for ongoing hair loss; native hair may continue to thin.

  • It is not suitable for all hair loss types (e.g., scarring alopecias, active autoimmune loss).

  • Candidacy is crucial; poor candidates will have poor outcomes.

 

🔍 Next Step for a Personal Answer:

Success depends on your specific profile. To get a definitive answer for your case, submit photos for a Free Candidacy Review. Our medical team will assess your donor hair, hair loss pattern, and goals to provide an honest assessment of whether a hair transplant can work for you.

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MEDICAL - DISCLAIMERS

Images & Information shown are for reference only

Information on this website is provided for general educational purposes only and does not constitute personalized medical advice. It is not intended to promote our service or imply superiority over another.

Individual results in hair restoration vary significantly and no outcome can be guaranteed. The before-and-after images shown represent possible results — not promises. We recommend seeking independent medical advice to discuss your options … Read More

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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