The Definitive Guide to a Permanent, “No Regret” Solution
Home » Hair Transplant Overview
Last Updated: 11 Nov 2025
Hair transplant removes permanent hair-bearing skin from the back and/or sides of the scalp, the so-called Donor Area. Then, using magnification, the tissue is dissected into follicular unit grafts containing 1-4 hairs each. These small grafts are then meticulously planted into the bald or thinning area of the scalp, the so-called Recipient Site.
When compared to temporary solutions like wigs or topical treatments, hair transplant offers a more permanent solution to hair loss. Properly performed the procedure can restore a youthful appearance helping people to reclaim their appearance and quality of life.
With the use of tiny follicular unit grafts, hair transplant is capable to produce natural hairlines. This is a dramatic improvement over the unnatural “pluggy” results of older methods. Mixed graft transplant further improve the outcomes by implanting single-hair grafts as hairlines and multi-hair grafts for dense coverage.
Dr. Norman Orentreich, an American dermatologist, in his 1952 introduced the concept of “donor dominance,” laying the groundwork for contemporary hair restoration techniques. Its later publication in 1959 has contributed to the emergence of a multibillion-dollar global hair transplant industry, offering lasting solutions for receding hairlines and firmly establishing hair transplant as a significant aspect of American culture. The followings are the updated scientific principles:
Traditionally, scalp hair was classified into two categories: DHT-sensitive and DHT-insensitive. However, clinical experience suggests a more accurate classification involves three distinct types, each with different characteristics and responses to treatment.
The cornerstone of modern hair transplantation has long been the Donor Dominance Theory. This principle holds that transplanted hair retains the characteristics of the donor site — such as color, curl, growth rate, and most importantly, resistance to DHT — even after relocation. This explains why there is no rejection, and why hair transplantation works so reliably.
However, advancements in the field have revealed a new layer to this understanding.
In the 2000s, Dr. Tommy Hwang ( Korea ) introduced the Recipient Dominance Theory. He observed that the recipient site can influence the behavior of the transplanted hair. For instance, scalp hair transplanted to the eyebrow tends to grow more slowly over time, gradually adopting the characteristics of the new location.
This breakthrough earned Dr. Hwang the ISHRS Gold Follicle Award, and reshaped how surgeons approach transplant planning — recognizing that both donor and recipient factors matter.
The scalp is numbed to ensure a pain-free experience during the procedure.
Regardless of the technique—FUT, FUE, or ARTAS robotic harvesting — every hair transplant procedure follows the same 3 Core Steps. The main difference lies in Step 2: how the donor hair is harvested.
Permanent hair is removed from the donor area, typically the back or sides of the scalp. There are three primary methods to harvest these follicles, each with unique advantages depending on your needs, hair type, and long-term goals:
This modern, minimally invasive technique extracts individual follicular units using a micro punch tool. It leaves no linear scar, offers faster healing, and is ideal for patients who prefer short hairstyles or want a more comfortable recovery. It is our most commonly used method today. Based on this we have developed our own technique to achieve higher density coverage – FUE-HD or High Density FUE.
This traditional method removes a narrow strip of skin from the donor area, from which follicular units are dissected under a microscope. Though it leaves a linear scar, it may offer more grafts in a single session and is suitable for patients who wear longer hairstyles and need large numbers of grafts.
For those needing maximum graft numbers or planning multiple sessions, combining FUT and FUE in one procedure can optimize donor usage, preserve long-term options, and minimize visible impact. This technique is especially useful in advanced hair loss cases or for strategic donor preservation.
Only good quality Grafts should be harvested for transplant to ensure good result. Intact extracted grafts are sent to our assistants to trim all redundant tissues using 10X microscopic magnification. The follicular unit grafts are then sorted into 1-hair FU, 2-hair FU, 3-hair FUs. The intact follicles are stored in chilled saline enriched with ATP to ensure maximal graft survival.
Using high-powered magnification, harvested grafts—each containing 1 to 4 hairs—are carefully implanted into the thinning or bald areas. Each graft is placed at the correct angle, direction, and spacing to preserve existing follicles and ensure natural-looking results.Currently we are using 3 different Isertion Techniques depending on your hair characterd.
This is the most important section on this page. A hair transplant is a powerful tool, but it is not a cure for hair loss and is not suitable for all.
You may be an ideal candidate if:
Your hair loss has stabilized.
You have sufficient donor hair density.
You have realistic expectations about what can be achieved with your available graft supply.
You may NOT be a good candidate if:
You are too young with an unpredictable pattern of future loss.
You have diffuse, unstable thinning across the entire scalp.
You have insufficient donor supply to create a meaningful improvement.
You have unrealistic expectations of achieving the density of a teenager.
Part of our “No Regret” promise is the integrity to decline patients for whom the procedure carries a high risk of long-term dissatisfaction or could lead to donor depletion.
According to the ISHRS 2022 Practice Census, the worldwide annual incidence of hair transplant procedures is approximately 1,364,900. Here is a breakdown of the data for a more comprehensive answer:
Total Surgical Procedures: 1,364,900
This represents an estimated +20% increase from the previous census.
Breakdown by Gender:
Male Patients: 1,148,300 (84.1%)
Female Patients: 216,600 (15.9%)
Breakdown by Procedure:
Follicular Unit Extraction (FUE): 1,004,300 (73.6% of all procedures)
Follicular Unit Transplantation (FUT): 360,600 (26.4% of all procedures)
The first and most critical principle of a “No Regret” journey is understanding that this procedure is not for everyone. Successful outcomes depend entirely on your unique pattern of hair loss, the quality of your donor supply, and having realistic, sustainable expectations.
A modern hair transplant, when performed on the right candidate with the right technique, can produce natural, permanent results that restore a youthful frame to the face. The journey, however, begins with education and an honest assessment.
Understanding the science, the process, and, most importantly, your own candidacy is the first and most critical step toward a truly successful, “No Regret” outcome.
conditions of use
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.
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Our practice adheres to guidelines established by leading international organizations in Hair Restoration.
International Society of Hair Restoration Surgery is the leading global medical association that establishes international practice standards and patient safety protocols.
The American Board of Hair restoration Surgery represents the highest standard. To maintain rigorous certification requirements the physician must demonstrate surgical expertise.
Worls FUE InstituteI serves as the premier educational body focused exclusively on Follicular Unit Extraction methodology. The institute ensures consistent application of safe FUE.