3. Surgical Hair Restoration or Hair Transplant

Hair transplant is the surgical method of hair restoration. For patients with significant hair loss, it is the only proven way to restore hair growth to areas that have gone bald. Recent advancements have made hair transplant surgery much easier to tolerate while offering a quicker recovery time. Two types of hair transplant methods currently exist: follicular unit transplant (FUT) and Follicular Unit Extraction (FUE).

FUT vs. FUE

FUT restoration involves surgically cutting a strip of skin from the scalp, often an area in the back of the head. Small sections of tissue with hair follicles are separated from this skin and individually placed into areas of thinning or balding. This type of surgery can take many hours, has a significant recovery time, and creates a noticeable scar along the back of the head where the cut in scalp has been pulled and sutured.

The FUE restoration technique improves upon the FUT method. Like FUT, it involves harvesting hair follicles from a donor site at the back of the head and moving them to thin or bald areas. However, FUE doesn’t require a strip of tissue to be cut from the scalp. Instead, individual hair follicles are taken directly from the scalp and inserted into the recipient sites. While it does take more time initially, the FUE method is minimally invasive and eliminates the long scar and significant wound associated with FUT restoration.

FUE has become considerably more popular than FUT in recent years, currently accounting for nearly 80% of hair restoration surgeries performed by ISHRS doctors:

Source: ISHRS Census Data

FUE Pros:
No linear scarring.
Quick and relatively painless recovery
Minimally invasive, no scalpel or sutures
Excellent harvest accuracy with Robotic FUE

FUE Cons:
Longer procedure time than FUT
Graft harvesting accuracy is very doctor dependent with manual FUE
Need to shave back of head to expose donor area

FUT Pros:
Faster procedure time relative to FUE
No need to shave back of head
Much better results than the plug procedure that predated FUT

FUT Cons:
Long linear scar in back of head limits ability to wear hair short
Postoperative pain strip wound heals
Risk of permanent numbness and phantom pain in back of head from transected nerves

What Is Long Hair FUE?

FUE requires the donor area (back of the head) to be buzzed down to 1mm (no guard). BSG Master Barbers will provide a professional fade prior to the procedure to allow the hair to grow back nicely without the need for a haircut immediately after. While the back of the head heals very nicely after just a week, some people do not want any of the healing process in the back to be visible during that week. This can be accomplished by having longer hair in the back which can be pinned up above a shaved section below of about 2 finger breadths. This is also known as a window procedure. After the procedure the longer hair can lay down to cover the donor area as it heals. As only a percentage of the hairs are taken, the remaining hairs will begin to grow out immediately and will eventually catch up to the surrounding hairs.

Do I Have To Shave My Head For FUE?

BSG does not require patients to shave their heads for our Robotic FUE procedures. Many patients will opt to do so anyway, especially for larger full head procedures, but it is never a requirement. BSG Master Barbers will provide a professional fade prior to the procedure to allow the hair to grow back nicely without the need for a haircut immediately after. Many places will simply shave the back of the head which is not a great look!

Does Harvested Hair Grow Back After FUE?

Hairs harvested in the FUE procedure will grow where they are relocated. As they are being removed from the donor area, the procedure will thin out that area a degree. The good news is the high density of hairs in this region can often support a couple FUE procedures before the area begins to look visibly thin.

We aim to educate on all the options you may benefit from to prevent future hair loss, as well as options to make improvements to your hair.

FUE Vs DHI

Follicular Unit Extraction (FUE) involves extracting grafts as follicular units directly from the back of the head, then implanting the follicular units into recipient areas. There are a vast number of FUE devices and instruments made for graft harvesting and graft implantation.

Examples of follicular unit graft harvesting instruments include the autonomous movement ARTAS Robot (Robotic FUE) and handheld instruments like Neograft^® and Smartgraft^® (Manual FUE). Performing a procedure manually vs robotically is very different, however they both are types of FUE.

Examples of follicular unit graft implantation instruments include specialized forceps aka implanting forceps, and instruments that implant the graft simultaneously while making the recipient site i.e. Manual Implanting Pens, or Robotic Implantation. In any case, no matter how the follicular units are implanted, the procedure is still considered FUE.

DHI^®, or Direct Hair Implantation^®, is not the name of a new procedure but rather the name of a London based company (DHI Global^®) who attempts to market their namesake as a brand new type of hair restoration surgery that only they, or their franchisees perform. Unfortunately, their positioning of the “DHI^® procedure” as a unique and superior procedure to FUE is simply misleading. DHI Global®’s “DHI^® procedure” is simply FUE with use of an implanter pen.

It is worth noting that implanter pens, such as the one being loaded with forceps, are far from being a new invention. They made their first appearance in the early 1990’s where they were used in the FUT aka strip procedure.

Barber Surgeons Guild^® does not use implanting pens as they require harvesting to be performed prior to recipient site making. We always make our sites first to determine how many grafts we need to obtain, as well as to decrease the graft out of body time. In addition implanting pens have unique risks to grafts including: “needle squeezing”, “distal hooking”, and “bulb decapitations”.

ARTAS^® Robotic Hair Restoration

Much like FUE restoration improved upon the FUT technique, robotic restoration is improving the efficiency of FUE procedures. BSG’s ARTAS^® Robotic Hair Restoration method, uses artificial intelligence to identify and harvest the best hair follicles for safe transplanting while maintaining the look of the donor and recipient areas. This robotic FUE technique is minimally invasive and leaves no linear scarring.

ARTAS^® Robotic Hair Restoration is the result of years of research and development by engineers looking to perfect the hair transplantation process. It utilizes the most advanced form of Follicular Unit Extraction (FUE) to harvest naturally-occurring hair follicles from the donor area (back of the head) which are then efficiently placed into the recipient sites with precision and without cutting a strip of tissue.

The system uses AI or intelligent algorithms and 3D imaging to create a personalized and consistent graft of hair and to improve manual techniques. Performed by a BSG physician, the ARTAS^® treatment uses a patient’s healthy hair follicles, which is typically permanent and unaffected by male pattern baldness. With the successful treatment of thousands of patients, BSG has developed ARTAS^® Robotic protocols for every hair type to maximize the efficiency of this process.

Before & After Robotic Hair Restoration:

The Newest & Most Advanced Hair Transplant Technique

The ARTAS^® FUE Robot moves fully autonomously leveraging its AI to make real time decisions on which grafts it will harvest. The hair restoration surgeon sets and adjusts a number of variables or parameters which will tell the robot what to do, however there is no actual joystick of any sorts to control the actual movements. This is the most advanced form of robotic surgery that exists today, and in the near future, we will begin to see more and more autonomous robotic surgeries make their way into all surgical subspecialties.

Does Harvested Hair Grow Back After FUE?

Hairs harvested in the FUE procedure will grow where they are relocated. As they are being removed from the donor area, the procedure will thin out that area a degree. The good news is the high density of hairs in this region can often support a couple FUE procedures before the area begins to look visibly thin.

Treatment Without Traditional Surgery & Leaves No Linear Scars

This procedure is performed by a BSG physician without the need for scalpel incisions or stitches or staples. Donor-site hair grafts are removed painlessly using ARTAS^® robotic technology with maximum accuracy. The result leaves both the donor and recipient areas looking natural with no permanent linear scarring. This is a wide-awake, single day, nearly pain-free treatment (other than the quick local numbing injections) with a typically short recovery period of one week where activities must be limited. Pain would be atypical during the recovery process, but patients are still requested to lay low for a week to heal up well. Learn more about ARTAS robotic hair restoration.

Neograft Vs Smartgraft Vs ARTAS Vs Manual FUE

Follicular Unit Extraction (FUE) involves extracting grafts as follicular units directly from the back of the head, then implanting the follicular units into recipient areas. This procedure is an advancement over the older Follicular Unit Transplant (FUT) aka Strip Procedure where follicular units are trimmed from a strip of skin harvested from the donor area.

When FUE first became popularized in the early 2000’s, the only option was Manual FUE. Manual FUE describes graft harvesting via a handheld instrument. Neograft^® and Smartgraft^® are forms of manual FUE.

In 2008 Robotic FUE became FDA cleared, however it was unusably slow compared to manual FUE upon launch. Robotic FUE gained more popularity as the robotic procedure became faster throughout the last decade. Unlike most other surgical robots, the ARTAS^® FUE Robot moves fully autonomously leveraging its AI to make real time decisions on which grafts it will harvest. The hair restoration surgeon sets and adjusts a number of variables or parameters which will tell the robot what to do, however there is no actual joystick of any sorts to control the actual movements. This is the most advanced form of robotic surgery that exists today, and in the near future, we will begin to see more and more autonomous robotic surgeries make their way into all surgical subspecialties.

4. Nonsurgical Hair Restoration

If you’re concerned about hair loss but aren’t quite ready for hair transplant surgery, nonsurgical hair restoration options are available, ranging from medications to scalp injections that use your own blood’s growth factors.

Scalp Micropigmentation (Scalp Camo^®)

Scalp micropigmentation uses very fine needles to inject pigment into the scalp, creating the appearance of tiny hair follicles. This non-surgical technique, known as Scalp Camo^® at Barber Surgeons Guild^® ( BSG), can create the appearance of greater hair density, or can add natural-looking depth and definition to thinning hair. Scalp micropigmentation is designed to help men and women of all ages.

Scalp Camo^® is a safe, quick, non-surgical option that has long been used by celebrities, actors, and high-profile professionals to immediately decrease apparent thinning by decreasing the contrast between scalp and hair.

Scalp Camo^® is applied epidermally—that is the micro-fine needles used in the procedure do not penetrate beyond the outermost layer of skin—and can be applied to any site where hair is thinning. The crown, back and sides of the head, frontal and temple hairlines, balding spots or prior scarring from follicular unit transplant (FUT) aka Strip surgery can be quickly filled in to create the appearance of greater hair density. Learn more about Scalp Camo^®.

Before & After Scalp Micropigmentation:

Platelet-Rich Plasma Therapy

PRP is a non-surgical treatment option that uses the growth factors in a person’s own blood to help restore hair. The PRP is isolated and then injected in tiny amounts into the scalp, targeting areas of hair loss and thinning. BSG’s PRP Maintenance Therapy helps thicken and increase the volume of existing hair and slows down future hair loss.

Long utilized by high-level athletes and orthopedic surgeons to aid in recovery from injuries or post surgeries, PRP is one of the latest in innovative and non-surgical therapeutic treatments for hair loss. Platelet-rich plasma or autologous conditioned plasma is derived from whole blood and centrifuged to remove red blood cells, leaving a concentrate of platelet-rich plasma. Within this isolated fraction are numerous essential growth factors that stimulate hair thickening and combat Androgenetic Alopecia, the medical term for male pattern baldness, or male pattern hair loss due to DHT (Dihydrotestosterone). The prominent growth factors found in PRP, include vascular endothelial growth factor (VEGF), epidermal growth factor (EGF), platelet-derived growth factor (PDGF), fibroblast growth factor (FGF), transforming growth factor β (TGF-β), and insulin-like growth factor (IGF).

Before & After PRP Treatment:

Going Beyond Conventional PRP Treatment by pairing the derived platelet-rich plasma with Adenosine triphosphate (ATP)

ATP is the organic compound for energy storage. Each ATP molecule has a specific amount of energy and all of the work done in our bodies from contracting a muscle, to growing a hair is done by using the energy stored in ATP. We eat and breath to bring in nutrients and oxygen which are used together to charge up used ATP (known as ADP or Adenosine diphosphate) back into more ATP. This is the process known as aerobic respiration. We now have the ability to create ATP in the lab, and use it as a medical therapy. BSG’s PRP Maintenance protocol includes applying an ATP solution to the scalp immediately after a session of scalp micro-needling to help the molecule get to the follicles where they can help provide additional energy.

PRP, being naturally derived, is safe, relatively painless due to our quick numbing of the area, and produces natural results. The procedure is quick, only requiring about 30 minutes. We offer our PRP Maintenance program at a rate to ensure long-term success. Learn more about Platelet-Rich Plasma treatment.

Exosome Therapy

While stem cells are a unique type of cell found in the body from which all other cells with specialized functions are derived, exosomes are membrane-bound extracellular vesicles or small protein particles released from stem cells that give them the faculty to regenerate new tissue. These nano-particles are 1/1000th the size of a stem cell.

Exosomes provide cellular communications (between cells), carry genetic information, and over 1,000 protein growth factors to cells throughout the body. These proteins stimulate healing, anti-inflammatory responses, and cellular growth. Since they can travel through barriers too large for other cells, exosomes more efficiently disperse healing factors, which, in turn, helps regenerate new tissue, including hair follicles. Exosomes are, essentially, the critical growth factors hair follicles need to produce thick, healthy hair strands.

Exosome signaling proteins recruit cells for healing through a natural process.

How Exosomes Are Used to Restore Hair

Exosome therapy for hair loss is an option for both men and women and can be used in the early and/or later stages of hair loss. Exosomes can also be used in combination with platelet-rich plasma (PRP), Low-Level Light therapy, or surgical hair restoration procedures to specifically target areas in need.

Currently, two methods are commonly offered in exosome therapy for hair. The first one involves injecting a serum into the scalp, while the second resembles micro-needling. Research shows both methods are viable. Currently, injections similar to PRP treatment are the most common way to deliver exosomes, although there is evidence that first injecting, followed by micro-needling may be the most effective protocol.

The exosome serum is injected into thinning or affected scalp areas and spaced carefully to maximize the effects. Once effectively in place, the exosomes begin their work repairing, healing, and restoring the damaged hair follicles and skin cells. With the cells supported and stimulated, the hair starts to regrow naturally, giving the patient fuller, thicker hair.

Patients can resume daily activities a day after the treatment, though the scalp may feel a bit sensitive for about a week. Hair growth can start as soon as eight weeks later and continue over a year. Noticeable results typically are seen about six months after treatment. The longevity of the results can vary from person to person. Learn more about Exosome therapy.

Before & After Exosome Therapy

Oral & Topical Medications

Several FDA-approved oral and topical medications exist that slow or reverse mild hair loss. The most common over-the-counter treatment is the topical medication minoxidil. It is applied directly to the scalp and may gradually lead to thicker hair. However, minoxidil alone is typically not enough to achieve the desired results.

Finasteride and Dutasteride are oral medications for men used to treat pattern baldness. However, the U.S. Food and Drug Administration has only approved finasteride as a hair loss drug in the United States. Research shows that both medications do help promote hair growth in men with male pattern baldness. However, effectiveness may depend on continued use of the medication.

Topical Finasteride and Topical Dutasteride are other ways to administer these medications without taking them orally. These compounded medications can be applied directly to the scalp.

5. Cost Of Hair Restoration

The cost of hair restoration will vary greatly depending on how much hair needs to be restored, the type of procedure being performed, and where you go. Budget hair restoration procedures can be obtained by traveling to Turkey, and cheaper procedures in the USA can be obtained by opting for FUT over FUE. In general manual FUE is less expensive than robotic FUE, however at Barber Surgeons Guild^®, we competitively price our robotic FUE alongside market manual FUE prices. On average, hair restoration costs between $5,000 and $20,000, with the majority of cases being somewhere in the middle. Most hair restoration centers will quote by the graft, however at BSG we charge by the area which gives us the flexibility to obtain the right number of grafts based on your needs. Learn more about our pricing structure.

BSG Doesn’t Charge By The Graft

BSG is interested in aligning with patients on results and restoring hair style, not catering to some predetermined graft number. While this approach is highly uncommon in the world of hair restoration, it has been our approach since we first opened. Our goal is to have our patients tell us, “my hair looks great” not, “my 2,000 grafts looks great”. To achieve the best results, there are a number of considerations that will determine how many grafts a patient will need; and this number never ends in multiple zeros. When patients sign up for a fixed number of grafts, they will either not get enough hair, or possibly worse, they will have been over harvested and see their donor supply depleted for no good reason. This latter case could prevent them from having additional restoration upon future hair loss.

BSG Hair Restoration Surgeons start the procedure day by drawing out the areas where hair will be transplanted. This process is very detail oriented and the patient (with a partner if desired) will work with the doctor until a fully agreed upon plan is chosen. After this, the doctor will make the recipient sites for the new grafts based on the final approved drawings. The drawings therefore will affect the number of sites to be made, which will influence the number of grafts needed. This method allows us to never over or under harvest as we figure out what is exactly needed, and then we get what is required.

Since a BSG Surgeon finishes making recipient sites before graft harvesting, there is minimal out of body time of the grafts, as they can be placed quickly without the need to wait for sites to be made subsequently. In fact, we commonly place grafts at the same time as harvesting, a technique that BSG Founder Dr. Rome presented at a major Hair Restoration conference.

Furthermore, there is poor consensus into what is considered a graft, ie is it a hair, is it a follicular unit, etc. Often larger unit grafts are trimmed into more than one graft when single haired grafts are needed to build up a hairline. While this is an appropriate use of graft duplication, using this practice to simply increase graft counts is unethical as it leads to less hair transplanted just for the sake of matching a predetermined graft number, not to mention the unnecessary risk to the grafts undergoing dissection without cause. At BSG, we never cut down grafts beyond the need to get enough singles for the hairline. In fact, we will often create larger grafts from smaller ones in the case of fine hair with lower numbers of hairs per follicular unit. This effectively decreases our graft count, but allows us to double the number of hairs transplanted. As an example, if an individual had all two haired follicular units, and had 1,000 units harvested, if each unit was cut into two grafts, a total of 2,000 grafts will be placed; whereas as if none of these units were cut 1,000 grafts would be placed; and if each of these grafts were grouped together to create all four haired grafts, 500 grafts would be placed. In each example 2,000 hairs are placed. This represents another reason it becomes very confusing to charge by the graft.

Barber Surgeons Guild^® is fully committed to achieving the best possible results. We aim to harvest the appropriate number of grafts needed to achieve a desired outcome. We have no motivation to under-harvest, just as we have motivation to overharvest.

How Much Does 2000 To 5000 Grafts Cover?

The amount of area covered by hair grafts will vary based on a number of factors:

1. How much hair is present?
   2500 grafts can cover up a full head if there is hair everywhere but not great density anywhere. On the other hand, without any hair present at all, 2500 grafts would cover just half a head.
2. Are the hair follicles fine or thick?
   Fine hair will require more grafts to cover the same area than thick hair
3. Is the hair straight or curly?
   Straight hair will require more grafts to fill and area than curly hair which takes up more volume
4. What is the average number of hairs per follicular unit?
   There is great variation in numbers of hairs per follicle unit which is mostly determined by race. For example Asian hair has far fewer hairs/unit than Caucasian hair. Asian hair follicles however are usually thicker than caucasian hair. The number of hairs/unit will also determine how much coverage is achieved with a certain number of hair grafts.

It is worth mentioning that transplanting in excess of 30-40 follicular units per square centimeter will lead to decreased graft growth due to limited blood supply. It is much safer to do two 2000 graft procedures over 2 years than one 4000 graft procedure where many of the grafts will not take. In the USA, it is rare that any doctor will perform a procedure over 3000 grafts for this reason. Be weary of anyone suggesting 3000+ grafts as they are either talking about hairs not grafts, or they are OK with the risk of graft failure.

How Much Is A Hair Transplant In Los Angeles?

The cost of hair restoration will vary greatly depending on how much hair needs to be restored, the type of procedure being performed, and where you go. Budget hair restoration procedures can be obtained by traveling to Turkey, and cheaper procedures in the USA can be obtained by opting for FUT over FUE. In general manual FUE is less expensive than robotic FUE, however, at Barber Surgeons Guild^®, we competitively price our robotic FUE alongside market manual FUE prices. On average, hair restoration in Los Angeles costs between $7,500 and $20,000, with the majority of cases being somewhere in the middle. Most hair restoration centers will quote by the graft, however at BSG we charge by the area which gives us the flexibility to obtain the right number of grafts based on your needs. Learn more about our Lost Angeles Outpost.

How Much Is A Hair Transplant In New York?

The cost of hair restoration will vary greatly depending on how much hair needs to be restored, the type of procedure being performed, and where you go. Budget hair restoration procedures can be obtained by traveling to Turkey, and cheaper procedures in the USA can be obtained by opting for FUT over FUE. In general manual FUE is less expensive than robotic FUE, however at Barber Surgeons Guild^®, we competitively price our robotic FUE alongside market manual FUE prices. On average, hair restoration costs between $8,000 and $20,000, with the majority of cases being somewhere in the middle. Most hair restoration centers will quote by the graft, however at BSG we charge by the area which gives us the flexibility to obtain the right number of grafts based on your needs. Learn more about our New York Outpost.

6. Our Approach To Hair Restoration

BSG aims to align on results and will never charge by graft. We were founded with style first considerations, hence the inclusion of a grooming lounge staffed with Master Barbers. We are much more than a hair restoration clinic – it is a place where we can leverage the most advanced medical technologies to achieve the best hairstyles for individuals who require more hair to meet their style goals.

We perform more Robotic FUE than any other center in NYC or LA. Our large caseload has allowed us to develop internal protocols for every hair type from curly to straight, fine to thick, etc. There is nowhere more experienced in Robotic FUE than BSG.

Finally, our hair restoration surgeons are all highly experienced in the field of hair transplantation and each are members of the International Society of Hair Restoration Surgery (ISHRS).

Why The Name Barber Surgeons Guild^®?

Hair restoration is equal parts art as its science. When the art is overshadowed by the science, aesthetic results become compromised. The BSG namesake originates from the legacy trade of the Barber Surgeon who was responsible for all Barbering and Surgery from the 11th Century through the late 17th Century. Modern surgery was based on the contributions of the Barber Surgeons who first performed everything from tooth extraction to amputations. While barbers and surgeons have separated over the last few hundred years, we reunite these two tradesmen/women to work together to reincorporate the art of hairstyle with modern medicine.

Which Hair Restoration Is The Best?

The best hair restoration is much more than the type of graft harvesting that is used (i.e. FUE vs FUT). It starts with a proper style plan that aligns with the individual’s goals. It also involves a deep understanding of hairline aesthetics and natural anatomy in order to properly rebuild a new hairline or other areas of loss. Graft handling, i.e. short graft out of body time, and proper graft chilling is important and affects graft viability. And of course, the type of harvesting is important, as is the experience of the center and doctors with the particular harvesting technique. BSG specializes in Robotic FUE and does more of these procedures than anywhere else in NYC or LA, making us foremost experts in this space. BSG takes pride in offering what we truly believe to be the best hair restoration procedures from every perspective.

Where Do Celebrities Get Hair Transplants?

Unless a celebrity discloses themselves where they had a hair transplant, it is impossible to assume where they went for a procedure. Healthcare privacy laws protect patient information, including those of celebrities. As we can only speak for ourselves, BSG has treated many celebrities from actors, to musicians, to pro athletes of every major sports league. The procedures BSG performs on celebrities are the same exact procedures we perform on each and every patient.

Who Is The Best Hair Transplant Surgeon In The United States?

While we can only speak for ourselves, BSG hair transplant surgeons perform more Robotic FUE in New York City and Los Angeles than any other hair restoration center. Our Hair Transplant Surgeons are all members of the ISHRS (International Society of Hair Restoration Surgery), and each have extensive history performing the most advanced procedures to treat hair loss. Patients travel from all over the world to have their restoration procedures performed by BSG surgeons. If you are interested in traveling from out of State or beyond, please contact us and ask about our travel credits available.

How Do I Choose A Doctor For Hair Transplant?

Ensure the doctor has significant experience in the field of hair restoration. Ask to see before and after photos. Read reviews. Ask if there are patients they have treated who they can speak to. See if they are a member of the ISHRS (International Society of Hair Restoration Surgery). Meet the doctor for consultation and see if you connect and align on a plan. Ask if they have full time surgical assistants or do they use all contracted labor for support. Patients travel from all over the world to have their restoration procedures performed by BSG surgeons. If you are interested in traveling from out of State or beyond, please contact us and ask about our travel credits available.

How Do I Choose A Hair Surgeon?

Choosing a hair surgeon is a big decision and an important one. Ensure the surgeon has significant experience in the field of hair restoration. Ask to see before and after photos. Read reviews. Ask if there are patients they have treated who they can speak to. See if they are a member of the ISHRS (International Society of Hair Restoration Surgery). Meet the surgeon for consultation and see if you connect and align on a plan. Ask if they have full time surgical assistants or do they use all contracted labor for support. Patients travel from all over the world to have their restoration procedures performed by BSG surgeons. If you are interested in traveling from out of State or beyond, please contact us and ask about our travel credits available.

What Is The Best Age To Get A Hair Transplant?

While anyone over 18 years of age can legally get a hair transplant procedure, most hair restoration centers would prefer to medically manage patients until they were in their 20’s. According to the most recent 2022 ISHRS census report, the men under 20 years old accounted for only around 2% of procedures performed.

While anyone over 18 years of age can legally get a hair transplant procedure, most hair restoration centers would prefer to medically manage patients until they were in their 20’s. According to the most recent 2022 ISHRS census report, the men under 20 years old accounted for only around 2% of procedures performed.

Hair restoration in the 20’s is quite common and based on the census report referenced above, accounting for over 18% of all hair transplant procedures performed. The most common decade to have a hair transplant is the 30’s accounting for nearly 30% of all hair transplants performed.

According to the most recent 2022 ISHRS census report, the average age for hair transplants is in the 30’s. Based on the graph below, 77% of men are less were under 49 years old, 49% were under 39 years old, and 20% were under 29 years old.

How Long Does Hair Restoration Last?

Hair restoration is permanent. When guys lose all their hair they still maintain the permanent aka DHT resistant hairs around the “horseshoe”. This is the hair used in transplantation and wherever relocated, these special hairs will never fall out. It is very important for anyone who has had a hair transplant to make sure they follow proper medical management to prevent future hair loss as much as possible to prevent the need for more and more hair restoration. While it may seem ideal for some to simply keep resorting as more hair is lost, there is not enough donor hair to accomplish this. For this reason, hair transplantation is unfortunately not an option for guys who have already lost all of their hair.