Why Hair Transplant Fail?

The problem of hair loss is an issue that can now be treated. Although it is possible to solve the problem of hairlessness with hair transplantation, everyone is wondering whether hair transplantation may fail. In fact, this question is very important. I value this question and I understand you very well.

Hair transplantation is an operation performed for many years. In the first years of hair transplantation, which we can call the trial period, the fail rate of the process was quite high. Today, thanks to developing technologies and experiences, hair transplantation results are highly successful. There are still a lot of hair transplantation centers using old hair transplantation techniques, so it is still normal to experience unsuccessful hair transplantation operations.

Failure in hair transplantation (or hair growth) sometimes can be the fault of the hair transplantation center. However, sometimes people who have hair transplantation may perform wrong hair care as well. Successful results in hair transplantation are only possible with the joint efforts of the hair transplanter as well as the person who is performing his/her own hair care. The rules and instructions to be followed after hair transplantation must be performed very carefully. In addition, the drugs given after the procedure should be used in a timely manner.

There are also degrees of success or failure in hair transplantation. Moreover, people who have hair problems and decide on hair transplantation should not keep their expectations about hair transplantation at very high levels. Hair transplantation centers that give you exaggerated results should be strictly avoided.

Before and After Hair Transplantation images should always be considered as representative. Because everyone’s hair thickness, hair structure, and the number of hairs growing from a follicle may be different. It should be noted that the density of hair transplantation is related to a person’s own hair.

In hair transplantation, the rate of failure of the planted hair varies between 0.01 and 0.03. This rate is very low. This is the number of hair follicles not growing to be considered normal. All in all, there is no possibility as 100% of planted hairs to grow.

What Are the Possible Reasons for An Unsuccessful Hair Transplantation

There are several reasons which may cause a hair transplant operation to fail such as:

Some hair follicles can be damaged during planting.
Some hair follicles can be damaged during collection.
Some hair follicles could be shed in the area they were taken even if they were not collected.
Some hair follicles may not fit into the area of transplantation.
Some hair follicles can be already unhealthy in the area taken.

Due to the above-mentioned reasons, it may be possible that the transplanted hair doesn’t grow. However, this rate is only between 0.01 and 0.03 percent. A maximum of 3 roots per 1000 roots may not grow because of these reasons. If there are more problems than these numbers, the cause should definitely be investigated and the procedure should be considered as a failed hair transplantation.

Besides, hair transplantation is an application where you should be patient. Hair transplantation results which last one year to show up on average should be expected with patience, the hair transplantation center should be contacted regularly and necessary controls should be performed.

What Should You Do When Hair Transplant Fails?

Obtaining the most natural appearance in hair transplantation is extremely important and for this, you must first choose the right specialist doctor & team and clinic. As a logical and knowledgeable person who is currently doing research on hair transplantation, you may be wondering what might not work well during and after the procedure.

Possibility of a failed hair transplantation which is performed in hair transplantation centers without any authority is quite high. When looking for a clinic for hair transplantation, you should not just look at the price and choose the cheapest place. Inexperienced hair transplantation centers and people who call themselves hair transplant specialists should be avoided as a general rule since there is no medical title or certificate system in any country or in the world as ’hair transplant specialist’.

But the first thing you should remember is that you don’t have to panic if you encounter unwanted results, scarring or any other negative consequences after hair transplantation. You should prefer a center where the specialist doctors and their teams perform hair transplantation on a regular basis and restore hundreds of patients to their natural and healthy hair.

Still, some problems may occur in hair transplantation. What can be done to prevent or eliminate them are:

Differences Between FUE and FUT

There are two types of hair transplantation techniques available today: FUE (Follicular Unit Extraction) and FUT (Follicular Unit Transplantation), which is actually a tissue strip removal method from the scalp. Both give good results, but the hair follicle collection methods are different from the donor site, so there are big differences in the scarring they leave.

FUE technique is a ‘new and more advanced’ method in hair transplantation. An experienced surgeon collects hair follicles from the back and sides of the scalp, ie the healthy growing side of the hair, with a thin tip device called punch. Each hair follicle taken (graft) contains 1 to 4 hair strands. Your doctor will take these donor follicles and transfer them to the hair transplantation areas to create a natural hair appearance.

In the FUT technique, a relatively thick tissue strip from the nape part is cut out in one piece. Healthy hair follicles in this ribbon are separated and transplanted to the areas where they will be transplanted. In the older FUT technique, a much larger rib-shaped wound is formed, it takes longer to heal, and a more noticeable scar remains.

Specialist and experienced physicians in hair transplantation can do both procedures because the FUT technique is often used in larger areas of baldness, although the risk of scarring is high. The tissue strip is removed from an area that can be easily closed with long hair.

An Anecdote About Inexperienced Hair Transplantation Centers

If the person who makes your hair transplant is an inexperienced surgeon or is not a specialist in this field, no hair transplantation method can be successful. You know how important your hair and appearance are to you.

Stay away from centers that promise too good results to be true. Likewise, if the doctor, clinician or the person you are talking to does not give satisfying and realistic answers to your questions, trust your feelings and stay away from such people and places.

I advise you to choose experienced doctors and clinics who can give a satisfactory answer to your questions.

If an inexperienced surgeon or physician does not perform the procedure correctly, a serious and permanent scar can occur. Hair transplantation performed in a clinic that does not meet hygiene standards in surgical standards may cause wounds to infect and lead to several complications when you are in the clinic. Therefore, a painful and prolonged healing and more scars may occur.

Hair Transplantation That Does Not Look Natural

There are also patients who have had hair transplantation before, but whose hair does not appear to be natural. I advise anyone who wants to have a hair transplant to contact the hair transplantation clinic with a demand of the same or similar hairline as your natural hairline that comes with birth.

Your doctor should consider the future with the most ideal and natural hairline and should take your approval. Some hair transplant experts who do not abide by ethical principles may draw a hairline like your favorite celebrity by claiming that will look more natural. However, in this way, you will definitely have a more unnatural and unrealistic hairline.

The truth is, if you don’t have this kind of hair before your hair is shed, then you can’t change your hair.

Hair Loss in the Donor Area

Occasionally, hair transplantation in sloppy, inexperienced hands may damage follicles that remain in and around the donor area. In this case, the hair on the back of the neck is shed and a patchy appearance on the scalp may occur. This may mean that the procedure is bad, that the follicles in the donor area are damaged and the entire process is unsuccessful.

This is one of the most difficult issues to solve. We all have a limited number of hair follicles, and if many of these follicles are damaged, it may be too late to save your hair despite any expertise and knowledge.

How Does the Unsuccessful Hair Transplantation Manifest Itself?

Hairline being far ahead: The hairline can be restored by pulling it into the position it should be. It is the situation where the hair design that is positioned according to the hairline in the adolescence period which is not suitable for age. The FUE technique can be used to retract the hairline that has been placed in a forward position. It can be distributed to different areas according to the density of hair in the scalp.

When the hair is too high: Single-hair grafts should be placed in front of the hairline. Hair follicles with a lot of hair can suddenly rise from the forehead and cause an abnormal appearance. The front hairline can be restored with single hair follicles and restored to a normal appearance.

Very large hairline: In a normal adult man, the hairline is about one finger width between the upper eyebrow line and the adolescent hairline. If it is too large, the hairline causes a strange and unnatural appearance.

Crooked hairline: Fully complied with the natural hair direction of the patient is very important to achieve a natural appearance. In some hair transplantation operations, hair transplantation may be performed on the scalp perpendicularly or at different angles. It is very important that the hair is sown backward for natural looking hair transplantation.

In cases where the hair in the donor area is limited, distributing the hair follicles properly is of great importance. It is among the factors that determine the success of hair transplantation in order not to waste hair, to ensure the attachment of each graft taken, to provide an equal distribution on the scalp, and to leave a healthy hair follicle in the donor area in case of spillage in later ages.

In the case of hair transplantation, visible marks usually turn into a serious aesthetic problem in the case of a very low hairline in the neck or neck area. Care should be taken to ensure that the hairline in the donor area is not pulled upwards, as well as an inadequate hair density in the area or hair depletion is not created. In this way, this region will not cause any hair waste.

If the problem caused by hair transplantation is not serious, it can be solved by placing micro-grafts in front of larger grafts. Grafts that appear abnormal in this way can be camouflaged. With the new hair, it is possible to make the hair appear natural. If the hairline is too low, it can be retracted with the FUE technique. Scars can also be closed with the FUE technique. In areas where there are traces, extra hair can be transplanted in order to keep the scars hidden by providing enough density to cover them.

Causes of Failed Hair Transplantation

Doctor’s Lack of Experience

FUE or DHI hair transplantation are rigorous procedures that require patience. It takes time to master this art and it is not desirable to be a guinea pig for any patient. Sometimes, inexperienced doctors may not be able to place hair grafts correctly during transplantation. However, graft placement is one of the most important stages of hair transplantation operations and plays an important role in the final appearance of the hair. Experienced doctors know how to effectively use appropriate donor sites for hair transplantation. Less experienced physicians may be prone to make mistakes, such as choosing false donor areas.

When the hair follicles are transplanted from the wrong areas of the scalp, both the donor site and the recipient region will probably show evidence of this poor technique. The first donor region used in hair transplantation is the nape of the head. Additional donor areas, such as beard and chest hair, are also available. A natural look can be obtained only if the hair taken from the nape area alone or with the hair taken from other parts of the body is used in the correct way. Improper use of hair follicles from different donor sites can lead to unacceptable results.

Inadequate Care After Operation

It may be as important as the procedure itself to look after yourself after hair transplantation. Your doctor will provide you with a list of instructions and comprehensive information on the care of the area where the hair is planted for days and weeks after the operation. Some patients appear to have excessive scabs in the scalp. Scratching this area or improper washing may prevent the hair follicles from sticking to the sown area. In some other cases, an infection can be observed due to poor hygienic conditions.

Following gentle hairwashing instructions after the operation is vital to ensure satisfactory results in all respects, as well as following recommendations such as avoiding exposure to sun or avoiding perspiration within specified times. In order to avoid post-operative problems, follow your doctor’s instructions and recommendations carefully. If you have any concerns, call your doctor immediately.

Not Being A Suitable Candidate

Hair transplantation can be a great process that changes life for many people, but remember, it should only be done on appropriate candidates. Prior to the operation, it is important for the physician to evaluate the person’s genetic and health status, to discuss the operation and post-operative issues. During the examination, your doctor will make various assessments to analyze future hair loss, assess the type of hair and determine the cause of hair loss. These are all factors that help determine whether you are a suitable candidate for the procedure.

You have heard of people who have failed hair transplantation. Sometimes such a failure occurs because the patient is not a suitable candidate for the procedure. But don’t let them scare you! It is not difficult to determine if a person is “fit” for FUE hair transplantation. Sometimes, a person’s hair loss is not yet enough to be a hair transplant operation. In other words, you may not be ready for operation yet. It seems confusing, but yes, sometimes you may need to shed a little more hair to get ready for a hair transplantation procedure.

Incompetent Hair Transplantation Centers

Unfortunately, people who work in medicine as in every profession may not always be good and honest people. Just like researching the doctor’s experience, you should also research the hair transplantation center for its reliability. Ultimately you want to advance with an honest and skilled hair transplant doctor, not a person who just chases your money. A hair transplantation center that is just looking for your money will not care about your well-being, your health and giving you a satisfactory hair transplantation result.

An FUE hair transplant doctor and a team who do their job well will clearly deal with your concerns and wishes. In your hair transplantation examination, you want a doctor and a team that you can trust and talk to, not someone who makes little effort to communicate. If you feel something is missing during your examination, don’t be afraid to look for other options.

These centers, which are not honest and keep their commercial interests in the forefront, stand out with numbers more than quality. They just give information about the number of high grafts to be planted. The fact of whether hair transplanters collect the right number of grafts that they have indicated should not be a problem to deal with. Of course, you can’t count individual grafts, so you may not be able to learn it. Therefore, the doctor’s and the clinic’s reputation, as well as the patient evaluations are important. You don’t want to waste your money or be deprived of successful hair transplantation.


In fact, what we are talking about here is not really a failure. Hair transplantation operation is the first stage of the procedure, then a long process is waiting for the person. Some people declare the operation as unsuccessful before the process is completed, before giving the hair a chance of growing.

It can take up to 12 months or more to see the first results, and you can sometimes be impatient or question your results. It is natural to ask to see the results as soon as possible. Discussing with your doctor or your patient representative who is interested in you before the procedure and how you should expect a hair transplant result during the process will prevent misunderstandings.

After An Unsuccessful Hair Transplantation

Hair transplantation is a practice that is preferred by many different age and business groups and failure in this practice can be quite depressing and annoying. Failing hair transplantation is certainly not a preferred outcome. However, such a negative result can be compensated for. You can contact an expert who has experience and ability to ask for an intervention that can compensate for the failed operation. In addition, the reason for the failure of the process should also be checked. A hair transplantation procedure may fail because of many reasons. Sometimes, this result can be obtained due to the reasons that the physicians are not liable. Therefore, you should consider your physician’s assessment and you should first follow his/her instructions.

The results of hair transplantation that are considered unsuccessful can be very large grafts, there may be anterior hairline problems or unrealistic views. For example, grass man appearance, parquet effect or various wound problems are the most common in hair transplantation applications. But these are not problems that cannot be corrected. They can be turned into a wonderful result in the hands of an expert physician. A natural look is the most important expectation in this application. The natural appearance can be easily obtained with physicians who are careful about some sensitive points.

After a failed hair transplantation, if the hairline is too far ahead, it can easily be pulled to the point where it should be. Likewise, the hair being too high is one of the most common problems encountered. It is possible to eliminate this problem by restoring the front hairline with single-haired follicles. The distorted hairline problem is one of the most frequently encountered, but a physician of his work can make corrections in this regard. For a natural look, the hair follicles should be transplanted in the right direction and this should continue with a systematic process. In this way, natural looking hair can be achieved. If you’ve faced a failed plantation, don’t worry. Such problems can be compensated.

Savaş Ateş

I'm a hair loss expert. The picture was taken 10 years ago :) I have been losing my hair. So I started to learn everything about hair loss and hair transplants. I contacted a lot of hair transplant doctors. We shared our experiences. I'm writing blog posts for people who have the potential of losing their hair. I give some tips about hair transplants and medical issues too.

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