Find A Coalition Physician Find A Coalition Physician

Hair Loss Open Topic

What to ask your hair transplant doctor before surgery

Finding a hair transplant surgeon can seem like a daunting and stressful task. So many things are running through your mind.  Will I have a good result?  Will people know I had surgery? How much will it cost? In this article, we will go over what questions to ask your potential hair restoration surgeon prior to having surgery.

What is the surgeons role:

Modern day hair restoration is a team effort that involves surgeons and technicians alike.  Thus, It is imperative to ask the surgeon what role he/she will play during the procedure. For example, will the surgeon be a part of the donor harvesting removal of a strip (Follicular Unit Strip Surgery) or excision of grafts via (Follicular Unit Excision) or will this be handled by the technicians? Will the surgeon create the recipient sites that will determine the angle and depth of follicular units and determine the overall density of the procedure? Asking these key questions will give you a better understanding of how your procedure will be carried out.

What are your surgical options:

It is essential to know what your options are as a patient prior to having a procedure. There are two methods of donor harvesting  The first method which has been refined since the early 90’s is Follicular Unit Strip Surgery (FUSS) or strip surgery. FUSS is a surgical technique that involves a surgeon removing donor tissue from the sides and back of the scalp where hair is genetically resistant to the hormone Dihydrotestosterone (DHT). The second method is Follicular Unit Excision (FUE) formerly known as Follicular Unit Extraction. FUE is a minimally invasive procedure that involves a hair transplant surgeon using a small punch between the sizes of .7 and 1mm in circumference.  The FUE procedure uses the small punch to extract each follicular unit one by one.

Which donor harvesting method best suits me:

Both hair restoration procedures rely on a finite donor supply thus careful planning must be employed prior to having surgery. Generally, more grafts can be excised using strip surgery (FUSS) because a large donor strip can be removed in one sitting without any obvious signs to the donor site. However, due to the nature of FUE less grafts can be harvested in one sitting for a multitude of factors such as donor density, graft transection, surgical fatigue etc. Conversely, strip surgery relies on scalp elasticity thus the more surgeries an individual has equals a reduction in scalp elasticity until the scalp can no longer support strip surgery. It is important to ask and understand the pros and cons of each procedure and build a master plan with a surgeon before committing to surgery. Every patient’s needs are different, it is important that you build a strategy that will meet your specific goals.


As with any surgery, choosing a qualified and skilled hair transplant surgeon is essential for receiving natural results that will last a lifetime.  Find a prescreened hair restoration surgeon in your area  and schedule a consultation today.

Written By,

Melvin (HTSoon) - Editorial Assistant and Forum Co-Moderator