Can anyone get a hair graft?

Like any surgical intervention, this reliable and safe technique requires that the patient meet certain criteria necessary for the experts to be able to guarantee the success of the results after the procedure. Thus, age, some previous pathologies, the degree of affectation of alopecia, genetics itself or the type of hair in the donor area, will condition the possibilities of a person to be the optimal candidate for a hair graft. We'll tell you then.

The first thing we should know is that: only a specialist doctor can make a reliable diagnosis about what our hair problem is. Through the detailed study and assessment of our medical history, the quantity, quality and condition of our hair and scalp, you can recommend the most appropriate treatment for our particular case to obtain an optimal and lasting result.

Although the majority of patients end up being suitable candidates for this operation, a small percentage will present certain factors that the professional takes into account to propose other, safer and more effective alternatives.


Although it is not a decisive factor, its influence on the implant results must be taken into account. The ideal is to undergo this treatment:

  • from 26-30 years old, when the evolution of alopecia has stabilized to prevent the appearance of the transplant from deteriorating due to the appearance of new bald spots in the long term.
  • It should not be delayed much beyond the age of 50, as alopecia could combine with natural hair loss due to aging and reduce the quantity and quality of donor follicles needed to cover the bald area.

If you want to know more about this topic, we recommend our post: I have alopecia, can I do something at my age ?.


The characteristics of our ball are also considered during the analysis, such as the hair of:

  • fine and smooth texture: can offer a less desirable appearance compared to the result seen in thick and curly hair.
  • light color: especially if it is fine and smooth, it will be difficult to achieve the appearance of a dense mane.

The specialist assesses in these cases if it is convenient to prioritize density over extension, if the donor surface has an adequate density, what is the quality of the hair and scalp, or the pattern of fall. With these data, he recommends the patient the most suitable strategy to achieve the best results and with realistic information about what he will be able to achieve with this procedure.


Of the hundreds of types of alopecia, androgenetic (common baldness) and secondary scar (due to scalp disease, injuries, trauma or burns) are considered recoverable, but in some cases hair transplantation is not feasible:

  • Alopecia areata: it is an autoimmune disease, where the body attacks the hair follicles because it recognizes them as foreign elements. It generates reversible bald spots, which appear and disappear randomly. The follicles remain in good condition and ready to regrow hair later. Instead of transplantation, other specific treatments are recommended in these cases.
  • Fibrosing frontal alopecia (AFF): it is an autoimmune inflammatory process that leaves a scar on the scalp, so hair loss is permanent. A dermatologist will indicate the most effective treatment to control the progression of the disease. After one year of stabilization, hair transplantation may be considered as an option.

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