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Start Here: Your Guide to Hair Restoration
Drugs, surgery, or both? This guide explains what is actually causing the loss, why medical treatment comes before a transplant rather than after it, how much donor hair you have to spend, and the order people usually do things in.
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hi, I’m Nick — Welcome!
Nick Peplow
the short version
A Transplant Moves Hair. It Does Not Stop Loss
Every hair transplant is a redistribution, not an addition. Hair is taken from the back and sides of the head, where it is genetically resistant to thinning, and put where the thinning is. Nothing new is created. The donor area is finite, and once it is spent it does not refill.
Which is why the drugs matter more than the surgery. If the loss is still active and nothing is slowing it, the hair around the grafts keeps going, and two years later there is a transplanted island with a gap behind it. That is the single commonest way a technically good transplant ends up looking wrong.
I built this site because almost nobody I have watched through this was told that plainly before they paid. No clinic pays for a word here, and there are no discount codes.
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No. It moves hair from the back and sides, where it is genetically resistant to thinning, into the area that is thinning. The hair around the grafts carries on doing exactly what it was going to do, which is why medication matters as much as surgery and why an untreated transplant can end up as an island with a gap behind it. Start Here explains the order.
A hairline and frontal third is commonly 2,000 to 2,500 grafts, and a crown can absorb as much again, against a lifetime donor supply of roughly 6,000 to 8,000. That arithmetic, rather than the technique, is what decides what is possible on your head. Donor supply goes through it properly.
Neither, in the abstract. FUE takes follicles one at a time and leaves scattered pinpoint dots; FUT takes a strip and leaves one line, yields more in a single session and sometimes survives better. The deciding question is how short you will ever wear the back of your head. Techniques compares them.
Because it is supposed to. At around three to six weeks the transplanted hairs shed while the follicles stay put, so you look worse at month two than you did before surgery, and new growth starts from about month three. It is called shock loss and it is the point in the process people find hardest. Shock loss explains it.
If you take it, yes: stopping loses whatever it held within six to twelve months. That sounds like a catch and it is really the whole point, because holding the hair you still have is what keeps a transplant looking right in ten years. Finasteride covers the evidence and the side effect question in numbers rather than reassurance.
Cheaper, often by half or more, and not automatically worse. The variable that matters is not the country but who physically performs the operation, how many patients the clinic runs in a day, and what happens if something goes wrong once you are home. Those questions apply just as much to a clinic near you. Going abroad sets out what to ask.
Techniques
Every transplant moves the same hair. The techniques differ in how it comes out, and that is a smaller difference than the marketing suggests.
See all technique guides →
Areas
The same operation behaves very differently depending on where the grafts go. This is where the donor supply is actually spent.
See all area guides →
Medical Treatment
The unglamorous half. It is what holds the hair you still have, and what decides whether a transplant still looks right in ten years.
See all treatment guides →