Hair transplantation is only effective for permanent, stable hair loss with an intact donor area. The conditions below have different underlying causes and generally require medical treatment first.

Telogen Effluvium

A usually temporary, diffuse shedding that occurs when a stressor โ€” surgery, childbirth, severe illness, nutrient deficiency โ€” pushes an abnormally high proportion of hairs into the telogen phase at once.

Alopecia Areata

An autoimmune condition in which the immune system attacks hair follicles, producing round, sharply defined patches of hair loss. Transplantation is not recommended during active disease.

Traction Alopecia

Caused by mechanical damage to follicles from hairstyles that apply prolonged tension โ€” tight ponytails, braids, weaves. Can be reversible if caught early.

Cicatricial (Scarring) Alopecia

A group of conditions in which follicles are permanently replaced by scar tissue (e.g., lichen planopilaris, folliculitis decalvans). Transplant may only be considered in "burned out," inactive areas, and requires specialist evaluation.

Key point: Anyone with diffuse, active, or unexplained hair loss should be evaluated by a dermatologist before considering surgery.