A Hair transplant is a surgical process of transferring hair follicles from a hair-rich area to a bald part of the scalp. Though it is a safe and effective treatment method, it can also have a few downsides. In some cases, hair transplant fails, and it's important to understand the reasons why. As a medical professional, in this article, I would like to share with you the common reasons why hair transplants fail.

Poor Candidate Selection

The Common Reasons Why Hair Transplants Fail: An Insight by a Medical Professional

One of the primary reasons for hair transplant failure can be poor candidate selection. Not everyone is an ideal candidate for a hair transplant. A suitable candidate would be someone with a stable area of non-balding hair follicles that can be adequately harvested and transplanted. It's essential to assess the candidate's hair type, degree of hair loss, hair quality, and scalp laxity before commencing a transplant procedure.

Inappropriate Transplant Technique

Another reason for hair transplant failure can be an inappropriate transplant technique. One of the main techniques used is the FUT (Follicular Unit Transplantation) method, where a strip of donor skin containing hair follicles is removed, dissected, and transplanted. The other procedure is the FUE (Follicular Unit Extraction) method, where individual hair follicles are extracted and transplanted to the recipient area. If the wrong technique is applied, the hair follicles may fail to grow or may result in a poor aesthetic outcome.

Poor Quality of Hair Follicles

The quality of hair follicles transplanted can be another reason for hair transplant failure. Hair follicles with poor quality or those that are in the resting phase may not survive the transplantation process. It's essential to use hair follicles with active growth and those that are genetically programmed to grow hair in the balding areas.

Inadequate Post-Surgery Care

Inadequate post-surgery care can also lead to hair transplant failure. After the transplant procedure, it's crucial to follow the instructions given by your surgeon carefully. These may include washing your hair carefully, avoiding strenuous exercise, and avoiding exposure to sunlight. Any deviation from the recommended care procedure can lead to undesirable outcomes.

Underlying Medical Conditions

Underlying medical conditions can also impact the success of a hair transplant. For instance, if a candidate has conditions like alopecia areata, an autoimmune disorder that causes hair loss, the transplanted hair may also fall out. Similarly, candidates suffering from other medical conditions that impact hair growth may not be the ideal candidates for a hair transplant.


A hair transplant is an effective solution for those suffering from hair loss. However, it's crucial to understand the potential reasons why a hair transplant may fail. These range from poor candidate selection to inappropriate transplant techniques, to inadequate aftercare. It's essential to work with a qualified surgeon and closely follow their instructions to ensure the best possible outcome.


  • Can a second hair transplant procedure be effective if the first one failed?

    Yes, a second hair transplant can be effective if the first one failed. However, it's essential to determine the primary cause of failure and address it accordingly.

  • How long does it take for the hair to grow after a hair transplant?

    The transplanted hair will start to grow after three to four months, with full growth visible after a year. However, the growth rate varies from person to person.

  • Can a hair transplant procedure be expensive?

    Yes, a hair transplant procedure can be expensive. The cost may vary depending on the surgeon's expertise and the technique used. However, it's essential to consider the benefits and the outcome of the procedure.