Avoid Doll’s Head After Hair Transplant Procedure


One of the goals of hair transplant surgery is to create a natural-looking result, which is achieved by simulating the ideal grouping and angle of growth of hair.   In essence, the procedure requires the transfer of bald-resistant hair follicles from the back of the scalp to the balding crown and/or receding hairline.

Perhaps the most obvious telltale sign of hair transplant is the appearance of doll’s head, which is generally caused by large hair plugs that consist of more than five hair follicles; they are also compressed into small holes that stood out from its surrounding.  Oftentimes, inexperienced or “lazy” doctors resort to this technique in an attempt to rush the surgery.

It is a sacrosanct rule to use small hair plugs, ideally one to two hair follicles, if the goal is to capture the natural look.  While this is a time-consuming, almost grueling endeavor, it is the only way to avoid the doll’s hair appearance and other telltale signs of botched results.

To further make the transplanted hair blend well, its direction of growth should also replicate the surrounding hair follicles.

In the past, the appearance of doll’s hair was quite common because of technical and technological limitations.  But everything has changed after the introduction of follicular unit transplant or FUT, which is the standard technique used today.

FUT collects a strip of tissue from the back of the scalp that bears bald-resistant hair follicles, which are then grouped into smaller plugs before implanted to cover the balding spot or to lower the receding hairline.

Meanwhile, a new hair transplant technique called follicular unit extraction or FUE could also be a good way to avoid the doll’s head appearance.  Instead of collecting a strip of tissue, it uses a hole-punch device while collecting and implanting the bald-resistant hair follicles.

While most surgeons have already abandoned the old techniques that resulted in the appearance of doll’s head, some still attempt to rush the process by using linear grafts, which almost always lead to poor results.
Article by
Beverly Hills Plastic Surgeon