Which Hair Replacement Gives More Natural Results: Hair Plugs or Hair Transplant Surgery?

Doctor Answers 14

Hair transplantation

Today there are no plugs being done, only follicular unit transplants which are completely normal looking

Los Angeles Hair Restoration Surgeon
5.0 out of 5 stars 20 reviews

FUE hair transplants produce very natural results

Almost no one does hair plugs today, and hair transplants have advanced so much that the results are very natural-looking. In my practice, I prefer the FUE method of hair transplants using NeoGraft. It requires less downtime for my patients and does not have the associated risks of the surgical strip method. FUE is also advantageous in that it leaves virtually no scars. It is a method that has revolutionized the industry.

Cory Torgerson, MD, PhD, FRCSC
Toronto Facial Plastic Surgeon
4.5 out of 5 stars 67 reviews

Who is doing hair plugs?

Who is doing hair plugs? No one should be doing hair plugs nowadays.  If someone is offering that type of surgery, you should stay way.  

Jae Pak, MD
Los Angeles Hair Restoration Surgeon
5.0 out of 5 stars 64 reviews

Which Hair Replacement Gives More Natural Results: Hair Plugs or Hair Transplant Surgery?

I'm not sure why you are asking this question, as I cannot imagine anyone offering hair plugs any more! I have been in practice for 22 years and I have never used them.
Certainly today's technology is so different and so superior that it should have a different name to it. It is a huge challenge to detect a properly performed hair transplant surgery in this day and age. 
Years ago I used to correct a lot of hair plug surgery that looked hideous, but we must have treated the vast majority as its rare to see one now. See the link for a website dedicated to correction of old techniques or any poorly performed hair transplant

Bessam Farjo, MBChB
Manchester Hair Restoration Surgeon
5.0 out of 5 stars 1 review

Hair Transplant vs. Plugs

Hair transplant surgery most definitely gives a more natural result.  Transplant allows us to be create hairlines with single and double hair graft, which is the way our hair is naturally designed.  With the right technique, surgeon, and team, it should be unrecognizable that hair has been transplanted.

Jeffrey W. Hall, MD
Austin Plastic Surgeon
4.5 out of 5 stars 15 reviews

Hair Transplant for Restoration

Hair transplant surgery is definitely the better choice. Hair plugs have become an antiquated method of hair restoration as compared with today’s technologies, namely follicular unit extraction. FUE hair transplant harvests donor hair in individual follicular units and has the ability to extract hair from anywhere on the scalp, in addition to the use of non-head hair using the uGraft. This widens the donor pool and makes the result of hairline design softer and more natural-looking. In typical cases FUE hair transplant also proffers cosmetically negligible scarring overall.

Sanusi Umar, MD
Redondo Beach Dermatologic Surgeon
4.5 out of 5 stars 30 reviews

Hair Plugs - A Thing of the Past

Hair plugs are a thing of the past . Most work today is done with follicular units put in with needle holes. No plugs, no punches. One, two ,or three hair transplants done individually

Which hair transplant procedure gives the most natural appearance?

There is no doubt about this answer. Plugs with 5 or more follicles looks like a row of corn or a dolls hair. Yes, you can go back later and fill inbetween the plugs, but it is unnecessary when using the FUE (follicular unit extraction) techniques. This is when a 1 millemeter graft is taken from the back of the head instead of a strip of scalp. Each 1 mm follicular unit may contain from one to four follicles and thus hairs. There is no visible scar at the donar site, and if skill is used, the recipient site is scarless as well. For the front line of hairs, the one hair grafts are used, and behind that those with more hair flolicles are used for increased density. I prefer the NeoGraft system because it is the newest, and in my opinion, the best automated FUE technology. Our patients are thrilled with the procedure, and there the evidence of the patient having had a transplant is virtually zero. With the NeoGraft 2500 grafts can be done at one sitting, and that is about 6,000 hairs. It is done under local anesthesia and the recovery time is just a few days. Many patients go back to work in 2-3 days. There are no sutures to remove.

Hair Plugs or Hair Grafts for Hair Transplant Surgery

Today's state of the art technique involves transplanting small grafts containing 1-3 hairs.  This is the way it naturally grows.

Jack Fisher, MD
Nashville Plastic Surgeon
5.0 out of 5 stars 4 reviews

Plugs or Grafts for Hair Transplantation

Hair pl will ugs are almost never used today.  The appearance of plugs will give an unnatural appearance, since the plug will have high density of hair follicles, but there will be large obvious areas of surrounding skin without any transplanted hairs.  Stay with the proven technique of hair follicular grafting which can give good density and a nice patterned fullness.  There is another technique in which a hair flap can be transposed or rotated where greater density is needed, but this technique will deplete a great amount of hair relatively speaking from one given area, but surrounding areas will be very depleted and won't balance to the flap density.


Always ask a local Plastic Surgeon for guidance in this regard.


Good luck.


Frank Rieger M.D.  Plastic Surgeon

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.