Hair Transplant: A Complete Breakdown of Costs For 2021

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Hair transplants are a popular hair treatment method, but they’re also one of the most expensive. In this article, I’m going to discuss the cost of transplants (including the factors that contribute, such as location and method).

I’ll also highlight some of the more general transplant information (such as who qualifies and the risks involved). In addition, I’ll share with you three less expensive methods that you may find more appealing.

What Is a Hair Transplant?

Simply put, a hair transplant is a surgical procedure that involves the removal of hair from one area of the scalp (the donor site) and transplantation onto another (the recipient site). This is performed by a hair restoration surgeon, and it’s one of the most well-known hair loss “cures” on the market.

Full recovery can take up to 12 months

Of course, a hair transplant isn’t actually a cure. Instead, it’s a technique that aims to reduce the appearance of balding and reactive hair growth. However, reactivation isn’t always possible, and it’s best to go into the procedure with this in mind.

(Learn more about hair transplants, including what to expect during recovery, here.)

What Are the Types of Hair Transplant Methods?

While FUT and FUE are the most commonly used methods today (more on that below), there are other methods (though outdated) that may be available.

Punch Graft

With the use of 4mm ‘punch’, a cylinder of hair-bearing skin is removed from the donor site. This cylinder typically contains 12 – 30 individual strands of hair, and it was placed into the recipient site.

The punch graft was the most popular method of transplantation for over 20 years. However, it did have an unnatural and ‘pluggy’ look. This is where the term ‘hair plug’ originates.

It’s safe to say that the majority of surgeons no longer use this method.

Our Perfect Hair Loss Solution

Mini/Micro

Mini and micro are transplant methods that involve the removal of thin strips of hair-bearing skin from the donor site. The area is then stitched, and this leaves a thin scar.

To transplant, a scalpel is used to make small slits in the recipient area. The graft is then placed.

As you might imagine, this is also a bit of an unnatural look. Additionally, the long scar can be a deterrent for many. As such, both mini and micro grafts are rare in transplantation (though, they may still be used for particular cases).

Follicular Unit Transplantation (FUT)

Follicular Unit Transplantation (FUT) is a more modern method of hair transplant, though it is related to the mini/micro methods.

In this method, a strip of hair (from 1.5cm to 30cm in length) is removed from the donor area. The site is then sutured or glued.

Next, the strip is placed under a microscope. The surgeon then works to extract individual follicular units from the graft, and these individual units are then placed in the recipient area.

Unlike mini/micro grafts, slits are not necessary in the recipient area. Instead, small punctures are made where the individual grafts will be placed.

Follicular Unit Extraction (FUE)

Alongside FUT, Follicular Unit Extraction (FUE) is another modern hair transplant method. However, FUE offers many more benefits (including minimized scarring and quicker recovery).

With FUE, the units of hair are placed within the recipient area just as they are in FUT. However, instead of removing a strip of hair-bearing skin, the follicular units are removed one by one.

This takes considerable time (which means it costs the most), but it also delivers the most natural results.

Who Is a Candidate?

Candidacy for hair transplant will depend on the surgeon. However, there are some general candidacy guidelines to give you an idea of who qualifies.

Men With Norwood Stage 3 Hair Loss and Above

If you’ve been diagnosed with Male-Pattern Baldness (MPB), you are probably familiar with the Norwood scale for hair loss. In short, it’s a diagnostic scale used to determine how far MPB has progressed:

The Hamilton Norwood scale for hair loss
Source.

While hair loss caused by MPB does begin to become noticeable during Norwood 2, many surgeons will only perform a transplant on patients diagnosed with Norwood 3 and above.

Men With Stable Hair Loss

In addition to a Norwood 3 diagnosis, hair transplants are best performed on men with stable hair loss. But what does this mean?

Hairline recession and thinning caused by MPB is caused by the hormone DHT. As DHT wreaks havoc on the hair follicles, hair loss will continue to occur. However, when you’ve finally got DHT under control, it can be classified as ‘stable’.

All this means is that further balding is very unlikely, or that it has slowed so significantly that gradual changes take place over a few years (instead of a few months).

The less likely future hair loss is to occur, the more likely that you’ll have success with the transplant.

Men and Women With Trauma-Related Hair Loss

Not all hair loss is caused by MPB. However, even some forms of non-MPB hair loss can be treated with a transplant.

One such form is trauma related, and it can occur as a result of burns, scars, or other physical traumas.

Men and women with trauma-related hair thinning and balding may be good candidates for hair transplant, assuming their injuries have fully healed.

What Are the Risks and Side Effects?

As a surgical procedure, hair transplants come with a number of risks. In addition, patients may experience side effects (some permanent) as a result of the transplant.

In a 73-patient analysis, these were the risks found to be most common:

  • Postoperative edema (42.47%)
  • Failure of growth of transplanted hair (27.4%)
  • Sterile folliculitis (23.29%)
  • Wide donor scar (15.07%)
  • Bacterial folliculitis (10.96%)
  • Numbness/paresthesia (10.96%)
A donor scar as a result of hair transplant
Source.

Other risks associated with the procedure include raised scar (8.22%), hiccups (4.11%), skin texture change (2.74%), itching (1.37%), and excessive bleeding (1.37%).

(Learn more about the side effects associated with hair transplantation here.)

How Much Does a Hair Transplant Cost?

Keep in mind, costs will vary. However, we can get a general idea by looking to real transplant patients for their own experience.

According to RealSelf and reviews from real transplant patients, here’s a basic breakdown:

[one_fourth_first]Location[/one_fourth_first][one_fourth]Average Cost[/one_fourth][one_fourth]Low[/one_fourth][one_fourth_last]High[/one_fourth_last]

[one_fourth_first]London[/one_fourth_first][one_fourth]$5,975[/one_fourth][one_fourth]$5,900[/one_fourth][one_fourth_last]$6,000[/one_fourth_last]

[one_fourth_first]Vancouver, BC, Canada[/one_fourth_first][one_fourth]$16,200[/one_fourth][one_fourth]$12,400[/one_fourth][one_fourth_last]$20,000[/one_fourth_last]

[one_fourth_first]Bangalore, India[/one_fourth_first][one_fourth]$2,475[/one_fourth][one_fourth]$400[/one_fourth][one_fourth_last]$5,000[/one_fourth_last]

[one_fourth_first]New York, New York[/one_fourth_first][one_fourth]$6,375[/one_fourth][one_fourth]$4,500[/one_fourth][one_fourth_last]$10,000[/one_fourth_last]

Of course, keep in mind that these are only patient-submitted costs. This means that your costs won’t necessarily fall within the range of your area. To get the best idea of cost, we recommend you consult with at least three hair restoration surgeons in your area.

Why Do the Costs Vary?

The cost of a transplant will depend on many factors, including geographic location, surgeon, and the level of balding. As most procedures are performed ‘by the graft’, the more severe your hair loss, the more costly.

Why Is It So Expensive?

While the cost of a transplant may seem expensive, you have to consider the complexity of the procedure.

Transplantation methods are becoming more advanced, and this is great for results. However, the more advanced techniques (including Follicular unit transplantation (FUT) and Follicular unit extraction (FUE)) take a lot more time and expertise.

In fact, FUT can take anywhere from 5 – 7 hours for one session! And, longer times (as well as more sessions) can be expected for FUE.

Is It Worth It?

The answer to this question is, “it depends”.

For many sufferers of thinning and recession, a hair transplant can provide them with confidence and higher self-esteem. However, there are risks associated with the procedure that may not be worth it to you.

A good surgeon will help you to weigh the risks and benefits, and determine if the procedure is right for you. In addition, a consultation with a good surgeon will help you to know your odds of success with the procedure.

Are There Less Expensive Treatment Options?

Unfortunately, the costs of a transplant may not be within your reach. So, what other options do you have at your disposal?

Low-Light Laser Therapy (LLLT)

Low-Light Laser Therapy (LLLT) is an experimental treatment that uses lasers to target areas of hair shedding. This procedure can be performed by a dermatologist in-office, or at home with laser combs or helmets.

There is still debate around whether laser combs are actually effective in the long term

This method is believed to work in a number of ways. For example, LLLT can:

  • Stimulate anagen phase in telogen phase hairs
  • Prolong the duration of anagen phase
  • Increase hair growth rates in anagen phase follicles
  • Prevent premature catagen phase development

These results are believed to be caused by the lasers interaction with the hair follicles’ cells and (maybe) stimulation of the mitochondria.

Cost

Depending on whether you plan to seek out professional treatment, or perform LLLT at home, costs will vary wildly.

The cost of an LLLT comb or helmet typically ranges from $200 – $1,000. You can likely find ones for less, but of course you do get what you pay for.

In-office procedure costs will vary as well. For most, LLLT is an on-going treatment that’s completed over a number of sessions. As such, your costs can range from the mid-hundreds to a few thousand.

Microneedling

Using mesotherapy dermaroller on bald scalp

A treatment procedure that’s practiced as often at home as it is in-office, microneedling involves the use of tiny needles to create micro wounds in the scalp. These wounds then go through a three step process as they heal:

  1. Inflammation
  2. Proliferation
  3. Maturation (Remodeling)

While injuring the scalp may seem counterintuitive to hair growth, the process actually stimulates the production of collagen, as well as new skin cells. These new cells can then generate healthy new hair strands.

Cost

As with LLLT, microneedling can be performed at home or in-office. This means the cost will vary widely.

One of the cheapest microneedling tools, the dermaroller, can be purchased for about $25. However, more advanced tools (including the dermastamp and dermapen) can cost anywhere from $30 to a few hundred.

In-office microneedling can cost anywhere from a few hundred to a few thousand. These treatments will take place over a few sessions, and you may also be instructed to continue at home.

Platelet-Rich Plasma (PRP)

Just like LLLT, Platelet-Rich Plasma (PRP) therapy is still in its earlier stages of uses. However, recent scientific studies have shown it to be a promising option for people with significant shedding and thinning.

PRP involves the removal of blood from a patient’s body. The blood is then separated (using a centrifuge) into plasma and red blood cells. The plasma is extracted, and then injected directly into areas of hair loss.

This works surprisingly well, and here’s why:

Plasma is a blood product that contains numerous growth factors. These include Platelet-Derived Growth Factor (PDGF), Epidermal Growth Factor (EGF), and Insulin-Like Growth Factor (IGF).

These growth factors induce the proliferation of dermal papilla cells, which means more hair can then be produced in the area.

Cost

PRP – the only option in our alternatives list that cannot be performed at home – is also one of the more expensive options. However, it’s very likely that the cost of PRP will still be lower than that of a hair transplant.

According to real PRP patients on RealSelf, the average cost across all locations is $1,725 (ranging from $350 – $3,100). However, with a ‘worth it’ rating of 74%, it may be something you want to consider.

What are the Possible Side-Effects of Hair Transplants?

Hair transplants are an increasingly common choice for those suffering from thinning and receding hair, but there can be side effects that come from this intrusive procedure.

According to census results produced by the International Society of Hair Restoration Surgery (ISHRS), the number of annual hair transplants conducted in the United States increased from 100,455 to 112,409 between 2006 and 2014.

In the same time period, the number of hair transplants conducted throughout the world rose 225,799 to 397,048, with the Asian market, in particular, experiencing a twofold increase in adoption of the practice.

Even though hair transplants have become common procedures, they are not fail safe and there are potential side effects. Here are the most common 10 side effects from a hair transplant.

The side-effects of hair transplants vary from patient to patient. Some may experience relatively trouble-free transplant procedures, whereas others experience one or a combination of the following side-effects.

1:) Post-Surgical Edema

A common side-effect of many types of surgery, post-surgical edema is essentially the build-up of fluid that causes swelling following surgery.

Little is currently known about the causes of post-surgical edema in hair transplant patients. However, according to a 2014 study published in the International Journal of Trichology, it occurs in 42.47 percent of hair transplant patients.

A hair transplant patient

The study examined the complications of hair transplants in 73 patients.

Generally, the post-surgical edema fades given a small amount of time ad draining of the fluid and is not a side-effect that will cause issues for the patient going forward, assuming the correct steps are taken to remedy the issue.

Learn about non-surgical hair restoration here.

Or read my article about restoring the hairline in particular here.

2:) Hemorrhage

The same 2014 study discovered that 1.37 percent of respondents reported heavy bleeding during the procedure. This hemorrhaging is extremely uncommon as a hair transplant side-effect and is often caused due to inexperience or a mistake on the part of the surgeon.

3:) Sterile Folliculitis

Returning to the previously mentioned 2014 study, sterile folliculitis is also a common side-effect of the hair transplant procedure.

Source.

Typically characterized as a sort of rash or scarring in the transplanted area, it can make the transplant feel very uncomfortable, causing itchiness in addition to altering cosmetic appearance.

According to the International Journal of Trichology study, sterile folliculitis affected 23.29 percent of patients.

4:) Hair Thinning

In many cases, the area used to retrieve hairs for the transplant will also be affected by the procedure. Hair thinning in such areas is common, which may cause concern for patients who are wary of losing hair in one area of the body just to remedy hair loss in another.

A man with diffuse hair thinning

However, in the majority of cases, this thinning in the hair removal area lasts for a brief period of time before the natural thickness of hair growth resumes.

5:) Lichen Planopilaris (LPP)

Essentially a more extreme version of Sterile Folliculitis, Lichen Planopilaris (LLP) is an inflammatory hair disorder that results in excessive scar tissue forming in the transplanted area.

According to a 2012 study into the condition published in the British Journal of Dermatology, LLP can also lead to alopecia, thus causing more hair thinning.

However, the study concluded that LLP is a very uncommon side-effect of the transplant procedure. It notes that the study only uncovered seven patients who experienced LLP following a hair transplant, with all patients having no history of LLP prior to undergoing surgery.

6:) Itchiness

As the hair transplant procedure involves creating tiny wounds in the scalp in order to implant hair, scabbing will occur across hundreds, or potentially thousands, of hair follicles.

This results in itchiness in the transplanted area. Patients should avoid scratching, as doing so can remove the scabs and delay the healing process. Daily washing of the hair using non-perfumed shampoos can help alleviate the itching.

7:) Numbness

Returning to the 2014 study published in the International Journal of Trichology, approximately 10 percent of patients will experience numbness in the aftermath of hair transplant surgery.

This can last for a number of weeks following the surgery but it is usually a temporary side-effect that fades over time as the body adjusts to the transplant.

8) Hiccups

Hiccups are a less common side-effect found in approximately 4 percent of hair transplant patients. According to US Hair Restoration, the cause of hiccups may be due to local irritation of nerve endings caused by the surgery.

In particular, irritations to the posterior auricular and branches of the cervical plexus can result in hiccups. Further, some medications provided to patients post-surgery, such as steroids, are associated with hiccupping.

9) Cysts

Typically appearing in the recipient area following extensive transplant activity, cysts can vary in size and will often be purple in color. Happily, these cysts are usually benign and will disappear after two or three weeks.

Additional Concerns: Scarring

The donor area used in the transplant process will sometimes leave a wide or raised scar. While raised scars are fairly uncommon, wide scars are reported in approximately 15 percent of patients.

A linear scar as a result of FUT
Source.

Typically, surrounding hair can be used to cover the appearance of the scar, however, it can still cause cosmetic damage and, in some cases, may prevent hair growth in the donor area. Further, the appearance of the scar may prevent hair transplant patients from wearing short hairstyles, such as crew cuts.

Go here to learn about the typical timeline for a hair transplant.

Who Should Avoid Hair Transplants?

While generally a safe procedure, with most side-effects being temporary, Healthline notes that there are some people who should avoid hair transplants altogether. These include:

  • Those who don’t have large amounts of hair in a donor area to transplant into a recipient area.
  • Women who have widespread diffuse hair loss across the scalp.
  • People who are known to form keloid scars, which are the thick scars that commonly raise up from the affected area, following surgery.
  • Those who are undergoing medical treatments, such as chemotherapy, that result in hair shedding.
  • Hair plugs look unnatural and unsightly

Conclusion

If a hair transplant is your treatment of choice, keep in mind that costs will vary. However, it is the most expensive option on the market, and you may find that the costs don’t justify the benefits.

Of course, there are many others methods to choose from, including both the three alternatives mentioned above. The choice you make is entirely personal, and it will depend on the severity of your hair loss and your goals.

Would you like to learn more about the treatment options available?

Also, I would recommend reading our guide to hairline restoration if you have early-stage hair loss.

Always talk to a qualified medical professional before starting any hair loss treatment.

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