Barrier #1: A Chronic Disease That Makes Hair Transplant Difficult (Or Even Impossible)
Alopecia areata is the most famous among these diseases. It`s the appearance of smooth, and random bald circles on the scalp.
Areata is basically a problem with your immune system where hair growth is slowed down as a result of white blood cells attacking the hair follicles. The problem with Alopecia areata is randomness and unpredictability.
Simply you don`t know which parts of the scalp hair will fall next. It can come and go and it disappears from one place and appears on another which makes hair transplant useless.
Bald spots may appear again after the surgery (both FUE and FUT) and the surgical scars will be exposed once the balding pattern appears again at the same area.
One third of Alopecia areata patients experience more than one cycle of hair loss. A hair transplant surgery will then be a complete waste of money, and donor hair too.
Some other skin conditions like psoriasis can make it difficult for inexperienced surgeons to undergo hair transplant. Especially if they don`t have enough training in dermatology. In this case it`s a must then that you pick your surgeon wisely.
Barrier #2: Young age - Having an Undeveloped Balding Pattern
Though hair transplant is doable at any age, it`s still the least favored option for young patients under 30. At this age, the balding pattern is yet to evolve and no doctor will predict where hair will fall next.
Despite any surgical success, hair loss can progress again leaving the door open for future hair loss.
This means more surgeries and more money.
Using medications to delay hair loss for a few years will be the best option.
Yes the severity of hair loss varies from one patient to another. In fact, and for some patients - especially young women – a quick fix is a must.
Yet in most cases, tolerating hair loss until maturity can be the best long-term solution.
Barrier #3: Not Enough Donor Hair
The main problem with hair transplant is the rare supply of donor hair.
The way hair grows across the scalp differs in rate and mechanism from how it grows over other body parts.
So until science finds a way to use body hair, the only hair available for transplant surgeries is the one already existing on the scalp.
And it can be a huge problem for some patients with not enough donor supply. For some of them, hair falls at a very fast rate at a very early age.
Others may suffer from shock loss caused by trauma which again can affect the patient`s donor supply.
For both types, there`s not enough donor supply to undergo hair transplant. The best candidates for hair transplant surgery have dense hair across other areas. (Especially the fringe areas).
Barrier #4: Your Scalp is So Tight
Scalp flexibility (or laxity) will affect how successful the transplant surgery will go.
A loose/flexible scalp will make removing and planting hair follicles much easier. And it will make you a good candidate for the surgery.
The opposite is true with tight scalp. It will make it hard for the surgeon to remove the required amount of donor hair to give you the look you need. Your destiny will rely solely on the surgeon`s skills and creativity. Only an experienced one can craft something with such ingredients.
Barrier #5: A High Degree of Contrast Between Your Hair and Skin Colors
The contrast between the hair and skin colors can affect the final look after the surgery.
The less the contrast the fuller your hair will look, and the baldness patterns will be less obvious. This goes for white people with blond hair and black people with dark hair.
Yet, great surgeon skills must be present when dealing with people with such contrast. (I.e., white people or Asians with dark hair). Their donor hair must be thick enough so it blocks light from reflecting off their scalp.
And if this criterion isn't met, it`ll be difficult to restore that full old look.
Barrier #6: Not Knowing How to Choose the Right Doctor
Sometimes the choice of who will perform your surgery can be the biggest problem.
Unfortunately, anyone can claim anything today. But - and that`s a huge but - all claims can be tested if you dig deep enough.
And seriously, why shouldn`t you.
You have a lot at stake here. If for instance, the first surgery bombs, you may not find enough donor supply for another one.
And that means no hair for until the masters find a new way regrow hair without the need of scalp hair.
This is why you have to make sure you`ve chosen a skilled, experienced and creative doctor.
In other words, someone who can work with the material in hand to give you a better look. Especially if you`re not well equipped to have the surgery for any of the reason listed above.
A well experienced doctor should`ve done more than a thousand surgeries. Some even advice you should look for surgeons who do it every day.
They must have deep knowledge in dermatology, especially if you have any type of skin disorder. (Like Psoriasis).
You shouldn`t also settle down for catalogs.
A good doctor will be delight to refer you to a dozen of other happy patients so you can see everything in reality.
(Remember, reality has no photoshop).
A good doctor will also have a team of decent size behind him. The more assistant available during your surgery the less the number of sessions you`ll have to complete. That means more speed and less money.
Barrier #7: Not Enough Cash/Bucks/Bones/Dough
In case you didn`t know, dead presidents also means money.
(Bless your soul, Benji)
Without enough money to cover all the planned surgeries you will get mediocre results.
Sometimes one surgery won`t be enough to get your hair back to its normal condition. And it may get messy if the cash isn`t there to keep going.
Hair transplant is not something you do whenever you feel like it or whenever you have the money.
You should plan everything with your doctor including all future expenses. Then you start only when you know you have yourself covered.