Men's Health

What's the go with hair plugs?

29th Sep, 00:55

Lucinda Starr

Hair plugs, known better today as a hair transplant, is an increasingly common method of combating hair loss. The treatment has come a long way since it first emerged in the 1950s.

When it comes to hair loss, few, it would seem, are immune.

Hair loss is more normal and common than you’d think. In fact, one in five Aussie men in their 20s encounter significant balding (with this stat doubling by the time men reach their 40s).

But just because it’s common doesn’t mean men aren’t affected by hair thinning. For many blokes, hair loss is a source of stress and anxiety, and so it makes sense that a bunch of hair loss treatments have been developed over the years.

Nowadays, men can choose from a selection of hair loss treatments on the market with varying levels of success, but perhaps the most extreme treatment available is a hair transplant or hair plugs.

Today, hair plugs generally deliver enviable, natural-looking results and have a high success rate depending on your individual hair loss journey and the specialist that carries out the procedure. But they’ve come a long way since the 1950s, when hair plugs first came onto the scene.

The history of hair plugs

Hair plugs have been used since the mid 20th Century as a way to hide the appearance of hair thinning or balding. The process involves taking follicular units from thicker parts of the scalp (or other parts of the body) and transplanting this onto the affected areas, like the crown or within a receding hairline.

Hair plugs have earned themselves a bad reputation over the years. The first modern hair transplant took place in Japan during the 1930s, using grafts to restore facial hair to burns victims.

But it wasn’t until the 1950s that the focus was shifted to treating male pattern baldness, with New York dermatologist Dr. Norman Orentreich responsible for planting the first grafts in balding areas on the head. Many look to Dr. Norman as the inventor of the modern-day hair transplant.

The early incarnations of hair plugs used invasive surgical techniques that transplanted large tufts of “donor” hair areas onto the “recipient” areas of the scalp or hairline. The issue with this technique is that it didn’t blend in the transplanted hair, giving an unnatural doll-like look to the hair. Clearly, something had to change.

Fast forward to the 1990s and enter Dr. B.L. Limmer, the first surgeon to use micro follicular unit grafting to revolutionise hair transplant treatments globally. Setting the gold standard for hair transplant treatments, Dr. Limmer used a microscope to create small grafts of naturally occurring hair groups (known as follicular units).

The result? A more natural finished product that better blended into the patient’s actual hair.

Types of hair transplants

For men considering hair loss treatment, the options are much less barbaric than in previous decades, thanks to the powers of modern medicine.

Today, the process involves taking hair from the back of your head and transplanting this to the front. These treatments can have an almost undetectable look as they use smaller grafts to mimic the look of your natural hair.

There are two common types of hair transplant options available in Australia. These are:

Follicular Unit Excision (FUE)

A modern hair transplant procedure which involves taking individual hair follicles from your own head using specialised micro tools. These fine blades work on tiny parts of your scalp to shift hair follicular units one by one from the back of your head to the crown or hairline.

The pros: using fine needles, this sophisticated process transplants hair follicles individually (moving only one to three hairs at a time) making scarring almost impossible to see with the naked eye.

The cons: Due to the single-hair extraction process, this treatment involves a full day surgery under local anaesthetic, making it very time consuming and often more expensive than other options.

Follicular Unit Transplantation (FUT)

Also known as a “strip procedure”, this technique is commonly used to harvest and move thousands of hair follicle in one go. These narrow strips are removed from the back of the head (where the hair is the thickest), divided into small follicle units of 1-4 hairs, and transplanted into the thinning scalp areas.

The pros: By moving larger strips of hair, this method is much faster and more cost effective as surgeons are able to move large amounts of hair quickly.

The cons: Due to this technique taking larger strips of hair, scarring is almost inevitable with this procedures (which can be a concern for those with shorter hair).

As you’d expect, no matter what method you choose, the costs of hair transplant surgery aren’t cheap. In fact, they’re shown to cost Australians on average between AU$11,000 to $18,000 (with some even costing as much as $30,000 if multiple sessions are required).

What to consider before booking in for a hair transplant

Like any big decision, it’s important to weigh up your options before putting your scalp on the line. In fact, going under the knife isn’t the only option.

Here are a few important things to consider:

  • Speak with your GP to assess whether a hair transplant procedure is right for you.
  • Consider alternative methods (especially if you’re young) as there are medications and less invasive options worth checking out.
  • Do your research and find a licensed, certified surgeon who can guide you through the process. Compare a variety of reputable surgeons so you don’t settle for the first one you meet.
  • Be prepared for the potential side effects of the procedures, including infections, pain, itching, swelling, bleeding, and more. If you’re concerned, speak with your doctor to get a better understanding of what to expect.

Like most things when it comes to your health, prevention is always better than a cure, and in the case of hair loss, a costly and painful operation is still the closest we have to a "cure", per se.

But with this said, the biggest killer of hair follicles is time, and the sooner you act to keep your hair via the two proven effective treatments available from a GP, the more likely you are to stay hairy without surgical intervention.

Modern day hair loss medications, like those offered by Pilot doctors, are easily available, affordable, and have a high success rate in helping more than 80% of men to keep and regrow their hair.

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Read next:
How often should I wash my hair?
How to get rid of dandruff
Hair Loss Guide


• Healthy Male
• American Hair Loss Org
• Pilot
• Finder
• Healthline
• Knudsen Clinic