It hides the sutures and eventually hides any scars you might have. You will be told to use your normal shampoo before the hair transplant surgery. No special scalp treatment will be needed. Do not worry about any scraggly hair on top of your head. The doctor will blend it in with the grafts as he goes. Okuda of Japan was busy trying to transplant hair to the eyelashes and eyebrows of people who had lost them traumatically. This was before World War II. When the war broke out, his discovery of hair transplant procedures was squelched until two decades later. In 1959, Dr. Norman Orentreich began a new field of surgery when he published on the use of hair transplant surgery. Virtually every doctor has some procedure that has gone wrong to some degree. A good doctor will admit this and provide a plan to avoid it. There are hair transplant stories that would make most people think twice about having the surgery. However, it is not a good representation of the fine work that most hair restoration surgeons are doing. The International Alliance of Hair Restoration Surgeons will give you information on surgeons that are affiliated with them. The American Academy of Dermatology is another fine institution that has data on hair transplant surgeons. The American Academy of Facial Plastic and Reconstructive Surgery is known for supporting good cosmetic surgery, which hair transplant procedures are. How Are Follicular Units Used in Hair Transplant Surgery? Certain doctors have been aware of follicular units for a long time now, but the knowledge only recently made its way into hair transplant methods. Now these ideas are being used in hair restoration every day. To understand how follicular units have affected hair transplant surgery practices, it is necessary to first understand what a follicular unit is. People looked like they had doll's heads, with hair sticking out of their hair in clumps. Now hair transplants are more natural looking because of a procedure called micro grafting. Most hair transplant surgeries today involve micro grafting to some degree. Micro grafts hold about three or four hair follicles.