The surgeon may want to take them out, break them up into smaller units, and reinsert them. If your plugs are smaller, he may just want to add some new donor hair to lessen the effect of the doll head look. If cost is an issue with you, discuss it with your surgeon. Cost is a very real problem for many who want to have bad hair transplants fixed. You should figure that the average number of hair transplant grafts needed to cover a balding area is 25% of the original hair that was there. You can move up or down from this figure according to your other factors such as thickness, curliness, or color. Then, you can use this number to figure up the grafts needed. If the hair transplant procedure is done well, the scar will not be noticeable even if the patient likes to wear his hair in a short style. The scar will only become unsightly if the patient is genetically predisposed to keloid scarring. People who have this kind of problem need special treatment. If a patient is known to suffer from keloid scarring, the first thing a reputable doctor will do before hair transplant surgery is to explain the possibility of unsightly scars. 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. Finally, the International Society of Hair Restoration Surgery deals exclusively with these types of procedures. The texture should be even as well as the waviness or curliness of the donor hair and the area of hair around the balding area. If you have lost your hair due to genetics, or a family history, you will likely be a good candidate for hair transplant surgery. Men who have hair loss in their families usually have a good idea of the way the baldness pattern will play out. With older men, these attitudes are already ingrained so that it takes some doing to change them. If the hair restoration is started early enough, the young patient need never feel the stigma of being bald for very long at all. A doctor who is skilled in doing hair transplant procedures on young people will do some investigation before tackling such a project.