The best hope a patient has of getting what he pays for in a hair transplant is to learn to calculate the number of grafts he needs to cover his balding area. If the surgeon he sees is not in that ballpark, it may be wiser to look for another surgeon. If however, the surgeon estimates a similar number, just make sure all the grafts go onto the balding parts of your scalp. They use his plan to accomplish his goals, and in turn the goals of the patient. The groundwork is done for them by the surgeon when he does his incisions. The surgical team takes care to get every hair transplant graft into the receptor sites as they have been laid out. They waste no time, though, because the small grafts are vulnerable when their follicles are outside of the skin. This requires a very honest surgeon, since the patient may decide the procedure is not worth the scarring it will cause. The next step with such a patient would be to discuss ways the keloid could be covered. It could be camouflaged by wearing the hair just a little longer. Other patients have rubbery skin that stretches too much and so causes wide donor scars. It will provide good donor hair for your hair transplant. The most likely situation is that you will have enough hair to make this possible. However, if you have lost too much hair, a hair transplant may not be possible. You can benefit greatly from hair transplant surgery if it is right for you. Do not give up on it until you talk to a surgeon. People who have serious balding issues often feel as if members of the opposite sex look at them with contempt. These people do not strike up conversations with the opposite sex or seek them out. It is only with drastic measures, such as counseling, that these people can get past their timidity. Hair transplant surgery can give them more confidence as well. It was agonizing for this group of young people because thinning, balding, and receding hairlines often started before they got out of their teens. Now the procedure is being opened to young men - but with restrictions. Because losing hair at such a young age is very traumatic, hair transplant doctors do not like to go along with the patients' snap decisions.