How Hair Is Inserted in Hair Transplant Surgery Hair transplant surgery begins, after anesthesia is applied, with removing donor tissue. Follicular units are then extracted from the tissue using a stereomicroscope. This is all done by skilled nurses and technicians. The insertion of the hair into the receptor sites comes later. They used an instrument called a trephine to cut circular grafts from 2mm to 5mm in diameter. These plugs were inserted into the balding area. Now, a multi-bladed knife can be used to cut long thin strips of donor tissue. The strip of scalp will be about an inch wide and five inches long. Then, the hair transplant doctor pulls the skin together where this was taken out, and stitches it together. How Surgeons Hide Donor Scars during Hair Transplant Surgery Hair transplant procedures leave scars. It is just a fact of life. However, if the surgeries are handled in the proper manner, the scars are barely noticeable. They are thin to the point that they can barely be seen in most cases. Skilled doctors have ways of making the scars practically disappear. You must be deemed appropriate for the surgery. It may seem that everyone would be approved, but there are several reasons why you may not be. The doctor will explore both the hair loss you have suffered, and the hair growth you still have. This is very important, because knowing where the donor hair for the hair transplant will come from is imperative. 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. Then, your doctor will schedule other check-ups, which you should also attend. At first it may seem as if you have to be very careful with your hair - and you do! It does not make sense to spend hundreds or thousands of dollars having your hair transplant surgery and then not follow through with good care.