I am scared to death that I would have a hair transplant and everyone would know because it would be so obvious. What do people do to hide it? Do they live in a hat?
I could write a book about this subject. Many years ago when larger grafts were used, it was impossible to hide a hair transplant because the wounds were large (between 3 and 5 mm). Large wounds, are obvious and at the time that these were done (late 1980s and early 1990s) the typical patient had to use a hat (baseball hat most common). When I innovated the small 1mm grafts in the early 1990s (I started doing hair transplants in 1992), I focused on this problem. There are two parts to this problem. The first reflects the post surgical period of a few weeks. The small 1mm grafts healed rapidly and with good post-operative washing, the surgery could be undetectable within a few days. Swelling was also a problem immediately after a hair transplant, one we solved with the judicious use of corticosteroids which reduced the post-operative swelling plaguing our patients. In the early 1990s as the number of grafts in my practice rose into the thousands (2000, 3000, 4000 and 5000 grafts), careful focus on post-operative washing and the use of single large doses of steroids brought undetectability within a week or so. Most patients were able to go out into the public within a week, once we mastered the post-operative care.
The second concern was how did a man go from a completely bald look (Class 6 or 7 patient) to a hairy look. Here I have many stories and I will mention only a couple of them here. A Class 7 patient of Indian decent, let his beard grow out just before the hair transplant. To his and my surprise, his beard was white so everyone he knew laughed at his ‘Santa Clause’ appearance, but no one, observed his hair transplant or the change in his look from bald to hairy. He shaved off his beard and no longer paid attention to his hair. Like grass growing, you never see it grow. The second patient was a 55 year old male with a Class 5A pattern. His hair was prematurely white and his balding pattern was very obvious. His post operative care paid attention to his wounds and in a few days, his hair transplant was barely seen. He has rapid growth of the hair, an unusual rapid course. At Christmas, his daughter who knew her balding father, picked up the new hair on first meeting after a year of not seeing him. She said, dad, take off that silly wig. He told her that it was not a wig. Then she reached up to his hair and tried to pull off the wig. Of course, it did not come off because it was his own naturally growing hair. “Come-on Dad” she said, Yoy never had hair before. Where did it come from? He remained silent and then she said, Is that Rogaine that you used? He smile and acknowledged her comment. As a nurse, she followed, “that is the most amazing result of Rogaine I ever saw”. There was little else to say.
Even FUE procedure where you shave your head can be easily hidden in a few days