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10 Hair Transplant Regrets (And How To Avoid Them)

10 Hair Transplant Regrets (And How To Avoid Them)

10 Hair Transplant Regrets (And How To Avoid Them)
What do you think is the most common hair transplant regret?

Hair transplants are safe, simple and effective procedures that leave most patients satisfied with their results [1][2]. However, in rare cases, the outcome of these procedures can be underwhelming or downright dreadful. Oftentimes, this is the consequence of poor surgical skill, negligent aftercare or a bad hairline design. However, patient disappointment can also stem from patients’ unrealistically high result expectations. Discover the most common hair transplant regrets and what you can do to avoid experiencing them. 

Executive summary

This article will tell you all you need to know about the most common reasons some patients end up regretting their hair transplant. It will also share real patient stories that illustrate the impact of poorly performed hair restoration surgeries. But more importantly, it will provide the best insight into how you can minimise your risk of achieving underwhelming results. And should you find yourself regretting your hair restoration decisions, you will be happy to read about effective ways to repair a failed procedure or at least cover up its traces. 

Key takeaways

  • While more studies are needed regarding patient satisfaction, the existing research shows that most people who get hair transplants are happy with their results and experience an improved perceived quality of life. 
  • Most patients who experience hair transplant regrets had their surgeries performed by unskilled professionals, often in black market clinics. Other causes for disappointing results include surgeon inexperience, complications during healing, poor procedure timing, insufficient information about the surgery, unrealistic result expectations and failure to comply with hair transplant aftercare instructions (including activity restrictions). 
  • The specific complaints of patients with hair transplant regrets include insufficient or patchy hair growth, donor area overharvesting, excessive scarring in the donor or even the transplant area, an unnatural appearance of the grafts or a complete hair transplant failure.  
  • Poor hair transplant results can often be improved with a consistent course of hair growth treatments. If that fails, local touch-ups or second interventions to repair the failed ones may be necessary. 
  • When the scalp damage is extensive and/or the donor area is depleted, patients can disguise their poor hair transplant results using scalp micropigmentation, hair systems or even some strategic hairstyling. 
  • The best thing patients can do to avoid hair transplant regrets is to thoroughly research the procedure they want and the surgeon they choose to perform it. Once they are sure they found a skilled and experienced surgeon, patients need to trust their judgement and closely follow their advice and aftercare recommendations. 
Contributors:
Dr Peter Barron featured image
Dr Peter Barron
Dr Dinesh Patel featured image
Dr Dinesh Patel

The most common hair transplant regrets

Research shows that most patients are happy with their hair restoration surgery results [1][2][3], especially if they had their procedures done at one of the best hair transplant clinics in the UK. However, some are not so fortunate. Regretting one’s choices is common among those whose hair transplants have gone wrong or who experienced underwhelming results. Here are some of the most frequent hair transplant regrets shared with us by our UK patients: 

1. Trying to cut costs by using a cheap, shady clinic

While hair transplants are increasingly affordable, they can still be pricey enough to be worth searching for the best deal. However, keep in mind that price offers which seem too good to be true often hide shady and dangerous practices. The International Society of Hair Restoration Surgery (ISHRS) launched a full-blown awareness campaign against black market hair restoration surgeries [4], as an increasing number of patients came in to repair botched hair transplants performed in unauthorised foreign clinics. The Fight the Fight campaign warns that these pirate clinics can afford to charge very low prices because their surgeries are performed by untrained people who are often not even medical professionals. They also cut corners when it comes to hygiene and other aspects of patient safety. Our experienced surgeon, Dr Peter Barron, explains this phenomenon:

When the cost is too low, you’ve got to be suspicious of how they are managing to cut these costs. Are they reusing equipment? Sacrificing the quality of cases performed each day and instead focusing on the quantity of cases to recoup money? Are they asking patients to fly to a different country where regulation isn’t as stringent to avoid practices that a U.K. clinic would have to abide by? Who is performing the procedures?

As the price begins to go up, you’d hope that the focus/ technical quality of a hair transplant would shift from only caring about moving hair, and instead begin to consider the finer details and artistry of what makes a transplant look natural. 

So the low costs of hair transplants in Turkey may not be worth the risk, considering you may be exposing yourself to complications such as [5][6]:

The 2025 ISHRS Practice Census reveals that up to 25% of the hair transplants performed by 91% of the interviewed surgeons were repair cases due to a previous failed black market procedure [3]. 

Black market repair cases
Source: The 2025 ISHRS Practice Census [3]

While hair transplant costs are important when choosing a clinic, they should never be the decisive factor in the absence of thorough research about the facility and its surgeons. Keep in mind that hair restoration surgery is a life-long investment in your appearance, and you will still be enjoying your hair transplant results after 10 years or more. So always choose a reputable facility, which has a good record of care for its patients’ health, safety and wellbeing. You can check UK clinics’ standing on the Care Quality Commission website.  

2. Choosing an inexperienced surgeon

Choosing an authorised clinic does not automatically shield patients from the risk of hair transplant regrets. You also need to make sure that your surgeon is skilled and experienced in performing your chosen type of hair restoration surgery. 

Even when qualified to operate, a beginner surgeon who has not had a chance to get sufficient practice can make mistakes that may lower your graft survival rates or affect the appearance of your hair transplant. Here are some such novice mistakes [6]:

  • Incorrectly assessing the number of grafts you need – harvesting too many grafts will deplete your donor area unnecessarily, while harvesting too few will lead to insufficient coverage and a sparse scalp appearance.
  • Packing your grafts too tightly – this can lead to decreased graft survival rates and can increase your risk of developing folliculitis after your hair transplant
  • Implanting your grafts at the incorrect depth – when buried too deep in the scalp, they can cause pitting (a sunken appearance), when implanted too shallow, they can create a goosebumpy appearance, known as cobbling. 
  • Poor graft implantation angle – it can be difficult for beginner surgeons to find the best, most life-like angle for implanting each graft, especially since their hair is only a few mm in length. This can lead to unnatural hair growth patterns.  
  • Poor hairline design or placement – one’s reconstructed hairline must be designed to suit their age and have a natural appearance. Hairlines which are too straight or set too low can look uncanny, especially on older patients. 
  • Poor suturing technique – if the surgeon does not master the best suturing techniques for FUT procedures (taking into account patient scalp characteristics), the patient may experience unnecessarily prominent scarring. 

Opting for an experienced surgeon with years of excellent results can significantly improve your chances of receiving both the best design recommendations and the best surgical execution. 

3. Underresearching the procedure

There are several types of hair transplants, each with its own advantages and drawbacks. You can opt for follicular unit transplantation (FUT), also known as strip surgery, which is faster, but leaves a fine scar on the back of your head. Or, you may prefer Follicular unit extraction (FUE) surgery, which takes longer to complete but is easier to recover from and leaves virtually no scarring. 

You don’t even need to shave your head for your procedure if you don’t want to, as you can opt for a hair transplant with long hair. Some clinics even offer the rarer and more expensive robotic hair transplants for increased graft placement accuracy. Choosing the right technique for your needs can impact your satisfaction with your results. 

Moreover, knowing what to expect during your hair transplant recovery can save you from needless anxiety or unpleasant surprises. For example, many patients are distraught to see their implanted hair falling out 2-3 weeks after their surgery, because they aren’t aware of temporary side effects such as hair transplant shedding. Others are disappointed with their hair growth 4 months after their hair transplant without realising that those are merely their initial results, which will improve significantly by the end of the first year post-op. 

4. Expecting unrealistically fast or perfect results

Patience is a key element when recovering after hair restoration surgery. While it is normal to be eager to see your results as soon as possible, the surgery is only the first step in a year-long journey. Most patients experience a temporary phenomenon known as hair transplant shock loss starting 14 days after their hair transplant. This makes their newly implanted hair shed, as their follicles enter a dormant phase that lasts 3-4 months. After this, the hair will start growing back. However, it will initially be sparser, thinner and more wiry-looking, only to grow into its full density and natural appearance by the end of the year. Expecting to see your final results too soon may lead to unnecessary disappointment and frustration. 

Just as you can’t expect to see your final results sooner than they can naturally occur, you cannot achieve better results than your available hair grafts can offer. Ethical surgeons are always transparent with their patients regarding the coverage they can achieve with the number of grafts they can safely harvest from their donor area. Here is how our experienced surgeon, Dr Dinesh Patel, manages result expectations in his patients:

To help set realistic goals, I often use visual aids like photos or digital simulations based on their individual characteristics. I emphasise that hair restoration is usually a multi-step process and discuss the possibility of future sessions or maintenance treatments to improve or maintain results over time. Clear communication from the start, combined with a personalised and realistic plan, is key to helping patients understand that hair restoration is a journey rather than a one-time fix. Multiple strategies working together can often achieve the best possible aesthetic outcome.

Moreover, even when cosmetically adequate, hair transplant results will rarely match the patient’s pre-thinning hair fullness. If your hair loss is mild, you can expect better results. However, if it is very advanced or has had previous procedures which depleted your donor area, you can realistically only expect to obtain an improvement in hair coverage rather than a full hair restoration.  

5. Ignoring aftercare instructions and complication red flags

After your procedure, your surgeon will provide you with a list of aftercare instructions. They provide hygiene, healing and comfort advice, but also list the necessary post-surgery activity restrictions. Following these recommendations to the letter can improve your chances of achieving optimal results and decrease your hair transplant risks

Poor aftercare can increase your risk of post-transplant complications. Surgeons normally share red flags to watch out for during the recovery period. However, some patients fail to let them know as they develop symptoms such as [5][6]:

  • Pain or tenderness that persists or worsens after 3 days of home care
  • Scalp inflammation that goes beyond normal hair transplant redness  
  • Pimples or red bumps around their hair roots
  • Yellow-brownish crusts on their scalp (not to be confused with hair transplant scabs)
  • Pus or other fluids oozing out of their scalp
  • A rash or new lesion on their scalp 
  • Severe scalp itching that doesn’t subside with over-the-counter antihistamines
  • Dark-coloured spots on their scalp 

These symptoms will often resolve within 3-5 days of home care. However, they can be a sign of a condition which can advance and endanger your grafts if left untreated. So surgeons should be made aware of them and monitor their progression to be sure they have fully cleared. 

6. Getting surgery too young

Surgeons generally believe that the best age to have a hair transplant is in your late twenties or your thirties for men and in your forties for women. At this stage, your hair loss is sufficiently advanced to warrant correction, but not too severe to experience good results. 

First time hair transplants
Source: The 2025 ISHRS Practice Census [3]

According to ISHRS, almost 40% of patients (especially those who have struggled with teenage hair loss) get hair restoration surgeries very young, in their adolescence or early 20s [3]. Since the sample size for this statistic is rather small, this age distribution is likely an approximation (the sample effect may influence the results). However,  it does provide an idea of the general market trends in the absence of data from larger studies. 

 While having a receding hairline at 20 can be distressing, getting it restored at this age is risky. That is because their native hair loss will likely progress further with age, causing thinning around their transplant area. This can create an unsightly effect that often requires a second procedure to treat. 

7. Waiting too long to get your hair transplant

If your male pattern baldness is Norwood stage 6 or 7, you may not experience great results from your hair restoration surgery. That is because your donor area has likely become smaller and able to yield fewer grafts, while you would need a high-volume procedure for good coverage (a 4000-graft hair transplant at the least). So while your surgeon may improve coverage, your hair may not end up very full. This is why it is important for patients with advanced hair loss to have an open and honest conversation with their surgeon and be suspicious if they are promised unrealistic results (e.g. a promise that their hair will look the same as it did before they started balding).

8. Ignoring your surgeon’s hairline design recommendations

Sometimes, getting exactly what you want is not getting what you need. Surgeons often see patients who are adamant about wanting a certain number of grafts or a specific hairline positioning and design. However, an experienced professional can easily tell when the patient’s request would lead to an unflattering or unnatural-looking outcome. Still, less experienced or less ethical surgeons may be swayed to do the patient’s bidding, with disappointing results. 

The most surefire way to good hair transplant results is to find a reputable, skilled surgeon whom you can trust and to put faith in their recommendations. It is normal and encouraged for the patient and the surgeon to collaborate to find the most suitable hairline design. However,  if your doctor is certain that a particular decision would be damaging to the desired result, best to at least seek a second opinion before insisting on it. 

9. Foregoing hair growth treatments post-transplant

Most surgeons recommend that their patients use hair growth medications (most commonly Finasteride and/or Minoxidil) in the long term after their hair transplant. This not only helps your transplanted hair grow back faster and stronger after your shock loss phase. It also supports native hair growth around your grafts, preventing further hair thinning. 

You don’t have to use hair growth medication after your hair transplant if you don’t want to, even if your doctor recommends it. However, this may lead to slower, sparser hair regrowth in the short term and overall thinner hair in the long term. You may then start regretting your hair transplant, thinking it failed to provide sufficient hair density. However, the problem may not be the transplanted hair not growing sufficiently, but the native hair falling out around it.    

10. Failing to pause smoking during hair transplant healing  

You may be aware that, aside from other severe health consequences, smoking can cause hair loss. But did you know that smoking can also negatively impact your hair transplant results [7][8]? The nicotine in your cigarettes is a vasoconstrictor, which means it makes the small blood vessels in your scalp contract and allows less blood to reach your hair follicles. And when newly-transplanted, your graft survival depends on the oxygen and nutrients in that blood to become securely attached inside your scalp. Moreover, smoking causes inflammation and oxidative stress, which are both harmful to your sensitive grafts. 

Most surgeons recommend that you take at least a 2-week pause from cigarettes before and after your hair restoration surgery, to allow your grafts to heal properly. However, if you are experiencing androgenetic alopecia, you may want to cut back or quit smoking permanently. That is because research shows that it can worsen your male or female pattern baldness, affecting the native hair around your transplant area.  

How common are hair transplant regrets? 

The ISHRS 2025 Practice Census reveals that while 67.3% of patients are satisfied with their first hair transplant results, 30.8% require a second procedure and 1.9% need 3+ interventions to reach their desired results [3].  

Not all patients who get a second hair transplant do so because they aren’t happy with the results of their first one. Some have multiple surgeries planned from the beginning. However, given that one-third of patients require a second intervention, it is reasonable to assume that a significant proportion may have some regrets related to their procedure and results.   

Average number of hair transplant per patients

Patient satisfaction with hair transplant results

Some studies list “patient dissatisfaction” among possible hair restoration surgery complications [9], but fail to elaborate on how common this reaction may be or their specific cause for dissatisfaction (e.g. graft survival rate, hairline design, final hair fullness, unmet expectations, etc.) 

Unfortunately, very little data is collected regarding hair transplant patient satisfaction [10][1], and so far, no study has broken down the most common causes of hair transplant regret. However, some small studies reveal that most patients experience a marked increase in their perceived appearance and self-esteem and that this procedure has an overall positive effect on their quality of life. This is true in male as well as female hair transplant patients [11]

Moreover, while people with body dysmorphic disorder (BDD) are not normally considered eligible for surgical hair restoration, a study performed on 100 hair transplant patients with BDD showed some body perception improvement in 84% of the participants 10 months post-op [12].

Who is most predisposed to hair transplant regrets?

While a bad hair transplant experience can happen to anyone, the following categories of patients are more likely to report hair transplant regrets:

  • Patients who get hair restoration surgery too young
  • Patients with very advanced baldness
  • Patients who choose an inexperienced or unauthorised surgeon 
  • Patients with unrealistic result expectations
  • Patients with certain psychological issues (e.g. body dysmorphic disorder, untreated trichotillomania, etc.)
  • Patients who are not aware of what to expect during their recovery process
  • Patients who fail to comply with their surgeon’s advice while preparing for their hair transplant and post-surgery.

Real patient hair transplant regret stories 

Here are some real stories of patients who experienced extremely poor hair transplant results, which led to significant regret and, in some cases, the need to have a second surgery to repair them: 

Medical case studies:

The ISHRS has published a series of case studies of patients who came in to have their failed black market hair transplants repaired. Here are two of the most severe:

Results of a bad Turkish hair transplant
Source: ISHRS Fight the Fight website [13]

The 55-year-old male patient above developed scalp necrosis (skin death) after suffering vascular damage during a hair transplant performed by an untrained technician in a Turkish clinic [13]. Although this potentially life-threatening condition required immediate medical attention, he received no support or care from the clinic after sharing his condition with them. He then addressed a UK surgeon who was able to treat his necrosis, but his grafts could not be saved. He will, thus, require another transplant to correct the unsightly appearance left by his original intervention. 

bad hair transplant from a Greek black market hair transplant clinic
Source: ISHRS Fight the Fight website [14]

The 33-year-old male patient above came in with an extremely sparse donor area. His hair was so thin you could see his scalp [14]. This was the result of donor area overharvesting, following two hair transplants performed in a Greek black-market clinic. He had his first procedure far too young (aged 18), and by 29, as his male pattern baldness progressed, he required a second intervention. The unlicensed and untrained assistant who performed his second surgery harvested many more grafts than it was safe to remove from his donor area, leading to very sparse hair. 

Fortunately, the UK surgeon he addressed for repairs recognised that, given his young age, non-surgical hair restoration treatments may be able to help him regain his hair density. After one year of Platelet-rich plasma (PRP) hair treatments combined with daily oral Minoxidil 5 mg and Finasteride 1 mg, his donor area coverage improved significantly. 

Media coverage of failed hair transplants

Some patients turn to the media to tell their story after a botched hair transplant, in hopes of finding justice, preventing others from sharing their hair transplant regrets:

  • In 2025, The Mirror [15] reported on the terrible consequences a failed hair transplant performed by a Glasgow clinic had on a 57-year-old male patient. After his procedure failed, the man was left with visible purple marks on his hairline, as well as with a patchy, overharvested donor area. This caused significant psychological distress to the point where he had to quit his public-facing job due to embarrassment. The journalists quoted him sharing how his experience affected him:

“They’ve ruined my life, absolutely ruined and destroyed my life and I can’t do anything about it.[…]I’m bald where they took the hair and I’m scarred at the front. I’ve got a hairline that’s low on one side. What I do now is I grow my hair long at the front and I shave the hairline to try to disguise it and cover it up.”

  • ITV News reported, in 2025, on the cases of two middle-aged British men who had black market hair transplants in the UK [16]. By their accounts, their procedures were extremely painful, and the discomfort lasted for months after surgery. Moreover, their final results were poor, and one of them was left with severe scarring on his donor area. Here are some of their comments, as featured in the news article:

“I didn’t trust the Turkish clinics, so I decided to stay in the UK. However, my experience was extremely poor, and I know that some of the incisions were made by non-doctors. […] The results were very disappointing. […] My head was sore for at least two months afterwards.” – Anonymous patient, age 60, Kent

“With my first surgery, the incisions felt like and made the same noise as a fork going into polystyrene.[…] It was horrific. I had pain and discomfort for six to 12 months. […] I was left with deep head scarring, long-term pain and psychological damage after ‘black market’ hair transplant surgery.” – Anonymous patient, Brighton

  •  In extremely rare and tragic cases, news outlets reported on accidental deaths occurring soon after hair restoration procedures performed in clinics with insufficiently trained, unlicensed staff [17][18]. Moreover, there have been reports of a young patient ending their own lives following the trauma of a badly botched beard transplant [19]. However, there’s no need to worry; the hair transplant death rate is exceptionally low, with no such tragedies reported in the UK so far.  

Our patients’ experiences

We prefer not to discuss aspects of our patients’ medical history due to our commitment to safeguarding their privacy. However, here are some aspects that patients coming in for second procedures chose to share in their reviews regarding their previous hair transplant experiences:

If you are interested in reading more of our patients’ experiences, you can find them on the Wimpole Clinic Trustpilot profile.  

Expert tips to avoid hair transplant regrets

It can be easier than you think to protect yourself from making bad hair transplant decisions, which can come back to haunt you once you have seen your final results. You can simply rely on these helpful suggestions from hair transplant specialists:   

Have your hair loss diagnosed early on

The best time to get your hair loss diagnosed is as soon as you notice the first signs of hair thinning. But if you missed that opportunity, the second-best time is right now. The sooner you are aware of the reason your hair is falling out and start treatment, the more likely you are to achieve good results. This includes getting a hair transplant in the perfect time window, when your hair loss becomes just advanced enough to no longer be manageable with hair growth medication alone, but not too advanced to allow for an optimal outcome. 

Get expert information about hair transplants

The internet is full of misinformation, and many unethical hair transplant clinics will flood social media with unrealistic promises and fake reviews. The best way to get the latest, most accurate information about hair restoration surgery methods, procedures, recovery and more is to ask a reputed specialist. 

The Wimpole Clinic offers free hair transplant consultations, so you can get your insight from the most reliable source. Our world-class experts will patiently walk you through the entire process, answer all of your questions and make personalised recommendations. And they will demonstrate their commitment to our full transparency policy, which ensures our patients always know exactly what to expect from their procedure. 

Research your clinic and surgeon thoroughly

Remember that hair transplants last forever, so hair restoration surgery is not something to be taken lightly. Don’t just go to the clinic that boasts the best results for the lowest price. Read patient reviews from several clinics and find a few surgeons with whom the patients are thrilled. Look them up to see their credentials and level of experience. Then, schedule a consultation with at least one of them and ask to see their patient portfolio. Only agree to schedule the surgery if they meet all of the following criteria:

  • Their portfolio demonstrates experience and great results in the type of hair transplant you are interested in.
  • You feel comfortable in their presence and encouraged to ask questions.
  • The surgeon is transparent, open about surgery risks and makes no unrealistic promises (e.g. nobody can guarantee excellent results ahead of time).
  • The surgeon is thorough when taking your medical history and seems concerned with patient safety and well-being.
  • The surgeon works with you to make a personalised hair restoration plan that is both feasible and suitable to your preferences. They are flexible and open to your suggestions, but won’t hesitate to gently let you know when something you ask for is not a good idea.   
  • You leave the consultation with a good feeling and a clear notion of the kind of procedure you want, the number of grafts you need and the results you can expect.

Always consider the future

As we age and our hormonal balance shifts, our hair growth patterns also change. Hairlines mature, existing hair loss worsens, and our natural hair growth rate slows down. All of this should be taken into consideration before having a hair transplant. A low-set hairline may look good on a 25-year-old, but may seem unnatural on a 45-year-old, where some level of recession is expected and can even create a more commanding appearance. So it is best to listen to your surgeon’s advice if they say a certain design may not age well. 

But more importantly, rushing into a hair transplant at the first signs of balding will often lead to having to get further procedures later on. That is because your native hair loss is likely to progress in time and create sparse islands around your transplant area. And should you ever need a larger-volume hair transplant, you may not have enough grafts left for it if you use them up too early.   

A hair transplant should be a last resort, not a first step in your hair loss journey. When your alopecia is still incipient, it can still be curbed and even reversed with hair growth medication. Make sure you have exhausted your non-surgical options before getting hair restoration surgery. 

Be diligent about your hair transplant aftercare

Many patients stop following their surgeon’s aftercare instructions as soon as their scalp has healed. Since they feel fine, their hair transplant side effects have subsided, and their grafts look good, they brush some of the activity restrictions off as excessive caution. However, every recommendation is there for a good reason and following it helps reduce your risk of complications and poor results. 

For example, some patients start wearing head covers to disguise their procedure as soon as their scalp tenderness is gone. However, it is important to wait 10 days before wearing a hat after your hair transplant to make sure your grafts don’t get pulled out, your sensitive scalp is not irritated, and you don’t develop an infection. 

The same goes for exercising after a hair transplant: some patients will resume their workout regimen as soon as they feel well enough to do so. However, they may not be aware that the increase in blood pressure and the abundant sweating can harm their healing grafts. That is why you should only resume light exercise 14 days after your procedure and be cleared by your surgeon for more strenuous physical activity. 

If you have questions about a certain indication or restriction, it is best to ask your surgeon about the reasons behind it. They will help you understand why following all these rules is your best chance at an optimal result, which you will not regret.  

What to do if you are having hair transplant regrets?

The rule of thumb in hair restoration surgery is that if your surgeon is experienced, and your aftercare is diligent, your results should closely reflect the expectations set for you during your pre-op consultation. This means that you should be able to achieve the best cosmetic cover possible with the number of grafts you have available. 

If your hair transplant results seem subpar and you are concerned, you should start by asking yourself the following questions:

  • Are these my final hair transplant results? – It can take up to 1 year after your hair transplant (or, in some cases, even 18 months) to see your final results. If it hasn’t yet been that long for you, your hair may still grow fuller and thicker over time.
  • Were there any complications during my recovery period? – Serious complications after hair restoration surgery are very rare, but not impossible. If you developed a hair follicle infection (e.g. scalp folliculitis) and left it untreated, or experienced a flare-up from a common scalp problem that caused inflammation (e.g. scalp psoriasis), it could have impacted your graft survival rates. However, this is uncommon and usually fixable with a second intervention.
  • Are these results significantly different from my surgeon’s prognosis? – It is natural to hope that a hair transplant can fully restore the thick, luxurious mane you used to have before alopecia set in. However, this is rarely possible to achieve. If your results are close to what your surgeon said you can expect from your procedure, it may not be a failed hair transplant after all, even though they are not all you had hoped for. 
  • Is there an easy fix to improve my results? – If most of your transplanted hair has grown adequately, but there is still one insufficiently covered patch or your hairline is not exactly the way you like it, do not despair. This is often easily corrected with a touch-up. Moreover, in many cases, simply using some potent topical hair growth medication (e.g. Minoxidil combined with Finasteride) may help solve this problem. 
  • Can I live with these results? – If you had very high expectations from your hair restoration surgery, your results may appear underwhelming. But after a while of getting used to your new appearance, you may discover that while not ideal, you may actually grow to like it. However, if you can’t seem to look at yourself in the mirror without feeling bad about your hair, it is best to have the problem addressed.  

If your answers reflect that your results may require significant work to become acceptable, you should schedule a follow-up appointment with your surgeon to discuss what went wrong, as well as your repair options. Or, if you suspect they are not skilled or experienced enough to achieve optimal outcomes, find a different, well-reputed clinic and discuss your repair plan with a better surgeon. 

How can you fix regrettable hair transplant results?

Fortunately, if you are experiencing hair transplant regrets, there are things you can do to improve your procedure results or at least cover them up. Dr Dinesh Patel emphasises that there are ways to improve your appearance after your final results:

If the results do not meet initial expectations, I suggest additional transplant sessions when the donor area and scalp condition allow for it. I also recommend medical therapies such as minoxidil or finasteride to preserve existing hair and potentially improve overall appearance. In cases where some areas remain thin, cosmetic options like scalp micropigmentation or hairstyling techniques can help create the illusion of greater fullness. Sometimes, high-quality hair systems may also be considered as complementary solutions.

Here is some more information about each of these solutions recommended by Dr Patel to save your hair fullness after disappointing hair transplant results:

Try hair growth medication 

If you have not achieved your desired fullness within 12 months of your surgery, or some areas seem sparser than others, the first thing you should try is hair growth medication. 

Most surgeons will recommend either Finasteride or Minoxidil after a hair transplant, so you may have already been using one of these treatments. However, research shows that combining Minoxidil and Finasteride can yield better results than each of these stand-alone medications [20]. Run this option by your surgeon (you will need a prescription for Finasteride), and if they think it is beneficial, try the drug combination for 6 months. Many patients experience significant improvements in hair density after consistently taking this treatment.

Hair growth therapies such as PRP after a hair transplant can improve its results as well [21]. That is because the platelet-rich plasma contains an abundance of growth factors, which can help your hair follicles heal. Moreover, it can also help your hair grow back faster after shock loss, so you can see your initial results sooner. However, you need to wait at least 1 month after your hair transplant before you can safely start this treatment. 

Get a post-procedure touch-up

If your transplanted hair growth is adequate in most areas, but you still have some minor sparser areas, your surgeon will normally be happy to provide a touch-up. This is a small procedure, where just a few hundred more grafts (under 500) are harvested and implanted in the patchy areas. Touch-ups can also be used to correct or slightly reshape an unsatisfactory hairline, set a little too high, or that looks a bit too straight.   

Try a second hair transplant

Unlike a touch-up, a second hair transplant to repair a previous, failed surgery is a more complex operation. It requires extra skill to complete successfully, because the scalp is sometimes scarred or otherwise damaged, or the grafts were inserted in an unnatural pattern, or at the wrong depth/angle.  

Moreover, the donor area has already been harvested (often overharvested), so there are far fewer grafts available than for the first procedure. However, experienced surgeons use special techniques to compensate for these issues [6]. In some cases, a body hair transplant can be used to supplement hair grafts, usually with good results. 

Get scalp micropigmentation (SMP)

Scalp micropigmentation (SMP) is a good way to cover sparse areas of the scalp in dark-coloured patients (fairer pigments are, sadly, not available). It is basically a hair tattoo for men and women who like to wear very short hairstyles. The technician uses a tattoo machine to insert pigment matching your hair colour into your scalp, imitating the natural hair growth pattern. 

So if your donor area has been overharvested and looks visibly sparse or you have achieved poor growth in certain areas of the scalp, this procedure can reduce the colour contrast between your hair and skin, creating an illusion of better hair density. However, be sure to use a licensed specialist for this procedure, to avoid replacing hair transplant regrets with scalp micropigmentation regrets

Get the right haircut to minimise impact

Sometimes, underwhelming hair transplant results can be disguised with a flattering hairstyle, which highlights your hair strengths and draws attention away from sparser areas. You can try a variety of such haircuts, depending on your gender, age, the position of the problem area on your scalp and your personal preferences. Here are some of the best:

Use a hair system to cover a failed hair transplant

Sometimes, a hair transplant can be botched so badly that not even the best surgeon can fix it (this is most often seen in procedures performed on the black market). However, if this happened to you, do not despair. You can still look great, you just need to find the right hair system to help you get the hair you’ve always dreamed of. Hair systems for men, as well as for women, have come a very long way from the days of the simple wig. A high-quality product can be virtually indistinguishable from your own hair. Moreover, once installed, you can wear it for months without ever needing to take it off or having to fear it will slip off your head. 

Get an excellent, regret-free hair transplant at the Wimpole Clinic

It’s normal to be nervous before getting hair restoration surgery that will alter your appearance forever. But choosing the right clinic can set your mind at ease and significantly reduce your risk of hair transplant regrets. 

The award-winning Wimpole Clinic is an industry leader with a 50-year legacy of hair restoration excellence. Our experienced surgeons’ skill and commitment to patient satisfaction are reflected in our 97-100% surgical hair restoration success rates (see samples of their work in our before-and-after photo gallery). 

Book a free, no-strings-attached hair transplant consultation with one of our seasoned hair specialists and get personalised insights that set you on your way to the best hair transplant results you can achieve.  

10 Hair Transplant Regrets (And How To Avoid Them), Wimpole Clinic

Frequently asked questions

Find out more about hair transplant regrets by reading the answers to these frequently asked questions. 

Each hair transplant clinic has its own refund policies, and normally, patient complaints are evaluated on a case-by-case basis. While you are free to ask for a refund, your likelihood of getting one depends on factors such as the reason for your regrets (e.g. surgical error vs. unrealistic patient expectations), the legislation of the country where you had your procedure, the likelihood your results can be improved otherwise, etc.

In most cases, it is easier to obtain free touch-ups or even a free or discounted second intervention than a refund. However, if you have solid evidence of surgical error and the clinic refuses to offer compensation, you can likely sue them for malpractice.   

A hair transplant is permanent, which means its results cannot be undone if you are not happy with them. What you can do, however, is to get another procedure to correct the first one. Or, if your surgeon positioned your hairline too low or made it too straight, you can try laser hair removal to correct this problem (just know that this procedure does not have the same finesse as hair restoration surgery). 

At this time, there is no data to compare the number of male and female patients who experience hair transplant regrets. It is a fact that significantly fewer women get hair transplants than men, and small studies show both genders are mostly satisfied with their results. However, little is known about the nature and frequency of the regrets each gender expresses.  

While there is little research data to support this [10], professionals in the field find that FUT normally leaves patients with more regrets than FUE. That is because while both methods are safe and effective, FUT is more invasive. It leaves a fine scar in the best of cases and carries the risk of substantial scarring in the worst. It is also more painful and takes longer to heal compared to FUE [22] and offers greater (although still very small) chances of developing complications such as infection. A small study performed on 62 female patients confirms that those who had FUE surgery were happier with their results than those who had FUT [23].

Whether you will feel better about your hair transplant results over time largely depends on what caused your initial regrets. If you assessed your hair growth and experienced disappointment before the 1-year mark, you may experience further growth and realise that your final results are closer to your expectations than you thought early-on. 

Even if your results are final, as long as your procedure was not botched, but your hair fullness is simply less impressive than you expected, you may still grow happier with your outcome. Expectations can be high before cosmetic surgeries, leading to disillusionment. But over time, you may come to realise that while it may be less than what you had hoped for, your result is still better than the hair density you had before.

However, if your hair transplant went really wrong, leaving visible traces (e.g. bald spots, a messed-up hairline, unnatural-looking results), you don’t have to try to live with it. A poor result can have a damaging impact on your mental health and self-image, as well as on the way you are perceived by others. It is best to have the results repaired as soon as possible, so you can finally enjoy the natural-looking hair transplant you have been hoping for.

Sources:
  1. Liu, Y., Liu, F., Qu, Q., Fan, Z.-X., Miao, Y., & Hu, Z.-Q. (2019). Evaluating the satisfaction of patients undergoing hair transplantation surgery using the FACE-Q scales. Aesthetic Plastic Surgery, 43(2), 376–382. https://doi.org/10.1007/s00266-018-1292-x
  2. Maletic, A., Dumic-Cule, I., Zic, R., & Milosevic, M. (2024). Impact of hair transplantation on quality of life. Aesthetic Plastic Surgery, 48(9), 1825–1830. https://doi.org/10.1007/s00266-023-03781-6
  3. International Society of Hair Restoration Surgery. (2025, May). 2025 ISHRS practice census results (Prepared by Relevant Research Consulting). International Society of Hair Restoration Surgery. https://ishrs.org/wp-content/uploads/2025/05/report-2025-ishrs-practice-census_05-12-25-final.pdf
  4. ISHRS. (2025). Beware illegal hair transplant. https://fightthefight.ishrs.org/beware-illegal-hair-transplant/
  5. Kerure, A. S., & Patwardhan, N. (2018). Complications in hair transplantation. Journal of Cutaneous and Aesthetic Surgery, 11(4), 182–189. https://doi.org/10.4103/JCAS.JCAS_125_18 
  6. Anastassakis, K. (2023). Androgenetic alopecia from A to Z: Vol. 3 Hair restoration surgery, alternative treatments, and hair care. Springer Nature. ISBN 9783031106125. https://doi.org/10.1007/978-3-031-10613-2 
  7. Nilforoushzadeh M A, Pourebrahim E. The Impact of Smoking and Lifestyle Factors on Hair Transplant Outcomes in Patients with Androgenic Alopecia.Compr Health Biomed Stud.2024;2(3):e150466. https://doi.org/10.5812/chbs-150466
  8. McDaniel JC, Browning KK. Smoking, chronic wound healing, and implications for evidence-based practice. J Wound Ostomy Continence Nurs. 2014 Sep-Oct;41(5):415-23; quiz E1-2. https://doi.org/10.1097/WON.0000000000000057 .
  9. Williams Jr, K. L., & El-Maghraby, S. (2024). Complications with follicular unit excision. Facial Plastic Surgery, 40(2), 234–244. https://doi.org/10.1055/a-2201-8302
  10. Rosati, P., Barone, M., Alessandrini Bonetti, M., Giorgino, R., Panasiti, V., Coppola, R., Tambone, V., & Persichetti, P. (2019). A systematic review of outcomes and patient satisfaction following surgical and non-surgical treatments for hair loss. Aesthetic Plastic Surgery, 43(6), 1523–1535. https://doi.org/10.1007/s00266-019-01480-9
  11. Gómez-Zubiaur, A., Rodríguez-Villa, A., Vega-Diez, D., & Ricart, J. M. (2025). Psychological outcomes after hair transplant in women with androgenetic alopecia. Actas Dermo-Sifiliográficas, 116(4), 433–435. https://doi.org/10.1016/j.ad.2023.10.055
  12. Rajendrasingh Rajput. (2015). Evaluation of body dysmorphic disorder in hair loss patients and benefit after hair restoration. Acta Medica International, 2(01), 111–116
  13. International Society of Hair Restoration Surgery. (2026). Scalp necrosis after a hair transplant: A case study. https://fightthefight.ishrs.org/scalp-necrosis-after-a-hair-transplant-a-case-study/
  14. Zontos, G. (2026). Black market hair transplant in Athens: A repair case study. International Society of Hair Restoration Surgery Fight The Fight. https://fightthefight.ishrs.org/black-market-athens-case/
  15. Tetzlaff-Deas, B. (2025). Botched hair transplant has destroyed my life – I’ve had to quit my job. Mirror. https://www.mirror.co.uk/news/uk-news/botched-hair-transplant-destroyed-life-34821331
  16. ITV News. (2025, August 20). ‘It was horrific’: UK hair transplant patients left disfigured and scarred at ‘black market’ clinics. https://www.itv.com/news/2025-08-20/it-was-horrific-uk-hair-transplant-patients-left-disfigured-and-scarred
  17. Weaver, M. (2025, August 3). British man dies after falling ill at hair transplant clinic in Turkey. The Guardian. https://www.theguardian.com/world/2025/aug/03/british-man-dies-after-hair-transplant-operation-in-turkey
  18. The Times of India. (2025, May 12). Botched hair transplant leads to engineer’s death: Hidden dangers no one talks about. https://timesofindia.indiatimes.com/life-style/health-fitness/health-news/botched-hair-transplant-leads-to-engineers-death-hidden-dangers-no-one-talks-about/articleshow/121110119.cms
  19. National Post. (2022, August 7). French man dies by suicide after failed beard transplant. https://nationalpost.com/news/world/french-man-dies-by-suicide-after-failed-beard-transplant
  20. Chen, L., Zhang, J., Wang, L., Wang, H., & Chen, B. (2020). The efficacy and safety of finasteride combined with topical minoxidil for androgenetic alopecia: A systematic review and meta-analysis. Aesthetic Plastic Surgery, 44(3), 962–970. https://doi.org/10.1007/s00266-020-01621-5  
  21. Krejci-Manwaring, J., & Siddiqui, F. (2021). PRP and hair transplants. In S. Khetarpal (Ed.), Aesthetic clinician’s guide to platelet rich plasma (pp. 107–113). Springer, Cham. https://doi.org/10.1007/978-3-030-81427-4_9
  22. Kim, Y. S., Na, Y. C., & Park, J. H. (2019). Comparison of postoperative pain according to the harvesting method used in hair restorative surgery. Archives of Plastic Surgery, 46(3), 241–247. https://doi.org/10.5999/aps.2018.00843
  23. Civas, E., Akpınar, Ü., Hayran, Y., Aksoy, B., Fişek İzci, N. M., & Aksoy, H. M. (2025). Hair transplantation in women: A retrospective study of surgical outcomes and patient satisfaction using FUT and FUE techniques. Turkish Journal of Dermatology, 19(4), 217–226. https://doi.org/10.4274/tjd.galenos.2025.36349

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