Surgical hair restoration is the most expensive method of restoring lost hair but also the most elegant and lasting solution. It can only be used in people suffering from hereditary baldness and burn patients. Candidates must have sufficient hair density at the back of their scalp and many women suffering from female form of hair loss with its typical diffuse balding pattern do not meet this condition. Hair restoration surgery has made great strides in the past twenty years with the introduction of the two main techniques used today - follicular unit transplantation (FUT) and, more recently, follicular unit extraction (FUE). These advances in hair transplantation techniques enable the grouping of hairs very densely together, which gives modern hair transplants an entirely natural look. The main weakness of hair transplant surgery, besides the cost and the pain involved, is the limited supply of donor hair and the need for multiple surgeries to achieve the final desired change. Furthermore, patients have to commit themselves to the use of finasteride or any other adequate medicinal hair loss treatment for the rest of their lives to prevent further loss of hair.
Hair loss pills and topical applications do not, despite major scientific advances and the discoveries of recent years, provide satisfactory hair restoration results yet. The two most frequently prescribed hair loss drugs, finasteride and topical minoxidil, can be effectively used in many male patients to reduce hair loss but their ability to regrow lost hair is weak. Their effectiveness declines significantly in the later stages of the balding process. There is no existing medicinal or natural hair loss remedy that can deliver adequate visual results comparable to either hair transplant surgery or non-surgical hair replacements such as hairpieces and hair loss concealers. Although there are some promising medicinal hair loss drugs currently being developed, specifically in the area of genetic research, the ultimate pill for baldness is not expected to become commercially available within the next fifteen years. Other advances in hair science, such as hair multiplication or the generation of new hair follicles in wounds of hair-free skin, also hold out solid promise but it appears that hair transplantation will in the next ten to fifteen years remain the most complete method of hair restoration.
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