Surgical Procedures for Hair Loss

Natural, safe and permanent surgical hair restoration procedures.

Commonly known as hair transplants, surgical procedures is the only permanent and reliable treatment for hair loss. Surgical hair restoration is the only type of hair loss treatment that can return full, permanently growing, natural hair to your head.

With hair loss surgery, people suffering from baldness or thinning hair can receive a full head of hair. The procedure is simple and easy, typically being performed in one or two sessions and requiring only a local anaesthetic. A hair loss surgeon can restore balding crowns, receding hairlines, and thinning scalps.

There are several different types of hair loss. An expert hair loss specialist/trichologist can determine the best type of transplant for your specific circumstances, or whether your type of hair loss is suited for a surgical procedure.

A hair transplant in Ontario is also one of the more cost-effective options available. While the upfront cost of a hair transplant can be higher than other treatments, it is a one-time fee that is more affordable in the long run than medical or topical treatments.

Our hair loss clinic is located in the Greater Toronto Area, close to Pearson International Airport, with plenty of affordable hotels in the area. Our hair loss clinic serves local residents from the Toronto area, but also foreign patients from the U.S. and other regions.

The results can leave you with a full head of natural hair. Check out our Before & After Photos of hair loss surgeries completed in the past.

There are several different types of surgical procedures for hair loss, each with its own benefits. What type of surgical hair loss treatment a surgeon uses depends on each patient’s hair loss. Often, hair loss specialists will use a combination of surgical procedures to provide the best results.

Hair transplant surgery works by grafting hair follicle units onto balding areas of the scalp. The hair follicle units are harvested from the patient’s scalp, from areas where there is higher hair density (such as the back of the head, close to the neck). The transplanting of these hair follicle units results in permanent hair regrowth. There are four types of hair transplant procedures:

Mini Graft Hair Transplant: Mini grafts are skin grafts containing around three to four hair follicles on each graft. The number of grafts used depends on the size of the area to be transplanted and density required by the patient. It usually varies from 1,500 to 3,000 grafts or more per procedure. Single hairs are strategically placed to create the new frontal hairline. Mini grafts offer moderate hair density. They are primarily used for hairlines, as well as for filling in the top of the scalp or crown area.

Mini Graft
Mini Graft
Approx. 3 to 4 Hairs
Mini grafts are used to give more density, starting behind the new hairline and finishing at the crown area.

Micro Graft Hair Transplant: Micro grafts are similar to mini grafts but contain an even smaller number of hair follicles on each graft. A micro graft has one to three hair follicles on each skin graft. Micro grafts are primarily used along the hairline and temples, recreating the hairline and other areas of the scalp that naturally have less hair density. Micro graft hair transplants are less commonly performed than other types of hair transplant surgery. Our state-of-the-art technique, Micrografting, involves the transfer of small slivers of skin grafts, containing 1-3 hairs each, from the lower, permanent hair-bearing scalp (the donor area) to the balding scalp region. It is performed under local anaesthetic, with minor sedation. Initially, a strip of skin with scalp hair is removed. This donor area is then closed with sutures.

Micro Graft
Micro Graft
Approx. 1 to 3 Hairs
Micro grafts or Follicular Unit hair grafts are used mainly for recreating the frontal hairline. They are also used to imitate mother nature’s own creation. A follicular unit is when 2 or more hairs grow together naturally.

Maxi Graft Hair Transplant: Maxi grafts contain the largest number of hair follicles on each skin graft, with more than five hair follicles per graft. Maxi grafts may contain up to 12 or 13 hair follicles on each graft, meaning they can provide greater density. These types of skin grafts are often used for balding scalps, crowns, and moderate to severe hair loss. Maximum hair grafts transplants can provide greater hair density.

Maxi Graft
Maxi Graft
Approx. 4 to 6 Hairs
Maxi grafts are used mainly for density in the back crown area along with a combination of mini grafts.

Follicular Unit Extraction: With this method, each hair follicle is individually grafted onto the scalp. Follicular unit extraction (FUE) has a shorter recovery time and causes less post-operation discomfort. However, the procedure is typically more costly, takes longer to perform, and can cause more noticeable scarring in the donor area. A hair loss surgeon can determine if this type of transplant is right for your specific hair loss case.

The type of hair transplant surgery that is best suited to you depends on a variety of factors, including your hair loss pattern, the progression of your hair loss, the severity of your hair loss, your budget, the number of procedures needed, and considerations concerning recovery time or post-op discomfort.

At your consultation, you should explain the kind of hair style you would like to have. This gives the surgeon an idea of how best to create the design of the hair transplant receptor sites on your scalp. It might make a difference in the angle of the hair or the direction of the hair.

Before you go in for your hair transplant surgery, your surgeon will give you some facts about how to care for your hair before the surgery and after. He will emphasize that the hair on the back of your head should be at least 2 cm long. This is so that the donor site scar will be adequately covered up until the sutures heal.

Also, the doctor will not tell you to get a haircut. In fact, when getting a hair transplant, the longer your hair is, the better it often works. It hides the sutures and eventually hides any scars you might have.

You will be told to use your normal shampoo before the hair transplant surgery. No special scalp treatment will be needed. Do not worry about any scraggly hair on top of your head. The doctor will blend it in with the grafts as he goes.

It may seem odd, but once the grafted hairs are set, they are just as strong as the rest of your hair. You can cut them, comb and brush them, and even dye them in time. New hairs start to grow within three months. You will find you need haircuts more often, as your hair will grow about one or two centimetres per month.

As for intense styling, your hairdresser can help you with that in about 20 days after your hair transplant surgery. Your grafted hairs are the same as old hairs but they are balding resistant. However, they need special care at first. Your hairdresser should know about hair transplants and understand just what you need to avoid.

After a few short weeks, you can treat your hair transplant grafts just like you did your old hair before you lost it. You can style it however you want. You can comb it and use hair care products on it. Do not forget: this is really your own hair.

During the actual surgical procedure, once the area is anaesthetised, there is no discomfort at all. No bandage is required. The donor area, where permanent grafts are taken, is closed with sutures (stitches) and these can painlessly and easily be removed, at the follow up two week check-up.

Once the donor area is closed, the hair above and the hair below the removed strip will cover this site. Generally, not even the sutures will show. The strip is dissected into small slivers and then meticulously planted into the bald or thinning areas of the scalp (recipient area). The creation of very small micrografts (sometimes called follicular units) allows very natural, feathered hairlines to be created, avoiding the abrupt hairline of previous techniques.

A hair transplant procedure generally takes from 4-8 hours and is performed using local anaesthesia like the dentist uses and a mild sedative. The patient can go home the same day. Because of the medications used, one cannot drive a car home on the day of the procedure or operate any machinery at home or at work.


Within 24 hours of the procedure, small crusts form on each graft. These will shed in approximately 7-10 days. Bandaging is usually not required. The grafted hairs usually will commence growing in 12-15 weeks. They will grow at the normal rate of approximately 1 to 2 cm per month.

The success rate is extremely high, with more than 99% survival of grafted hairs. These transplanted hairs will never permanently fall out because of their genetic programming and insensitivity to DHT. In addition to medical skill, the artistic ability of the surgeon is vital in determining the placement and angling of the grafts to achieve the most natural result. The positioning and shaping of the hairline is crucial and is decided by mutual agreement between the patient and surgeon at the time of the procedure.

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