Hi Dr. Rassman, I had hair transplant procedures last week. My doctor who puncture holes first and then more than six different workers to place grafts for me. I wonder who control the hair direction. The doctor or workers ????

The direction is controlled by the person who puts in the ‘holes’. The grafts, once placed in the recipient site, will follow the direction of the hole. It seems simple enough, but the recipient sites must be placed at a horizon angle that is correct and in a direction pointing forward between the ‘parts’. See Transplanting Hair in the Correct Direction for more.

The modern hair transplant is a very labor intensive process and a team must do the work in order to get it done in a reasonable timeframe. The technicians/nurses who place the grafts must have years of experience. If the grafts are not handled gently, if they are left open to air for more than a few seconds, they may die… so transplanting the grafts may not produce growth if the grafts dried out before they were put into the recipient sites. There are many subtle nuances in the technical side of this process and when there are all done with precision, it is like a ‘ballet’ beautiful to watch.

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