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. You may need to have the plugs removed in one session and allow that to heal before going on to the next phase. Your doctor may not know the answer to this until after she sees how your first surgery has gone. In any case, it is wise to go in expecting that you probably will need more than one hair transplant surgery. Now, a multi-bladed knife can be used to cut long thin strips of donor tissue. The strip of scalp will be about an inch wide and five inches long. Then, the hair transplant doctor pulls the skin together where this was taken out, and stitches it together. Finally, the micro grafts will be finished by being divided into individual grafts by using a stereomicroscope. The grafts may not survive. Few surgeons will divulge to you the fact that hair grafts do not always survive after hair transplant surgery. The hope is that only a few will be lost and the overall result will not suffer. The reality is that is what usually happens. 7. Hair transplant treatments do not cost as much as you think. He will know all along that the procedures will cost much more, but he will lowball the price anyway just to get the patient started so that they have to finish. 3. Creating Scars. All hair transplant surgery will create small scars. Some people find them unacceptable. They want to wear their hair short, and they see the scar peeking out from under their hair, even if no one else does. One trick of doctors, who work to give young people hair transplant surgeries, is to guide them in setting the hairline. A young person will usually want a fairly low hairline. He remembers the way it was just a few short years ago and wants to duplicate the image. A good hair transplant surgeon will discourage a low hairline.