Cysts can come up in the areas where the hair is being transplanted to, also called the recipient areas. The cysts do not usually last more than a few weeks and are rarely more than the size of small pimples. 10. Scarring. If you have keloid scarring after hair transplant surgery, it is probably because you are genetically inclined to have it. However, the pain of hair transplant cannot actually be compared to a tooth extraction. Hair transplant pain is decidedly less sharp and some do not even feel it as pain at all. Many people simply feel it as an uncomfortable feeling. If they do feel any pain, it is of a degree that can be taken care of with a few doses of Tylenol. Once the surgeon has made all the hair transplant incisions that lay out the design he has created, the specially trained surgical team steps in. They use his plan to accomplish his goals, and in turn the goals of the patient. The groundwork is done for them by the surgeon when he does his incisions. If you do not have enough hair, you cannot have a normal hair transplant surgery. However, there are other surgeries that can be used in conjunction with hair transplant to achieve similar results. The difference is that these procedures are generally more painful. 6. The grafts may not survive. Few surgeons will divulge to you the fact that hair grafts do not always survive after hair transplant surgery. Any doctors who make decisions that are not based on the welfare of his patient are following their Hippocratic Oath in its intentions. Doctors are held to a high standard and when a surgeon tries to convince a patient to get hair transplant surgery when it is not best for him, he is not really acting as a doctor should. Micro grafts hold about three or four hair follicles. Older style hair grafts often held more like a dozen hair roots. These new micro grafts are only possible because skilled surgeons have refined the methods of extracting them. Micro grafts are useful in hair transplant surgery because they can give the hair a quite natural appearance.