Old-Fashioned Plugs. People with the large plugs that look like doll's hair or toothbrush bristles are still around. While this type of hair transplant is rarely done anymore, the effects are still evident among people of a certain age. If someone who knows one of these people has a balding problem, they are not likely to think of hair transplants. If it does not match the area around the balding area, it will look unnatural. The texture should be even as well as the waviness or curliness of the donor hair and the area of hair around the balding area. If you have lost your hair due to genetics, or a family history, you will likely be a good candidate for hair transplant surgery. The surgeon will make tiny incisions into the scalp where the hair transplant grafts are to go. These are called the receptor sites. They are made with a very thin surgical needle. The surgeon must have an eye for detail to properly set the receptor sites. He must also be very artistic to achieve a natural look, especially at the hairline. You need a way to contact former patients. If at all possible, you need to be able to visit with patients the doctor has treated so they can show you the results in person. You are not asking too much - it is a major commitment you are making. 4. If your doctor says to try a few hair transplant grafts and then decide, run. There are many aspects of your life that are affected by your choice to have or not to have the procedure done. There are several questions to ask yourself. 1. Do I think about my hair all the time? If you cannot think of anything but how your balding head looks, it is a good indication that you need to do something. If a patient is known to suffer from keloid scarring, the first thing a reputable doctor will do before hair transplant surgery is to explain the possibility of unsightly scars. This requires a very honest surgeon, since the patient may decide the procedure is not worth the scarring it will cause. The next step with such a patient would be to discuss ways the keloid could be covered.