Once lotions and tablets have not been successful in stopping hair loss, most patients turn to hair transplants. This is a surgical procedure and is the only way that one can replace lost hair roots. Hair transplants are often referred to as Hair Root Replacement. Hair roots are taken from the back of the scalp under local anesthetic and placed on the top of the head. There are various methods for performing this procedure but by far the latest treatments involving micro surgery, where micro grafts and mini grafts are used, are the best techniques. The old fashioned method used plugs. Although hair transplants using the plug method grew hair very well when carried out by skilled hands, it was very difficult to make them look completely natural. Integrated Hair gave the answer! So flexible is Integrated Hair that it is now used to improve the appearance of 'the old fashioned hair transplant'. Instead of having large numbers of hair roots per unit (which is often required and indeed desirable) Integrated Hair uses micro grafts and mini grafts which give perfect detailed blending. Hair Root Replacement tends to be expensive but it is by far the most natural way of regaining hair especially if micro grafts and mini grafts are used rather than plugs. Patients should always opt for micro surgery where possible.

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Implants are not hair transplants, but single synthetic hairs placed into the scalp and held by a knot. At all costs one should avoid implants as there is the chance of infection and other complications. Although implants have been banned in the United States there are still approximately seventy clinics in Europe performing this method. Implants are not growing hair and have no connection with Hair Root Replacement, which is a procedure involving surgery. Some hair transplant clinics offer both hair transplants and implants and there is a tendency for patients to get confused with the result so much so that they chose the wrong treatment. 

Wigs, toupees or hair pieces are an alternative but not everyone's ideal choice. The word wigs is normally referred to a full head of hair including the back and sides. Wigs are usually more commonly used by women. Since patients undergoing chemotherapy tend to lose all their hair, a full wig is usually the answer. Toupees or hair pieces are mainly used by men although it is not uncommon for women to bald in the same male pattern baldness as men and would also opt for a toupee or a hair piece. Patients using a toupee or a hair piece would keep their own hair at the back and sides and have the area on top covered with the toupee or hair piece. The results are remarkable and if worn correctly they are undetectable. Wigs, toupees and hair pieces come in human hair or synthetic and in a choice of various colours or mixture of colours. There are various styles and lengths to chose from. One may opt to have a wig, toupee or hair piece made-to-measure in which case the result would be far better than an off the shelf unit. Before choosing a wig, toupee or hairpiece it is important to shop around. Just because the price quoted for a toupee or hair piece may go into four figures, this does not mean that the toupee or hair piece is a top quality unit. One may buy exactly the same toupee or hair piece or an even better one at a considerably cheaper price. Full wigs tend to be much cheaper as they are normally off-the-shelf items.

The only permanent remedy which exists today is the hair transplant. This is by far the most natural way of regaining one's hair. Since this procedure involves transferring one's own healthy hair roots from the back and sides of the scalp and placing them in the bald or balding area on top, there is a limit as to the number of hair roots that can be transferred. This of course differs from patient to patient and is dependant on a number of factors such as size of area to be treated, size of donor area, density of donor area, likely future further hair loss, etc. In fact not every patient is suitable for a hair transplant.

Although a hair transplant cannot give a full head of hair, it will at lest remove the baldness aspect and appear very natural. Unfortunately however, not all clinics are capable of performing a good hair transplant with the result that the patient, hair will look 'doll like', he would still look bald and in most cases extremely unnatural and sadly would probably end up wearing a cap for the rest of his life. Usually such results are produced by unscrupulous clinics which do not specialise in hair treatments only and consequently lack that certain artistry and capability of producing a naturally looking head of hair. Such clinics do not take time to explain in detail the procedure and in all probability have promised the patient a full head of hair after one or two treatments. 

Hair transplant surgery is a minor outpatient surgical procedure. Treatments are carried out under local anaesthesia. Hair roots are removed from the lower part of the back of the head and placed in the bald area balding area on top. The new hair is genetically destined to grow for life. The procedure is completely painless and usually takes between three to four hours. A hair transplant would normally require a minimum of three treatments. From the day of treatment it takes approximately three months for the new hair to start to grow.

Apart from surgery, there are also wigs, troupes and hairpieces that may be used to cover the bald area. Wigs made from artificial or real hair, kept in place by adhesives, are becoming more natural looking. Hair weaving, also called "hair integration", involves adding to thin hair by weaving or braiding human hair or synthetic fibres into existing hair. Apart from the expense, this poses two problems: first, it may be difficult to keep your hair and scalp clean. And second, it stresses existing hair and may cause it to fall out.

Sutured hairpieces may be permanently stitched to the scalp, i.e. Synthetic hair fibres or real hair from others is permanently attached into the bald scalp by non-medical technicians. This is not safe because whenever a foreign object is placed in the body, there is always a consequent infection or skin allergy.

Thus the best option in this field is to have advice from a reputable company, which specialises in wigs and toupees and have one specifically fitted to one's area.