You may be considering hair replacement service for a variety of reasons. Genetics play a large part in thinning or baldness. Illnesses and metabolic changes can also cause this condition. There are many different solutions, depending on your particular situation. Some of the most common procedures include wigs, topical or prescription drugs, and grafting.


Wigs are no longer a one-size-fits-all product. They can be designed specifically for your head shape and desired look. Options are available for more or less coverage, and you can choose from natural or synthetic materials.

If you do not need complete coverage, you may consider partial pieces to cover isolated areas, and to add volume and thickness. They can be designed with bangs and fringes for the front, small or large basis for on top, and with natural or synthetic material. They can blend in with your own bases for partial top coverage, or be made with large bases for full top coverage.

Topical Solutions and Prescription Drugs

A hair replacement service can educate you about other non-surgical methods to treat your condition.

Rogaine is a popular topical solution approved by the FDA to treat hereditary baldness. Applied directly to the scalp in the affected areas, it has been shown to help about 10% -14% of the patients who try it. Among patients who do not experience new growth, it has been proven to help slow loss.

Propecia is a prescription pill that is used to treat male-pattern baldness. It is also approved by the FDA, but should be used only under a doctor's care. One study has shown that 83% of men who took Propecia ceased to experience loss, and 66% saw regrowth. It is important to continue taking the drug to maintain results.


If you have thinning or baldness in only a few areas of your scalp, you may be a good candidate for grafts or transplants. This process involves removing a narrow strip of the scalp where there is hair and using it to replace an area with thinness or balding. It is usually done in a doctor's office under local anesthesia.

Once the graft is removed from the hair-bearing area, the scalp is closed and the surrounding hair hides the cut area. The doctor will then divide the graft into many tiny pieces. The number and type will depend on the hair type, quality, color, and size of the area to be transplanted. Common sizes are:

– Micro: containing only one or two hairs per graft;
– Mini: Between two and four each;
– Slit: between four and ten each;
– Punch: between 10-15 each; and
– Strip: long, thin grafts with 30-40 each.

Once the grafts are ready, the surgeon will create holes or slits in the area to be replaced, and carefully places the graft into those holes or slits. The entire procedure could take up to eight hours.

This process is not the best solution if you have very diffuse or widespread loss, or if you do not have enough areas from which to donate to the balding spots.

If you are thinking about a hair replacement service, talk with a professional, experienced team about your particular circumstances. They can help you determine if hairpieces, solutions or medicine, or transplants are the right solution for you.