ABSTRACT
Hair transplant (HT) is a surgical procedure but due to the enormous number of combinations of the different possibilities for each step may also be understood as a kind of art. The dominance of the donor area in the hair phenotype was determined by Orentreich 60 years ago. In the past two decades, micro-inflammation was considered an important factor in the physiopathology of androgenetic alopecia. It may concur for both effluvium and miniaturization. A non-detected scarring inflammatory condition of the scalp is the wolf for the transplant surgeon. The most frequent non-detected scarring inflammatory condition is lichen planopilaris (LPP). Trichoscopy is useful for early detection of some complications in both donor and receptor areas. A high percentage of empty slits, meaning that several recipient sites were missed by the technicians/nurses – in the case that the surgeon previously performed the recipient sites – is a sign of bad quality team work.
