If your plugs are smaller, he may just want to add some new donor hair to lessen the effect of the doll head look. If cost is an issue with you, discuss it with your surgeon. Cost is a very real problem for many who want to have bad hair transplants fixed. It may be more expensive to do the correction than an original surgery would cost. 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. If you did not want your hair to look good, you would not have had the hair transplant in the first place. When you are having your consultation with the surgeon, explain the kind of hair style you would like to have. This gives him an idea of how best to create the design of the hair transplant receptor sites on your scalp. If your doctor uses the follicular unit grafts for your hairline, it will look much more natural than with the larger plug-like grafts. This is important because your hair transplant will be noticeable if the hairline is not done well. 2. Your hair transplant site will be fuller if you have higher density in your donor sites. There are sebaceous glands in the follicular unit which produce oil. The follicular unit is a living unit with muscle, nerves and blood vessels that are all tiny enough to fit into this small package. The unit is set off by a band of collagen that holds it together. If you look under a microscope at a scalp, you can see follicular units growing in just this way. It certainly does not seem like a relaxing experience. Yet some feel that there is that degree of pain involved. The injections of the local anesthetic into the scalp before hair transplant procedures are definitely painful to some degree. Anyone who has had a tooth pulled knows that, if the tooth is deadened properly, it is not the tooth-pulling that hurts.