The cysts do not usually last more than a few weeks and are rarely more than the size of small pimples. 10. Scarring. If you have keloid scarring after hair transplant surgery, it is probably because you are genetically inclined to have it. Very infrequently, patients have scarring that takes the form of ridges. Micro grafts are useful in hair transplant surgery because they can give the hair a quite natural appearance. The hair emerges from the scalp in the most natural way, with the same number of hairs that nature intended. If the procedure is done correctly, no one can tell the difference. Natural looking hairlines have been difficult to achieve with hair transplant surgery. On the other hand, some people who have had hair transplant procedures done do not feel that there is any pain involved at all. They tolerate the injections of the local anesthetic well. They are not bothered at all by the procedure. In fact they often watch television or read magazines, being awake and alert the whole time. A doctor who has done many successful hair transplant procedures will have a list of people willing to talk about their experience. You can call each one and ask about how the procedure went for them. Be aware that not all hair transplant doctors are scrupulous businesspeople. Many will try to fool you into believing they are more experienced than they are. As long as the surgeon knows what she is doing, the scars are a minor consideration. Another aspect of scarring is when doctors go in for multiple hair transplant surgeries. A new strip of donor tissue has to be taken each time to supply the grafts for the new transplant. It would seem that this would lead to a large number of scars on the back and sides of the head. You may have the type of hair transplant called hair plugs. These make the hair stick up out of your head like the bristles of a toothbrush. If you want to take advantage of modern methods, it is not too late to have more natural-looking hair. The first thing you need to do is to find a hair transplant surgeon who has done many hair transplant repair surgeries.