The next step with such a patient would be to discuss ways the keloid could be covered. It could be camouflaged by wearing the hair just a little longer. Other patients have rubbery skin that stretches too much and so causes wide donor scars. These two groups add up to about 5% of the patients who have hair transplant surgery. Once you have found a doctor or doctors to consider, make sure they let you see examples of their work. It will not be enough to see what they can do with a virgin scalp. You need to see how successful they have been in dealing with problems such as the ones you have. If you cannot see the patients directly, at least ask for a look at some photos. If not, then at least you will have allowed your skin to heal. You may be given specific guidelines for eating in the weeks leading up to the hair transplant surgery. Excessive drinking may be a problem due to anesthesia and medications you have to take in the course of having your hair transplant done, so you may be asked to refrain from drinking until your head has healed. If you are on anti-clotting medications such as Coumadin, you would have to stop taking them for awhile before having a hair transplant. People who have a history of excessive scarring might want to think twice about getting a hair transplant. Scars are usually a part of the procedure because the donor hair is taken from the back and sides of the scalp. This is the usual number of hairs in follicles on a healthy head of hair. By inserting thousands of these follicular units, surgeons can give the appearance of natural hair and hairline. Hair transplant surgery has reached a level where it can produce a result that is virtually undetectable to most people. Having just the right amount of blood flow to the hair transplant sites will make a big difference in how fast they heal. For example, you need to make sure you get enough blood flow during the night. You can do this by sleeping on pillows to elevate your head. Your usual pillows can be used, or you can buy wedge-shaped pillows made for this purpose.