Is hair transplantation painful? Which technique is less painful?
- นพ.วิชญ์ แสงสุวรรณ
- Apr 11
- 4 min read
Updated: Apr 12

Is hair transplantation painful? Comparing FUT and FUE techniques, which one is less painful?
"Doctor, is hair transplantation painful?" is one of the most frequently asked questions from those interested in hair transplantation. Many people have the misconception that hair transplantation is major surgery, very painful, and requires a long recovery period. These concerns cause some to hesitate to undergo the procedure, even after seeing reviews from those who have had hair transplants indicating that the actual experience may not be as bad as they imagine.
Nowadays, hair transplant techniques have advanced significantly, and there are many ways to reduce discomfort during the procedure. As a result, many patients have a better treatment experience than they initially feared.
In summary, is hair transplantation painful?
From a medical standpoint, it's important to understand that hair transplantation isn't completely painless. There will be some minor discomfort, typically during the local anesthetic injection, which is similar in level to that of a vaccination or Botox injection.
Once the local anesthetic takes effect, patients usually don't feel pain during the hair transplant procedure. If any pain occurs during the procedure, the doctor can immediately administer more anesthetic.
In addition, the clinic offers methods to help alleviate pain during local anesthesia injections, such as using cold compresses, vibrating devices, or massage. Furthermore, the anesthetic cream contains sodium bicarbonate (NaHCO₃) to help reduce pain during the injection.
These methods help many cases have a more comfortable hair transplant experience, and this is one of the reasons why so many patients give positive reviews about their experience.
Between FUT and FUE, which technique is less painful?
Another question related to pain is: which hair transplant technique, FUT or FUE, is less painful? In reality, the pain during the procedure is similar for both methods due to the use of local anesthesia. However, the difference becomes more noticeable during the recovery period.
FUT
The FUT (Follicular Unit Extraction) technique involves surgically removing a strip of scalp from the back of the head, closing the incision with sutures, and then separating the tissue into hair grafts for transplantation to the desired area.
Because there are stitches at the back of the head, some patients may experience more tension or discomfort during the recovery period.
FUE
The FUE technique uses a small drill to collect hair grafts one unit at a time, distributing them evenly across the back of the head.
Because there are no sutures like with the FUT method, many patients feel more comfortable during recovery and can return to their daily lives more quickly.
Hair transplant techniques should not be chosen based on the level of pain.
While many people worry about the pain during the procedure, in reality, doctors have many techniques to alleviate the pain, such as using local anesthetics or painkillers, etc. Therefore, choosing a hair transplant technique should not be based solely on the likelihood of pain.
Each technique has its own advantages and limitations, such as:
FUT is suitable for those who need to use a large number of hair grafts, such as more than 4,000 grafts.
FUE is suitable for those who require a smaller number of grafts and a shorter recovery period.
Therefore, choosing the appropriate technique should consider several factors, such as:
Number of graphs required
Hair and scalp characteristics
The goal of the outcome.
All of this will be assessed by the doctor, who will recommend the most suitable method for each individual.
Other things you should know before deciding on a hair transplant.
Besides the pain level and the choice of technique, there are several other factors to consider before deciding on hair transplantation, such as:
Accurate diagnosis of hair loss.
It is important for patients to know that hair transplantation cannot solve all cases of hair loss.
Before treatment, the doctor needs to assess whether there is any underlying hair or scalp condition causing the hair loss, as some conditions should be treated with other methods instead of hair transplantation, such as:
Patchy hair loss (Alopecia Areata) is caused by white blood cells destroying hair follicles, but hair can regrow on its own. Therefore, treatment with medication is more effective than hair transplantation.
Les lesions that cause scarring or hair-eating diseases (such as Lichen Planopilaris or Frontal Fibrosing Alopecia) are contraindications for hair transplantation if the lesions are not in remission, as they can worsen hair loss and scalp conditions.
Duration of results after hair transplantation.
Another important point to understand is that the results of hair transplantation are not immediate. After transplantation, approximately 80-90% of the transplanted hairs will shed initially. New growth will then begin after about 3-4 months, and hair thickness will become more noticeable around 5-6 months. Full and visible results are usually achieved within 9-12 months.
Lifestyle also influences the choice of technique.
A patient's lifestyle is another factor that doctors consider when choosing a hair transplant technique. For example, if a patient chooses the Long Hair transplant technique but has a lifestyle that involves strenuous exercise or frequently styles their hair in the initial stages, the doctor might recommend other techniques such as Non-shaven or FUE to make caring for the transplanted hair easier.
Consult a doctor to assess which hair transplant method is right for you.
Hairscension's approach is to provide personalized care to each patient.
The doctor will assess each patient's hair loss problem, hair condition, and needs to select the most suitable hair transplant technique, whether it's FUT or FUE.
If you are interested in hair transplantation and want to know which technique is best suited for your case, you can consult with a doctor at Hairscension for a free evaluation. There is no charge for the consultation.
For inquiries or to book an appointment, please contact us via LINE [@xxxxx] or call the clinic directly at [xx-xxx-xxxx].




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