Why do clinics shave the whole head?1.Speed and ThroughputShaving the scalp allows faster:
- Follicle identification
- Extraction
- Implantation
This is particularly important for high-volume clinics performing multiple surgeries per day or aiming for very large graft counts. Shaving reduces technical difficulty and operative time.
2. Simplified ExtractionWith the scalp shaved:
- Hair angles are fully visible
- Punch alignment is easier
- Less risk of hair tangling during extraction
This lowers the technical skill threshold required and makes it easier for technicians or less experienced operators to perform the procedure.
3. Standardisation for Assembly-Line SurgeryShaving allows clinics to:
- Use the same workflow on every patient
- Delegate steps to multiple staff... when the doctor cannot perform the procedure
- Maintain predictable operating times
This suits production-based models, where consistency and volume are prioritised over customisation or discretion.
4. Cost ControlShaved procedures:
- Take less time
- Require fewer surgical adjustments
- Are easier for untrained, or minimal trained staff to implant follicles with forceps.
This is why shaved FUE is often marketed as “cheaper” or bundled with large graft numbers.
Why Shaving Is Not Always NecessaryShaving is not a medical requirement for FUE.
In appropriately selected patients, unshaven or total unshaven FUE can achieve:
- Equivalent graft survival
- Equivalent cosmetic outcomes
- Better discretion and social recovery
The limitation is not biology, but technical complexity.
Why Many Clinics Don’t Offer Unshaven FUEUnshaven FUE:
- Takes significantly longer
- Requires higher surgical precision, different techniques to implant
- Demands careful donor discipline
- Limits graft numbers per session
For clinics focused on volume, it is commercially inefficient.
When Shaving Does Make SenseShaving may be appropriate when:
- Very large graft numbers are required
- The patient is unconcerned about appearance during recovery
- Donor density is limited and needs maximal visualisation
- Time efficiency is a priority
A good clinic should explain why shaving is recommended, not present it as the only option.
How Dr Young Approaches This DifferentlyDr Young uses shaving only when it serves the patient’s best outcome, not clinic convenience.
Where appropriate, he offers:
- Partial unshaven FUE
- Total unshaven FUE
He has performed most of his transplants partially shaved over the years, and appreciates the nuances this protocol affords for the precise implanting of follicles.
These approaches are particularly useful for:
- Hairline lowering, especially females
- Frontal refinement
- Professional or public-facing patients( Celebrity Hair Transplant)
- Discreet restoration within existing hair