Sanitary performing the extraction of follicles in a hair graft patient with oily hair
April 11th 2025

Hair graft with oily hair: Is it viable?

Hair transplantation is a technique that offers successful results to patients with alopecia who want to recover their hair. However, there are certain situations that may make a patient unsuitable for a hair transplant, such as a very advanced stage of alopecia or certain diseases. In this sense, is it possible to perform hair grafting with oily hair? Can hair oil be an inconvenience to perform a hair transplant?

From Hospital Capilar, a hair transplant clinic in Madrid, Murcia and Pontevedra, we tell you everything you need to know about the possibility of performing a hair graft with oily hair.

Is it possible to perform a hair graft with oily hair?

Among the factors that may pose a problem when performing a hair implant is oil or sebum on the scalp. According to him medical team of Hospital CapilarWhen you have high amounts of sebum, it is not feasible to perform a hair transplant since it makes the technique difficult and can harm the final result. It is an essential condition that the scalp is in optimal conditions to be able to perform the hair graft.

However, hair grafting with oily hair It is not a reason to give the unfit in a hair implant. Simply follow a series of instructions during the preoperative to reduce the levels of fat in the hair to arrive on the day of surgery with the scalp in perfect condition. Therefore, in patients who undergo hair grafting with oily hair, they follow a process that consists of the following phases.

Use of drag shampoo

En Hospital Capilar We carry out a meticulous medical follow-up of the patient, both before and after their hair surgery. To make the process more comfortable, we give the patient his Hair Revolution Box where you have all the products and information necessary to perform a good preoperative and postoperative period of your hair transplant.

Before the intervention, in general, all patients, but especially for patients with oily hair, should wash their hair with our drag shampoo that we provide in the HRBox and also have in our shop online. This shampoo deeply cleanses, regulates sebum levels and regenerates the microbiota of the scalp, thus eliminating flaking processes or high levels of fat that can harm hair grafting.

Therefore, in order to make a hair graft viable with oily hair it is essential that the patient washes his hair the weeks before with the drag shampoo. In some more extreme cases, the medical team may recommend other types of treatments or drugs.

Medical examination of the scalp

When the patient has washed with the drag shampoo, it is necessary for the medical team to evaluate the state of the scalp to determine the feasibility of the intervention. In most cases of patients with oily hair it is enough and they improve considerably, so they would start their hair graft. In cases where it is necessary to opt for other types of treatments, the medical team will give the guidelines to follow.

Design of the recipient and donor areas

Once the person suitable for hair grafting with oily hair is given, the surgeons design the recipient and donor areas, as well as estimate the number of follicular units that are necessary to perform the hair surgery. He front line design It is what requires more precision, since it is what is most visible.

Shaving and application of anesthesia

To perform the hair graft it is necessary to shave the hair leaving it with an approximate length of 2 millimeters. In it hair graft without shaving, only shave the donor zone, which will go unnoticed with the length of the native hair.

After this, apply the anesthesia. In hair surgeries such as hair transplantation, it is not necessary to use general anesthesia, only local anesthesia is used, so the patient remains conscious and awake throughout the intervention. As this is the phase that causes discomfort in the process, in Hospital Capilar we make available to our patients the pre-anesthesia. By means of kinetic impulses of lidocaine without the need for needles, the area is numbed before injecting the anesthesia itself, which considerably reduces pain.

Follicle Extraction

When the area is fully anesthetized, the healthcare team begins the extraction of hair folliclesThis is done using a micromotor punch and they are removed one by one without leaving visible scars.

Incisions and implantation of follicles

Once all the necessary follicular units have been extracted, the surgeon makes the incisions in the receiving area. This opening of channels is carried out with a sapphire scalpel, since it is more precise and promotes healing. It is in these cavities where the extracted follicles are subsequently implanted.

In which cases can a hair implant not be performed?

It should be noted that not all patients are suitable for hair grafting. There are certain factors that prevent the performance of this type of hair surgery, mainly because the expected results would not be obtained. However, as happens in cases of hair grafting with oily hair, there are situations in which hair surgery is temporarily cancelled, since once the problem is solved, the hair implant process can be resumed. Others, however, suppose a definitive failure.

Lack of donor area

When the degree of alopecia has advanced excessively and there is not enough donor area to cover the hairless area, the patient is not suitable for hair grafting. This is why it is important to the first signs of baldness, not let it go too far and put a prompt solution.

alopecia areata

La alopecia areata is one of types of alopecia more complex to treat at the hair surgery level since, until the immunological alteration that causes hair loss is stabilized, hair grafting is not viable.

Dermatological diseases

skin diseases such as seborrheic dermatitisa whirlpool bath, Psoriasis and atopic dermatitis These are conditions that can interfere with the correct process of hair grafting, damaging the aesthetics of the results, so it is not feasible to perform the intervention in these cases. As happens in people who want to perform hair grafting with oily hair, it is enough to treat the underlying problem and the patient will be able to perform hair surgery without any inconvenience.

Fine hair

When the patient's hair is extremely fine or has the miniaturized hair, it is necessary to follow a previous capillary treatment before the capillary graft. This is because if the hair graft is performed with very fine hair, the result will not be as expected. However, once the hair is thickened, hair surgery can be performed without problem.

Before and after a hair transplant in Hospital Capilar

Interested in hair transplant? Check in Hospital Capilar!

En Hospital Capilar We can help you with that change that you are looking for so much. With a team of expert doctors, you can receive your diagnosis at no cost or commitment. Request information and one of our hair consultants will inform you of everything. 

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