Category Archives: Body Hair Transplants

Body Hair Transplants of 10,000 Grafts

I will update this post with more body hair transplant (BHT) megasession results as I get feedback. However, before you consider body hair transplants to the scalp, you need to be aware of their major limitations.

Body Hair Transplant Limitations

  1. The growth rate of transplanted body hair on the scalp is very unreliable. You should go in with the expectation that a lot of grafts will be wasted and never take.
  2. Other than beard hair, most body hair is far thinner than scalp hair.
  3. The cost of a body hair transplant procedure is significantly higher than the cost of a FUE or FUT hair transplant. The body hair extraction process is more labor intensive and is susceptible to higher transection rates.
  4. You can get some scarring in the body area from where the grafts are removed. Especially if the surgeon is inexperienced. Minor hyperpigmentation or hypopigmentation is always possible.
  5. The body hair may stand out from your scalp hair in terms of curliness, length and overall texture. The growth cycle of body hair also differs significantly from scalp hair.

Having said all the above, I have seen a large number of impressive body hair transplant before and after results over the years. I have long wanted to present a few successful megasession BHT cases, but delayed till now.

I was reminded of this subject when on a recent BTT show chat, a person named “Robert Hellner” proclaimed that he was delighted with his 6,500 graft BHT procedure. All of his grafts came from his beard.

Body Hair Type and Anagen Duration

Different types of body hair have different anagen growth phase duration. Healthy scalp hair has an anagen phase that lasts from 2-6 years. Most types of body hair have a significantly shorter duration anagen phase. The below table and image are from the following paper.

Body Hair TypeAnagen DurationAnagen PercentageTelogen Duration
Scalp2-6 years853-4 months
Beard1 year7010 weeks
Mustache16 weeks656 weeks
Trunk16 weeks3012 weeks
Axillae16 weeks3012 weeks
Public16 weeks3012 weeks
Legs16 weeks2024 weeks
Body Hair Transplant Result
Body hair transplants can lead to curlier hair.

Background

I covered the subject of body hair transplants a few times in the early years of this blog. When BHT became popular around 15 years ago, I was very excited. Like a lot of balding men, I have an excessive amount of body hair. At one point, I even thought that this is almost a hair loss cure for many men with excessive body hair.

However, later on, it became evident that for a majority of people, the results were not always guaranteed. According to most surgeons, only beard hair and chest hair represent suitable donor zones for body hair.

Some surgeons such as Dr. John Cole only recommend beard hair as good and reliable enough to transplant in sizable quantity. At the other extreme, some surgeons go all out and use almost all types of body hair (including armpit, back, pubic and thigh hair). Perhaps hoping that at least a portion of it grows with some kind of regularity? There are nowadays 100s of surgeons who perform body hair transplants.

On a humorous note, did you know that Jeff Bezos’ grandfather grew his butt hair on his thumb after a skin graft procedure? And the transplanted butt hair kept growing till he died. It even had to be shaved off the thumb regularly.

If a patient with insufficient scalp donor hair wants to also use body hair, most surgeons combine the two types of hair during a hair transplant procedure. The body hair usually acts as a filler, and is never implanted in the front of the scalp.

Body Hair Transplant Megasessions

In this post, I will try to collect some before and after photos and videos of patients who received BHT megasessions of close to 10,000 grafts (or more). Note that there are between 90,000 to 150,000 hairs on a human head.

The number varies depending on hair color and genetics. The permanent donor region of the scalp only has around 12,500 hairs (6,000 folliclar units) that are transplantable. One human scalp hair follicular unit (graft) can contain 1, 2, 3 or 4 hair follicles, with 2 being the most common. Most body hair grafts contain just one follicle.

Dr. Arvind Poswal

The global leader in BHT hair transplant procedures is probably Dr. Arvind Poswal of India. He has been performing them for almost 20 years. I previously covered his 2013 presentation on body hair transplants. Also see his year 2007 thread on BHT on Hairsite.

Dr. Poswal benefits from India’s vast 1.4 billion population, which includes a lot of men with excessive body hair. A number of other Indian hair transplant surgeons have become body hair transplant experts in recent years.

The same cannot be said when it comes to similarly populous neighboring China, where body hair transplants are not as common. Chest hair and back hair is extremely rare in East Asian men, while beard hair is often minimal. However, do note that even amongst East Asian genotypes, there are rare exceptions.

On Hairsite’s archives, you can see 200 before and after results of Dr. Poswal’s patients covering the years 2004-2009. Around one-third of these include some body hair. On his own website, Dr. Poswal’s before and after photos and videos are even more extensive:

In all of his large cases where body hair is moved, the hair transplant involves a combination of both scalp hair and body hair. This is the norm for all surgeons. Dr. Poswal recently told me that he has even done some rare 10,000 graft BHT procedures across several separate sessions. If he sends me photos of any such megasession body hair transplants, I will add them here.

You can check out Dr. A’s Hair Restoration YouTube channel for more recent results.

Impressive BHT Results of 5,000-10,000 Grafts

  • An interesting 2013 case presentation from Dr. Venkataraman Mysore of India entailed 8,900 body hair grafts, of which none were beard hair. Moreover, the patient was 63 years old when he started, and he underwent 10 total BHT procedures! These included chest, abdomen, thigh, arm and back hairs in order of quantity.
  • Eugenix Hair Sciences of India seems to have become a world leading clinic when it comes to performing body hair to head hair transplants. One of their recent patients got 8,000 beard hair grafts moved to the scalp. See one of their lead surgeon Dr. Arika Bansal’s video overview of BHT below:

  • Perhaps the earliest documented case of a BHT patient was Australian FUE pioneer Dr. Ray Woods’ patient “Roman”. Between 1998 and 2000, he received: 2000 donor head hair; 1500 beard hair; and 4,500 chest plus abdomen plus back hair. For a net total of 8,000 single follicular units, of which 6,000 were body hair.
  • Dr. Sanusi Umar of the US is among the world’s most experienced surgeons when it comes to BHT. On his YouTube channel, you can find cases going as far back as 2008, His latest body hair transplant cases involved over 6,000 grafts, including 4,500 from the beard. See his report from 2016 that analyzed 122 cases of body hair to scalp transplants that he performed from 2005-2011.
  • In my post on US-based Dr. Jeffrey Epstein, I showed a video of a patient with 3,000 back hairs moved to the scalp. It is worth watching in its entirety. Unfortunately, Dr. Epstein has recently become a bit less optimistic about the success rate of body hair transplants.

Dr. Jeffrey Epstein: Body Hair Transplant Expert

I have read a lot about three different people named Jeffrey Epstein in recent years. In a crazy coincidence, all three namesakes were based in Florida prior to the most famous one passing away in 2019. The second most notorious of the three is a doctor who misbehaved at an airport in 2018.

Dr. Jeffrey Epstein and his Body Hair Transplants

However, the only one that we care about is hair transplant surgeon Dr. Jeffrey Epstein and his Foundation for Hair Restoration Clinic. He is based in Miami, Florida and also has a separate personal site.

Dr. Epstein is likely among the 5 most experienced body hair to head hair transplant surgeons in the US. These procedures are commonly referred to as just Body Hair Transplants (BHT). Moreover, he is possibly the world’s most experienced eyebrow transplant surgeon.

This year, I will write a few posts on body hair hair transplants after a lengthy gap. For balding men who have limited permanent donor hair, BHT can be a godsend. Note that men with androgenetic alopecia are also more likely to have profuse body hair.

On a related note, did you know that hair follicles across the body communicate with each other?

And did you know that Jeff Bezos’ grandfather had his butt hair transplanted to his hand? It was unintentional due to the need for a skin graft transplant after a burn injury. What is very encouraging is that the ass hair kept growing on Bezos senior’s hand for the rest of his life.

Two Types of Body Hair Transplants

Going back to the subject at hand, Dr. Jeffrey Epstein performs two types of body hair transplants:

  1. The first is the one that we men with male pattern hair loss all care about. It entails using hairs from the chest, beard, and or back to transplant to the scalp. In most cases, such a BHT procedure will only add density to existing hair. Most surgeons that offer BHT tend to use scalp permanent donor hair as the primary source, and body hair as a supplement.
  2. The second involves transplanting scalp hairs (!?) into areas of the body such as the chest, pubic region, and or armpits. Some men really hate a lack of body hair. Others such as myself would be happy to have significantly less body hair. Grass is always greener? I have my doubts and do not think that I would ever trade scalp hair for body hair. Even if I had superb scalp hair and zero body hair.

The Naked Ape is still not Realized

The below patient of Dr. Epstein obtained a great result after a back hair only 3,000 graft transplant to the scalp. However, do note that his “donor” body hair is beyond spectacular. Make sure to see 1:15 min into the below video. The Naked Ape was a misnomer after all.

Dr. Epstein’s YouTube Channel is worth favoriting.