The beard is my preferred non-scalp donor region. With good results, beard hair can be applied in a number of ways to the scalp. Many patients will be able to provide between 3,000 and 5,000 grafts from the area of their beard. I never strive to get rid of every hair from my beard since I believe that a thin beard appears more natural than none at all. I harvest consistently throughout each session to keep a well-distributed yet sparse beard.

The skin in the beard area is extremely supple, making extraction challenging. More vital than tumescence, it is essential to stretch and tighten the skin by having a helper use two hands to produce counter-traction. Tumescence across a vast region is ineffective because it spreads too quickly. I prefer to withdraw the graft using two forceps, one to hold it and the other to move the skin in the vicinity of the extraction site in the opposite direction. Counter-traction is applied during extraction to facilitate extraction.

I am continually impressed by how rapidly the beard hair transplanted to the scalp recovers, and the survival percentage is consistently good. Additionally, I believe that long-term recovery is excellent; it is quite challenging to identify specific scars or signs. Although I don’t have a lot of experience with patients who have dark skin tones, my colleagues in India who frequently remove beard hair report that darker skin typically heals quite well as well.

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