Glossary8 min read

Hair Restoration Glossary

Dr Hisham Band, GMC-registered hair restoration surgeonWritten by the Fix My Hair Editorial Team · Clinician-reviewed by Dr Hisham Band · GMC No. 7550130 · Last reviewed 10 Jan 2026

Hair restoration has its own language — and clinics don’t always take the time to translate it. Here are the 25 terms worth knowing, in plain English.

A–Z · 5-alpha reductase · Alopecia · Anagen · Androgenetic alopecia · Catagen · DHI · DHT · Donor zone · Follicle · Follicular unit · FUE · FUT · Graft · Hairline design · Ludwig Scale · Miniaturisation · Norwood Scale · PRP · Recipient zone · Sapphire FUE · Shock loss · Telogen effluvium · Telogen · Traction alopecia · Vertex

5-alpha reductase

The enzyme that converts testosterone into DHT. Finasteride works by blocking it.

Alopecia

The medical term for hair loss of any kind, from any cause.

Anagen phase

The active growth phase of the hair cycle, lasting 2–7 years. Most of your hair is in anagen at any time.

Androgenetic alopecia

Male or female “pattern” hair loss — the genetic, DHT-driven type that accounts for most cases.

Catagen phase

The short transitional phase where the follicle shrinks and growth stops, lasting around two weeks.

DHI

Direct Hair Implantation — placing grafts with an implanter pen rather than pre-made channels, allowing dense, precise placement.

DHT

Dihydrotestosterone — the hormone that shrinks genetically sensitive follicles and drives pattern hair loss.

Donor zone

The back and sides of the scalp, where hair is genetically resistant to DHT. This is where grafts are taken from.

Follicle

The tiny organ in the skin that produces a hair. Each follicle cycles through growth, transition and rest.

Follicular unit

A natural grouping of 1–4 hairs that emerge together. Transplants move these intact units.

FUE

Follicular Unit Excision — extracting grafts individually, leaving no linear scar.

FUT

Follicular Unit Transplantation — removing a strip of donor skin for a high graft yield, leaving a fine linear scar.

Graft

A single transplanted follicular unit — one of the building blocks of your result.

Hairline design

The bespoke shape and position of the new hairline, drawn by hand to suit your face and age.

Ludwig Scale

The staging system for female pattern hair loss, describing diffuse thinning across the crown.

Miniaturisation

The gradual shrinking of a follicle under DHT, producing finer, shorter hairs over successive cycles.

Norwood Scale

The seven-stage staging system for male pattern hair loss.

PRP

Platelet-Rich Plasma — concentrated growth factors from your own blood, injected to stimulate follicles.

Recipient zone

The thinning area where grafts are placed.

Sapphire FUE

FUE using a sapphire blade to cut finer, smoother channels — less trauma and denser packing.

Shock loss

Temporary shedding of transplanted (and sometimes native) hair after surgery. The follicle survives and regrows.

Telogen effluvium

Diffuse shedding triggered by stress, illness or deficiency — usually temporary.

Telogen phase

The resting phase of the hair cycle, after which the hair sheds and the follicle restarts.

Traction alopecia

Hair loss caused by repeated tension — tight ponytails, braids or extensions.

Vertex

The crown of the head — the swirl area that is often the last to respond after a transplant.

Key takeaways

  • Anagen, catagen and telogen are the three phases of the hair cycle
  • DHT and 5-alpha reductase drive pattern loss
  • FUE, FUT and DHI are graft techniques, not results
  • The donor zone is DHT-resistant
  • Norwood (male) and Ludwig (female) stage the loss
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