Though there have been many advancements in modern-day hair transplant methods, there have usually been drawbacks with these procedures for the African American & Caribbean demographic. 

For those who are familiar with the Strip Surgery method, there is usually a left-over scar in the back of the scalp area. Most of those who find the scar unsightly will try to hide it by growing out their hair. However, most male African American & Caribbean hairstyles tend to be characterized by short, closely cropped hair which can present an issue if they are trying to hide a scar on their scalp.

Moreover, there is always the increased risk of hypertrophic scarring that has to be taken into account. For patients of African or Caribbean descent, the possibility of developing a hypertrophic or keloid scar is much greater than other backgrounds. Genetically, they are seven times more likely to form keloid scars on the head and neck. 

For these reasons, Follicular Unit Extraction has become the preferred method of hair transplant. Though this can still be a difficult procedure due to the natural curl of African American & Caribbean ethnic hair. Furthermore, this type of hair generally has less follicular density per square centimeter than other races. On average, the density for this type of hair is 50–70 follicular units per square centimeter. Yet, because the curliness of the hair overwhelms the low density, it gives the hair a full and thick appearance. 

In general, the African American & Caribbean scalp tends to produce high levels of sebum. However, due to the curled nature of the hair, the sebum rarely spreads evenly throughout the hair strands, making them dry and brittle. Thus, this hair tends to be more fragile and breakable.

When consulting an African American or Caribbean patient, there is also the need to go over any disease processes that may hinder or even nullify the success of the hair transplant. With all factors considered, it has been shown that the FUE technique is the most preferred hair transplant method for both men and women of this background.