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Cobblestoning is an uneven, bumpy texture that can appear on the scalp after a hair transplant, particularly when grafts are placed improperly. It occurs when the transplanted follicular units protrude slightly above the scalp surface rather than lying flush with it.

This complication was more common in older hair transplant methods, such as punch grafting, where larger grafts were used. Today, modern FUE and FUT techniques help reduce the risk of cobblestoning by using smaller follicular units and ensuring precise implantation.

If cobblestoning occurs, treatments such as laser resurfacing, corrective transplants, or scar revision may be necessary to smooth out the scalp’s appearance. Proper post-operative care and selecting an experienced surgeon are key factors in preventing this issue.

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