Hair transplant surgery is very safe when performed by an expert, but there are always small surgical risks to consider. Rarely, reactions to anesthesia, bleeding, unfavorable scarring, or poor growth of hair follicles can occur. Because of the way the hair grows in African American and Caribbean patients, there is also a small chance for ingrown hairs or folliculitis, which can be easily treated if they occur. A history of keloid scarring doesn’t seem to be a risk factor for transplant complications.