Month: January 2023

I was quoted 3200 grafts- 2500 for hairline and 800 for crown and midscalp. Clinic told me it was a conservative estimate as I indicated I would still be on meds for another 5 months before doing the HT (been on fin / minox for the past 7 months). Do you think this is a fair estimate? I’m not hopeful of regrowing more hair from meds as progress from meds seems to be quite stagnant past the 5-month mark for me. Would appreciate your thoughts!

What is your age? If you are under 25, reconsider doing a hair transplant. It takes a year to see results from medications. 2500 grafts for the frontal hairline? As I can’t see your hairline, I would be just guessing that it seems high. The crown will likely reverse with finasteride and minoxidil, and certainly, if you add microneedling. You should get results in 9 months or less from this routine. You need to get a competent and hopefully honest surgeon and not blow your future on numbers that make no sense. You would likely lose all of the hair that is there now if there is any significant degree of miniaturization and if you don’t take finasteride.

The front line is very straight and seems to have two hair grafts in the frontal hairline, something that will make it look less natural. In addition, all of the grafts are lined up like soldiers, far too orderly as normal hair is randomly distributed. Did a doctor with experience do this surgery. If not, please let me know the details.

I think that you have a classic Mature Hairline and there is nothing to worry about. It is about 1 finger breadth above the highest crease of the furrowed brow and appears to be taking on its V-Shape with possibly some more minimal changes yet to come.

What is bothering me a bit is that too many of the leading edge grafts have more than one hair in them. They should all be single hair grafts to make for a soft hairline. In addition to this, the hairline looks rounded and it should be V-Shaped but the photo is inadequate to really ascertain the entire hairline reconstruction.

If you came to me as your surgeon, I would turn you down because your hairline is excellent as is. The surgery will not match it and changing the shape is not a good idea. Your temple peaks are perfect, but in your design you are making them straight up and curving the frontal hairline in a more feminine shape

The frontal line is straight and the grafts are put into a line like soldiers so that is not normal. I can’t tell you about the location of the hairline because it does not show the frontal view with the eyebrows lifted high so that the forehead creases show up. I also can’t tell if the frontal hairs are all single hairs (at least 1/8th inch distance from the leading edge should have only single hairs in the front).

I think that it was put in with rows of grafts that stand out like a picket fence in front which is far too regular for my taste

You have Triangular alopecia and a Norwood Class 4A pattern of balding. Triangular alopecia often impacts both sides of the temple hair and it is an inherited condition just as the Norwood Class 4A pattern that you have

You need your donor area examined with a video microscope and get a hair count and a measurement of the thickness of your hair. You want to make sure that you don’t have DUPA which can be diagnosed with the hand microscope. If you want to know your original donor density and your Hair Mass Index along with your total available donor graft supply for your lifetime, see an expert in the field.

This doesn’t work because there are other factors that are not being taken into account, such as: (1) Donor density (available hair that you have now) to cover the hair loss you have now, and will develop in the future, (2) the thickness of your donor hairs, (3) the color/contrast between hair and skin color.