How many grafts do I need?

I hear that question all of the time. The answers often vary from 1000 to as high as 6000 grafts, sometimes regardless of the balding pattern. We focus on the number of grafts because more grafts move more hair into the balding area. But the real numbers depend upon

  • hair thickness,
  • the balding pattern,
  • the color of your skin and hair,
  • the character of your hair, the thickness of the hair shafts (fine, medium or coarse)
  • and most important, something about your donor supply capacity to support the balding pattern at the time the question is asked.

Note that I am putting in a time factor, because balding is a progressive process and how bald you are today, might be distinctly different than how bald you will be tomorrow.

Some young men fly to Turkey, get 5000-6000 grafts for minimal cost. Then they come home to wait and watch it grow. Assuming that the clinic did it right (not the case in many Turkey clinics that don’t have a doctor but sell grafts (like potatoes were sold to the Irish at the time of the famine in the 1800s), they may run out of grafts (or potatoes) before they finish balding.

Hair transplants need to be part of a Personalized Master Plan that incorporates how you are going to manage fixing the balding problem against a progressive balding process. If you use up all of your donor hair before the balding is complete, you may end up looking freaky for the rest of your life. I hear the young man tell me that they are not worried about their hair loss when they get to 30, or 35 or 40. I speak with many 30, 35 and 40 year old men and they ALL CARE about what their hair looks like. Poor planning is almost always a disaster for sometime down the road. All doctors are not equal. Some doctors are in it for the money, so selling more grafts means making more money. You have to identify those doctors and make sure that you don’t get one of them. I always say that a good decision today is a good decision tomorrow.

So to answer the basic question “How many grafts do I need?”, take it easy, digest what you read above and the look to some of the following links below:


2021-10-18 14:39:16How many grafts do I need?

Why can’t we clone hair?

Am I the only person questioning why there isn’t a big market for this? Scientists all around the world are cloning hearts, lungs, and other organs in a glass box without a body. Yet these scientists cant just clone your hair follicles and transplant them or something – and just “cure” baldness? Or is this once again just the trillion dollar hair corporations refusing to let this become a thing because they will lose millions on selling imaginary hairy growth products to the gullible masses?

Good questions. Cloning was done in the late 19802 when Jahoda cloned hair from he and his wife. They were only a few hairs and it has never been something can can be done commercially. In the 1990s, hair cloning was successfully done on mice, but the the hair which was cloned in a petri dish, when transplanted into mice, killed them because the hair grew wild in every direction causing massive infections. What most people don’t realize is that a hair is a complete organ system and each follicular unit, as an independent organ, has be be developed that it grows like a complete organ, in the correct position and direction. For this reason, most people have tried to work with stem cells to grow the organ from scratch, which would then have a direction and each stem cell might produce a hair organ (follicular unit). We have not gotten there despite now almost 30 years after the first hair was cloned.

 

How many grafts will I need? I have LLP!

Plan on getting a HT I have an autoimmune disorder called LPP & the top of my head started thinning really bad about a year ago hair falling out in clumps flaky I’ve tried meds and everything there’s not much they can really do . It’s killed my confidence but I’m looking at getting a hair transplant to correct my hairline how many grafts would I need? Its just the top of my head thats needs to be filled in I have a really good donor area and I’ve been thinking about a HT for awhile now if anyone could give advice thanks

Having LLP (Lichen planopilaris) is generally a contraindication for a hair transplant, as the odds are that the disease will kill the grafts.

Why Do I Have To Wait 30 Days To Donate Blood After Stopping Propecia.

I ‘ve been taking propecia for the past 4 years but now I really wish to donate blood at least once in my lifetime.
As you know Finasteride users are not allowed to donate blood. According to one of your previous posts Finasteride is cleared from the blood stream within 48 hours.

So I planned to stop taking propecia for a week, donate blood and resume taking the pill. A week seemed a reasonable
amount of time also because according to the information I found on the internet, DHT levels take a whole week to be
back to normal once you stop taking it.

Unfortunately, however both on the Red Cross site and other sites, they state you need to wait at least 30 days after
the last dose of Finasteride.

Why do I need to stop for a whole month if Finasteride is cleared from my blood stream within a few days? Wouldn’t say,
two weeks be safe enough?

blood

You need to wait a month because that is the policy of the Red Cross. Two weeks may be “safe” but you have to follow the organization’s policy.

 

How Much Rogaine Should Be Applied to the Scalp?

Dr.Rassman

If I want to apply rogaine to both front of the head and the back, can I put 1 mL on the scalp and 1 mL on the front? or do I take the 1 mL and distribute it evenly on the front and back?

Thank you

You’re supposed to use 1 mL per dose of Rogaine (minoxidil), meaning you should apply 0.5 mL to the front and 0.5 mL to the top, if that is where you want it. The recommended treatment is two applications per day, so 2 mL total. Using too much minoxidil could result in a drop in blood pressure, headaches, dizziness, etc.

WHY Does Shedding from Hair Loss Medications Occur?

Hey, Doc. I’ve been taking Avodart for the past 3 months and have been experiencing what can only be described as a “shed”. While I’ve seen other posts and answers here regarding shedding, I’ve never seen you delve into why it actually happens. Can you enlighten? Thanks.

I do not know why it happens. It seems to happen more through the reports on this blog site than I have seen in my own practice. As I do not have experience with Avodart (dutasteride), I can only assume that any ideas I might have will be a common thread to Propecia (finasteride). It has been suggested by some doctors that shedding can be explained, because acceleration of a hair cycle occurs. Hairs in the growth phase are pushed into a telogen phase (which means that it will have some shedding). The suggestion then is that the growth phase comes in stronger. This is the idea of others, so I am just passing what I hear, not what I know as fact.


2006-09-21 11:24:00WHY Does Shedding from Hair Loss Medications Occur?

How to Fix a Pluggy Hairline (with Photos)

From time to time, I get emails from men that are incredibly embarrassed about the results they got from an old, pluggy hair transplant. They’re so embarrassed that they request I don’t even publish their emails (even if there’s nothing identifiable in there)… and that’s fair enough. So I just wanted to write a post to quickly explain the best way to fix a pluggy hairline: you need to cut out the plugs and then put transplants in the place the plugs originally were. This is generally done in two sessions (8-10 weeks apart) and we have been doing this for years. It turned out that this man’s scar (from excising the grafts) healed very well, so well that it could not be detected. I put hair wide enough in front of where the scar was so that his hairline was lowered quite a bit. We built a wide transition zone in the leading frontal edge. Here is such a case on a man with black hair.

Before on the left, after on the right. Click the photos below to enlarge.

 

There’s another plug repair case at the NHI site — Dean’s Story. Be warned, some of the photos there contain surgical content, so if you have a weak stomach, you may want to avoid that link.

Why Is Hair Transplantation Not More Common?

thanx for the informative blog. i have a question, despite of such enormity of hair loss problem , why the hair transplantation is not so common.

It takes time for people to accept a new breakthrough in surgery. If you look at female breast augmentation, it took more than a decade for women to feel comfortable enough with it to step up and undergo the surgery. Most people think that hair transplants can always be seen and when they run into a person with plugs coming our of the scalp, they get the idea that this is a hair transplant and say to themselves, “This will never be me!” Today’s hair transplant can not be detected, so the good work done regularly is not something that the average person can detect unless you can remember what someone looked like before they got the hair transplant. A woman with an “A” breast size can be detected when she gets breast augmentation and one day comes out with a “C” or “D” size showing good cleavage. Only a bald man who now has hair, can be detected much like the woman with the newly larger breasts.

Why Might a Patient with 6000 Grafts Have a Thinner Appearance Than a Patient with 3000 Grafts?

Dear Dr.,
First of all thank you very much for the help you have given on this forum. I have had two HT operation 1000 FUE(1.5 years ago, worked very well) and 2000 FUT (3 months ago). My question is has to do with HT results and I would appreciate if you could answer;

  1. I saw pictures of more than 5K-6K grafts but has poor coverage/appearance compared to some 3K graft transplantation? Even, the pictures are from the same clinic. What are the reasons of this inconsistency?
  2. Most of the pictures show hairlines and first half of the top. How about the crown? Is it a common practice to leave crown bald? Is it because the budget or a bald person does not have enough donor for front and crown so has to select one?
  3. Does hair loss stop or decrease rate with the age? My lost started at age 26-27 with diffuse pattern now I am 31. A diffuse pattern goes till NW-7 or NW-6 or NW-6 with some diffuse hair still on top and crown?

Thank you very much.

Regards

Three months after a hair transplant should not produce enough hair to show any significant results. Wait a full 8 months to see the results of the second surgery.

  1. There could be a variety of reasons for that. Patient A and Patient B could have different hair color, skin color, hair characteristics, degree of balding, etc. Or it could be different techniques used (many clinics have damage problems with FUE grafts, for example). There’s just a lot of variables that could be the reason.
  2. The transplantation of hair in the crown does depend upon many factors, again including donor density, scalp laxity, thickness of the hair shafts, and the degree of balding. It may not be possible to transplant an entire head with a Norwood class 7 pattern of balding, but I have done it in patients with great hair qualities (see Patient ZU here, for example).
  3. Only about 7% of men go as far as a class 7 pattern, about 20% a class 6/7 pattern… and most of these men with the class 7 pattern have clear signs of it before the age of 30. You need to be evaluated by a doctor like myself or Dr. Pak that specializes in this field if your doctor does not answer this question for you.


2009-01-16 12:26:10Why Might a Patient with 6000 Grafts Have a Thinner Appearance Than a Patient with 3000 Grafts?