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Lumps in the donor area 18 months after FUE often reflect burred grafts with a reaction by your body to encapsulate these grafts as foreign bodies. See your doctor as these lumps can be surgically drained.

Unfortunately, deforming or failed transplants take a big impact on people so such a story doesn’t sound outrageous. I am aware of three men who committed suicide because of hair loss, so the emotional impact of hair loss can be very severe for many men. Most men who get very emotional about their hair loss, get depression. In the days when the large plugs were put into bald men’s head, their hair transplants were deforming. Prior to the early 1990s, these large deforming plugs had no cure short of a hair system, a common solution for the time period between 1960-1990. Hair systems is something that doesn’t work for everyone but if the deformities were soo bad, a few men were driven to suicide?

Today, with the hair transplant technology commonly available, hair transplants that go wrong can be treated with a success rate of 100%. Men who find themselves in this situation, should seek a modern hair transplant doctor to help manage the deformities and a good family doctor to manage the depression. The good news is that almost 100% of men with hair loss today can get their hair back. Hair transplants are today’s miracle.

See: https://www.hulldailymail.co.uk/news/uk-world-news/man-47-killed-himself-after-7724486

Clearly, there are two factors that are critical to determining the value of an FUE graft. (1) the thickness of the hair shaft itself is important as that reflects to weight of each hair shaft as it is viewed. A fine hair is less weight and less value than a coarse hair as shown in the patient’s magnified view of his donor area as he has coarse hair. I tell my patients that two fine hairs is equal to one medium weight hair and two medium weight hairs is equal to one coarse hair. (2) the numbers of hairs per graft is also critical. This is a racial thing, Caucasians average 2.2 hairs in each follicular unit, while all Asians average 1.6 hairs per follicular unit as do many people from the middle east. The patient’s donor area here measures about 1.6 hairs/follicular unit. He is of Arab decent so that makes him average. In this magnified photo, I tried to circle the number of hairs per follicular unit and put a number on many of them. This is what the surgeon sees when he is doing an FUE under magnification. An FUE removes the follicular unit and each FUE itself is created with a punch and has a wound associated with it.

If you ever read about the number of FUE grafts done in Turkey in the 5000 graft/session range, think about it and then look at the patient below. This patient has less hair density than a Caucasian and the number of grafts per FUE will have less hairs. That means that there will be more wounds created for the FUE with a less hair yield. In this man, if he had 5000 FUE grafts in the back of the head and did not develop necrosis of the wound, he would almost certainly develop a see through donor area (balding in the donor area) something that we are now fixing with Scalp Micropigmentation.

I am 21 years old and have been on minoxidil for 7 months and my hair is falling out more than before I started it.

7 months of shed is probably not a shed from the minoxidil but rather an acceleration of your natural genetic hair loss. Are you unusually stressed or undergoing rapid weight loss? I am looking for accelerants.

A good hair transplant surgeon will transplant all ethnic hair types. Only the African hair type requires special skills because it is not straight below the skin as the hair on top of the head is curly. For African men, we use special tools for FUE or STRIP surgeries; whichever they decide is appropriate for them.