How does my donor area look and what is the amount of grafts needed for my situation? (Photo)

Question

Hi, im 30 years old and worried about that my donor area is not good enough so i i have to get hair from my beard and chest area. Both areas have thick hair. So basically, my question is, what is recommended in my case? Added some photos too. Cheers.

David Deutsch, MD · Answer

Based on the photos it appears as if you have a good supply of donor hair however you are young and have quite a large pattern (class 6). Typically in your age group we only recommend transplanting the front and some of the top area at this point.That may require anywhere from 2000-2500 or more grafts. I would recommend a consultation with an experienced Hair Restoration surgeon who should set realistic goals and manage future potential hair loss and change in pattern appropriately .

Amir Yazdan, MD · Answer

From the photos, it appears you have a sufficient donor area for a hair transplant. But an in person consultation should be conducted to confirm. Some important things to note during your hair transplant/surgeon shopping is that you have rather severe hair loss across the hairline, crown, and across the top of the scalp. As a result, you will likely need a high number of grafts to cover the area. Because we do not recommend mega-sessions (the risks include hair loss as a result of trauma, increased risk of visible scarring, etc) you may need more than one hair transplant surgery to reach your goals. Because you are younger, you may be a good candidate to add PRP therapy to your surgeries (this can be done at the same time). PRP may increase the hair growth and results of the surgery. If you decide to go forward with surgery (and multiple surgeries) your donor area will need to reevalutated after your first surgery. Some patients need to use body hair for additional surgeries.

Jae Pak, MD · Answer

It would be best to see a doctor so they can examine your donor area if you are considering surgery.  Beard and chest hair is usually the last option after scalp hair since it does not match.

Parsa Mohebi, MD, FISHRS · Answer

Your donor area seems quite adequate for a hair transplant.  You should see a hair restoration surgeon to help you plan for your current and future hair needs. To start, I recommend at least 2500 to front, corners with tapering to the top.  After that, you can consider a second transplant to fine tune the front and fill in the top.  Beard hair is an option but we almost always use posterior scalp donor hair first leaving the beard for the crown area.

Jesse E. Smith, MD, FACS · Answer

Your donor area is somewhat thin, and you have significant frontal and crown loss.  An estimate of the area is probably 140-150 cm2 that needs to be transplanted.  If we are trying to obtain 40 hairs per cm2 of density, then you would eventually need 5600 hairs.  That would be a large amount of grafts for your donor area.  I agree with placing more hair for you in the frontal area and leaving the crown alone for now.  My estimate of hair for this would be about 3000-3400 grafts to have the correct density.  
I agree that you should seek a personal consultation so that the appropriate plan of care could be personalized for you.

Sunil Arora, MBBS, MS, MCh · Answer

Hi,
As i understand looking at your pics, it is NW gr 5-6 MPB. Donor area is good but limiting factor is number of FUs which can be extracted in one session. Looking at your young age severity of baldness, you ll definitely need multiple sessions. first session you may opt for FUT (not if you continue to wear short hair), this ll give us a good number of units to cover front area on priority. FUE in first session is good for you if you continue to wear short hair and it ll give us around 2200-2400 units. consultation with a good hair restoration surgeon is must before proceeding for any treatment, ensure to have well defined preset goals whenever you discuss it with your surgeon.
regards

John Kahen, MD · Answer

Hi, It looks like you wear your hair very short, am i correct? If so we would probably want to consider doing an FUE procedure. This procedure method is where we go in and extract each graft one by one so that you aren't left with a linear incision. Unfortunately  it looks like your  donor area is very limited so you might want to think about doing SMP with the FUE procedure. However, we perform PRP treatments for patients when they come in for a hair transplant.  SMP is a temporary tattoo and it gives the illusion of having hair in an area where you don't. It camouflages the area and looks very natural. It is used for patients who dont have great donor area or maybe are not quite ready for a transplant. PRP is considered a healing mechanism and we have seen amazing growth. Are you using any prevention at all/ Any Rogaine or Propcia? PRP is like a 2 in 1 for both prevention and we recommend having the treatment done once every year. With PRP we take your blood, we spin it then we mix it with a growth factor and inject it back into your scalp. Like I mentioned the results we have seen from our patients who come in for PRP treatments is incredible.  Hope this answers your questions.

William Rassman, MD (retired) · Answer

The donor area looks fine for a hair transplant. You shuld seek out a doctor who is qualified to build a Master Plan with you as genetic hair loss is a long term process and you want to be sure that your short term solution of a hair transplant does not impact your long term status

How does my donor area look and what is the amount of grafts needed for my situation? (Photo)

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