How many grafts needed for mid and crown area of head? (Photo)

Dear gauravmishra,

Thank you for posting this question. You have a substantial amount of crown loss, extending into your bridge and frontal forelock. 3000+ grafts would be indicated. Also, it is important to consider methods to limit the amount of hair loss you will experience in the future. If you're going to have a hair restoration surgery, you don't want to end up in a situation where you are chasing further hair loss with multiple surgeries. This is especially true given the fact that there is plenty of more crown loss you could have, and given the fact that there are so many effective ways to prevent hair loss. These include the medication finasteride, low-level laser therapy, platelet-rich plasma procedures (which are non-surgical in nature), among others. I suggest you talk to your surgeon about both the number of grafts, and methods to prevent further hair loss.

Hello,All techniques, including handheld FUE, strip technique, and ARTAS will have some transections or grafts which were damaged during harvest.  Our numbers (which we believe translates to most other hair centers) were around 35-50% transection rate with handheld FUE, 15% transection rate with strip surgery (due to location of bevel of knife along the whole periphery of strip), and less than 5% transection rate with ARTAS.  In my own transplant procedure, I had 1000 grafts harvested and 1 transection with harvest!!!  If a patient paid for 1000 grafts, does this mean they paid for 1000 harvest attempts or 1000 legitimate grafts.Best,Dr. Anil Shah

You can certainly have 3500 grafts to your crown but if your expectation or understanding is wrong, you will have a disappointing result.  Thus it is best to see a doctor in person to discuss these issues.  Hair transplant is not about "number of grafts".

It is possible to provide you with an assessment of your condition with proper photos of your head from different angles. A consultation with an experienced surgeon will further give you a precise surgical plan along with an accurate estimate of the number of grafts necessary considering your calculated density, hair caliber, coverage value and number of hairs per follicle.

Based on the photo, the mid and crown area is quite large.  If your remaining donor area allows, about 2000+ grafts would be necessary to give some reasonable converge to the mid and crown area.  Based on your total hair reserve and the area that requires hair restoration, your surgeon may recommend more or less.  It all has to do with your master plan and the importance of the crown area in relation with your hair supply and demand matching.

You probably need 2500 to 3000 grafts to get adequate coverage for your crown and upto the frontal area. If you had a fairly wide strip taken just last year to get 3000 grafts, your scalp may still be tight and taking another strip may cause problems with a widened scar. You should consider a follicular unit extraction (FUE) method if this is the case. Also hybrid procedures (strip combined with FUE) can be done to get a larger number of grafts if needed.

you have a large area to cover. Grafting would be done to the crown and mid-scalp area. It's tough to tell by photos but your hair looks fine which takes more grafts to give good coverage. Hopefully you have good density in the back to go another round. I'd consider FUE this time (assuming you may have had a strip procedure in the past). Taking out more strips will pull your thinning crown lower in the back. Micropigmenting ia something else to consider. Good luck!

The number of grafts for balding area shown in the photo would be substantial, at least 3000 grafts.  Ask your surgeon about it