Are a few Multiple follicular units (2 hair grafts) in the Transition Zone ok? (photo)

Question

I had my Fue procedure 2 months ago, I'm an early grower I already have lots of hairs popping up. But I got scared when I noticed right in the front of the hairline at least 2 places where 2 hairs are growing from a single graft. Is this going to give me a unnatural or pluggy look? Thank you

Jae Pak, MD · Answer

In general doctors use one hair grafts for the front hair line.  Once in awhile you may see two hair grafts that were placed by mistake or the single hair graft that contained a dormant extra hair follicle.

Munir Somji, BSc, MBBS · Answer

Hi there. This can sometimes happen despite meticulous sorting of grafts. Given you are at the two month stage I wouldn't worry about it just yet. Having a few 2 hair follicles in the hair line is not going to result in a 'pluggy' look. My advice would be to wait a year and then maybe have a mini mini transplant to hide the follicles if needed.

Robert Jones, MD, FISHRS · Answer

It is unlikely that one 2 hair graft in your hairline will make your hair transplant look unnatural. This is likely not the fault of your surgeon, occasionally we think we are planting a one hair graft, but there is one attached in a resting phase, which can show up 2 or 3 months later,
Dr. Robert Jones

Jeffrey Epstein, MD, FACS · Answer

This is a very individualized situation, in which the size of the grafts need to be properly suited to never compromise naturalness, while optimizing density.  In some patients with light and or curly hairs, the occasional 2 hair graft can actually be advantageous.

Richard E. Moore, MD · Answer

Thank you for your question and posting your photos. This was most likely the result of an implant appearing as a single follicle at the time of transplant and becoming a dual hair follicle once it grew back in. I had a similar situation with my own transplant and just had a few hairs placed in front and around the double hair follicle and I can no longer see the double hair follicle. You may want to discuss this with your transplant surgeon.I hope this was helpful - Dr. Moore.

William Rassman, MD (retired) · Answer

It happens when sometimes, without realizing it, a two hair graft grows from the roots of a one hair graft. That may have reflected a hair that was in telogen and did not show up at the time of surgery.

Are a few Multiple follicular units (2 hair grafts) in the Transition Zone ok? (photo)

Answers (6)

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