Small bod spot at front, center of head. How many hair grafts and is it even possible? (Photos)

Question

I am a 26-year-old female with a small bald spot, front and center of my head. As you can imagine, the location is made it difficult to part my hair any other way than a side part. I don’t remember when my hair fell out, but to the best of my knowledge, I did not have the spot when I was born. I was told it could be triangular alopecia or a form of it. I do not have any other bald spots or hair loss and tried a corticosteroid shot to stimulate hair growth along with OTC growth products recommended by a dermatologist. No success. I am curious about a hair transplant and was wondering if it could be possible and if so, how many hair grafts would likely be needed so I could try and estimate the cost for this surgery?

Gokay Bilgin, MD · Answer

Thanks for your message &mdash; and yes, based on what you described, this does sound like a small, localized area of hair loss (possibly triangular alopecia as mentioned).
In cases like this, full coverage usually requires around 300–350 grafts &mdash; to create a natural look. That might sound like a lot for a small spot, but the actual graft count depends on your hair thickness. Since your hair is on the finer side, we’d likely need a slightly higher number of grafts than average to achieve the right density and blending.
The good news is: this type of case is typically very suitable for transplantation and can yield excellent, permanent results.

Anna Chacon, MD, FAAD · Answer

Thank you for reaching out with your question. Based on your description, it sounds like you might be dealing with a localized form of hair loss, such as triangular alopecia. Hair transplantation could be a viable option for addressing the bald spot, especially since other treatments have not yielded results.

In terms of feasibility, hair transplantation can effectively treat small, well-defined areas of hair loss. The number of grafts needed for a small bald spot can vary depending on the size of the area. Typically, for a small spot like the one you described, it might require anywhere from 50 to 300 grafts. This range is an estimate and would ultimately depend on the specific size and density required to achieve a natural appearance.

It would be beneficial to consult with a hair restoration specialist who can provide a detailed assessment and create a personalized treatment plan. They can determine the exact number of grafts needed and discuss the potential outcomes and costs associated with the procedure. This assessment will help ensure that the solution aligns with your aesthetic goals and expectations.

Please feel free to reach out if you have any more questions or need further assistance.

Didem Alev, MD · Answer

Thank you for sharing your concern and the photo. Based on your description and the image, you appear to be an excellent candidate for hair transplantation.
Understanding Your Condition
While triangular alopecia is one possibility, in my experience treating similar cases, small frontal bald spots like yours often result from:Traction alopecia - caused by years of tight hairstyles, ponytails, or repetitive pullingTrauma-related hair loss - from bumps, hits, or other injuries that damaged hair follicles in that specific area
The good news is that regardless of the original cause, if the hair follicles in that area are no longer viable (which seems to be the case given the lack of response to corticosteroid treatment), hair transplantation can provide an excellent solution.
Treatment ApproachFor a small, well-defined area like yours, I would estimate approximately 250-300 grafts would be needed to achieve full coverage and natural density. T
Expected Timeline3rd month: Initial hair growth becomes visible6th month: Approximately 70% of final results achieved10-12 months: Complete, mature results
This type of case typically has excellent outcomes, and you should be very pleased with the natural-looking results.
I hope this helps.
Dr Didem Alev

Small bod spot at front, center of head. How many hair grafts and is it even possible? (Photos)

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Small bod spot at front, center of head. How many hair grafts and is it even possible? (Photos)

Answers (3)

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Everything you need to know about Hair Transplant

Our mission is to create a world where every investment in modern beauty is Worth It.