How Many FUE Grafts Would I Need to Restore my Hairline? (PHOTO)

I lost the hair around my peaks in my early twenties (I'm thirty now), it hasn't worsened much since then. The miniaturized hairs have been like that for years. My hairline looks nearly identical to the hairline my grandfather had through most of his adult life, until he lost it all in his seventies. So, I suspect I should be able to keep what I have. However, I'd like to restore what I've lost. Approximately, how many FUE grafts would I need to do that? Thank you.

Doctor Answers 18

Understand what you want and what you need

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You need to first have an exam to make sure how extensive your hair loss may be. It doesn't matter if your grandfather never lost hair.  It is about what you have.   A doctor also needs to understand what you mean by "what you lost".  How much lower do you want the hair line?

FUE is just a method of harvesting grafts.  FUE is a great surgery but most people who want the FUE is mislead into thinking it is the best surgery.  

Many doctors push FUE or Neograft or ARTAS claiming "no scar" or "minimally invasive".
Many doctors dissuade patients from strip surgery asking "why would you want a big scar".

I was an engineer working with Dr. Rassman in 1998 (before I became a doctor) . My work involved a concept of a robot which would use a special optical sighting system to align the hairs for an automated FUE. This work became U.S. Patent 6572625 that we licensed to the ARTAS robot. Similar technology from our U.S. Patents are used in the NeoGraft. I perform FUE in my practice with my hybrid FUE instruments, ARTAS, or even NeoGraft. My point is that I am very familiar with the FUE, ARTAS, NeoGraft, and all forms of harvesting hair follicles.

Your focus of surgery should be on RESULTS. Not how a doctor takes out the grafts. From a donor scarring perspective, you keep your hair very LONG so scarring from both surgery should not be an issue. But you may STILL SEE the FUE scars at that length on some occasion. Thousands of white dots.

Just remember a 4000 graft FUE scar is like having a collective open wound hole the size of a baseball on the back of the head. There is nothing minimally invasive about that. I also perform Scalp MicroPigmentation (SMP) and fix horrible FUE scars routinely. These is nothing "scarless" about FUE.

I have performed surgery on Dr. Rassman and his family members using the strip technique. The linear scar on Dr. Rassman is a pencil thin line you probably will have a hard time finding. The point is, a strip surgery scar is not as terrible as the Internet makes it out to be.

Both FUE and Strip surgeries has its place. Don't be caught up in marketing and doctors who try to sell you one type surgery.

The focus should be on Results.
A bad hair transplant result from FUE or Strip is like Herpes. You'll carry it with you for life (with either thousands of dots or a line).

Los Angeles Hair Restoration Surgeon
5.0 out of 5 stars 106 reviews

FUE Grafts Needed

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It's hard to tell from the photos, however an average hairline in patients that have good density but some miniaturization of follicles is around 1,000-1,500 grafts.  This also depends on how much the angles have receded and how much they need to be corrected.  I would not consider lowering your hairline at all.  If you tried anything, possibly reinforcing your hairline in the area of the miniaturized follicles would be best in my opinion. However, you are young and my professional opinion would be to wait a few more years to see what happens to your hairline.

Amir Yazdan, MD
Irvine Hair Restoration Surgeon
5.0 out of 5 stars 28 reviews

How Many FUE Grafts Would I Need to Restore my Hairline?

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Thank you for posting your question and photos. Before the finding out how many grafts are needed, we must first find out the surface area that needs to be covered. Typically if the patient has complete hairless on the first zone, we typically use anywhere from 2000 to 2200 grafts. Now you just have to give and take to see what is already there, and what needs to be restored. Hope this helps.

Matt Tahsini, MD
Pasadena Hair Restoration Surgeon
5.0 out of 5 stars 16 reviews

How Many Hairline Grafts Do You Need?

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It depends on whether you are lowering the hairline or just filling in the receding areas only. If it's the latter then it would be between 1200-1500 grafts

Hassan Nurein, MD - Account Suspended
London Hair Restoration Surgeon

How many FUE grafts are needed

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An exam is almost always needed to make an accurate determination of graft counts for any hair transplant procedure. The discussion needs to center around previous hair loss, family history, and goals of any hair restoration treatment. A close exam of the scalp at both the recipient area and donor area is also needed. At that point, a detailed discussion regarding the required number of grafts can move forward. Most patients are going to need a minimum of 500 grafts to address the frontal hairline, and many will need more than 1000 grafts to gain significant density.

All the best,

Matthew Richardson, MD
Frisco Facial Plastic Surgeon
5.0 out of 5 stars 7 reviews

How many grafts do I need?

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I believe how  many grafts do I need is the most common question I hear from my patients.

The answer unfortunately is not simple.

Regarding your case if you will have no request for lowering the hairline 1200-1700 will be more than enough .

On the other hand if you also would like to lower the hairline then you may need 2000-2400 grafts.

Ilker Apaydin, MD
Turkey Plastic Surgeon
4.8 out of 5 stars 33 reviews

Online consultations

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A great first step would be an online consultation. Often you can submit photos to top hair restoration surgeons for a complimentary evaluation. This should help lead you in the right direction. Having multiple consultations with different doctors cannot hurt. 

Baubac Hayatdavoudi, MD
Beverly Hills Physician
5.0 out of 5 stars 42 reviews

How many grafts for hairline restoration

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Your goals for density, areas of coverage, and hairline location will determine how many grafts are needed to accomplish the result you desire. Based on these photos, you will need anywhere from 1000-2000 grafts. I believe you will need about 2000 grafts using a moderate dense-pack placement plan for a frontal hairline restoration. If you are willing to accept less density, you could achieve a nice result with 1000-1500 grafts. An in-person consultation is best to go over your goals/expectations, and to discuss what can/cannot be achieved with hair transplant surgery.

Sahar Nadimi, MD
Chicago Facial Plastic Surgeon
5.0 out of 5 stars 8 reviews

How Many FUE Grafts Would I Need to Restore my Hairline?

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Thank you for your question.

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Organic Hair Transplantation is a surgical technique that moves individual hair follicles from a part of the body called “donor site” to bald or balding part of the body known as the “recipient site”. Grafts containing hair follicles that are obtained from genetically resistant to balding area transplanted to the bald scalp by latest minimally invasive technique. One of the most important reasons of the hair loss is the decreased quality of the scalp. Therefore to make the only transplantation would provide only a limited benefit without improving the quality of the scalp. In the “Organic Hair Transplantation”


Why should I have Organic Hair Transplantation?

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Bulent Cihantimur, MD
Turkey Plastic Surgeon
4.8 out of 5 stars 102 reviews

Number of grafts

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Based on the photos, I would recommend a minimum of 1500 grafts.  The follicles must be blended into denser regions to combat further thinning.  I do not think you need over 2,000 grafts to accomplish this goal. However, I'd like to know your specific expectations to be sure we're on the same page.

Tim Neavin, MD
Beverly Hills Plastic Surgeon
4.9 out of 5 stars 54 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.