My hairline is looking pluggy due to multiple hair grafts in the front, can this be fixed? Is this a bad result? (Photos)

Question

I had an FUT of 1600 grafts done about 7 months ago with one of the most recommended doctors. Around the 5th month I started noticing that I had a lot of doubles in the very front, then I noticed triples, now I even see some quads! It makes the procedure look extremely pluggy. Is this a bad result?

Anil R. Shah, MD · Answer

Hello,Hair density is only one factor in planning.  The range of grafts per square cm is from 20 grafts to 70 grafts per square cm.  Normal hair density varies and ranges from 45 to 120 follicular units per sq cm.  The artistic planning of hair restoration is in how to achieve less with more!!  Surgical planning includes where to put more density of hair grafts, graft angulation, caliber of hair, and pattern of hair.  One issue of overly packing grafts is the graft survival rate may decrease due to so many grafts competing for limited blood supply.  The quality of the hair graft and supporting it with regenerative factors has been another key change in hair over the last several years.

Best,
Dr. Anil Shah

Baubac Hayatdavoudi, MD · Answer

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.

Brian Goertz, MD (retired) · Answer

These comments should be reviewed carefully by all who desire a good hair restoration result and not a specific comment on your results. Careful homework and research should go into deciding who is best to address an individuals hair restoration needs. Artistry and surgical skill includes the following to achieve great hair transplant results and avoiding a bad hair transplant result:
1. Hairline design.  2. Proper angulation of recipient sites. 3. Appropriate number of hairs per graft depending on site of placement 4. Appropriate placement of grafts to prevent pitting or cobble-stoning. Unfortunately, there are a growing number of bad hair restoration surgical results.

William Rassman, MD (retired) · Answer

You should have only single hairs in the first 4 mm of your frontal hairline or the hair transplant shows as a hair transplant. Your surgeon may not have put only single hairs there. A transition zone of single hairs is critical to make for a no-hairline hairline. This is what you should now do, see a surgeon that knows how to do this and have it placed in-front of your existing hairline and you will look better than normal.

My hairline is looking pluggy due to multiple hair grafts in the front, can this be fixed? Is this a bad result? (Photos)

Answers (4)

Answer: Hairline

Answer: Hairline

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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.

My hairline is looking pluggy due to multiple hair grafts in the front, can this be fixed? Is this a bad result? (Photos)

Answers (4)

Answer: Hairline

Answer: Hairline

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Recommended reading

Everything you need to know about Hair Transplant

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