How many grafts would I need for grade 3 alopecia? (Photo)

I am contemplating getting a hair transplantation done. I have been analyzed with grade 3 alopecia. I have attached a picture of the top view of my head. I'm currently 27 years old. I would like to know the approximate number of follicles needed to cover my crown and vertex area.

Doctor Answers 8

How many grafts would I need for grade 3 alopecia?

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27 is young to consider transplants in the crown/vertex area.  At this point, I would first consider other options such as laser, minoxidil (Rogaine), finasteride (Propecia) and plate-rich plasma (PRP).    A combination of these could regrow some of the hair you've lost over the past five years and help prevent further loss.


Scottsdale Plastic Surgeon
5.0 out of 5 stars 5 reviews

Diffuse pattern of thinning in the crown

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You have a diffuse pattern of thinning in the crown which is not easily helped with transplants. Best to try medications first  such as finasteride and/or minoxidil

William Rassman, MD
Los Angeles Hair Restoration Surgeon
5.0 out of 5 stars 29 reviews

Thinning in crown

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Hello in Indianapolis,

I agree with Dr. Paul that you should make sure to try Minoxidil and Finasteride as a first line treatment for hair loss.  There are many advantages to doing so, including slowing the rate of hair loss and possibly getting back thicker and fuller hair.  The side-effects of Finasteride have been somewhat overblown in discussion groups. You can see one of my earlier answers for a full discussion of the safety of Finasteride.

You want to be really careful with transplanting hair in your crown at age 27. There several reasons for this, but the most important is that you are very likely going to continue losing hair over time (especially if you decide not to use Minoxidil and Finasteride), and in 10 years your scalp is going to look very different than it does now.  The crown is actually a large area, and requires many more grafts  than you'd think.  If you have a 2000 graft restoration now to fill in the crown, in 5 years you will start to look thin again because the grafted hair will stay, but the native hair you still have now in the crown will have disappeared.  You could also develop a very unattractive "halo", where you have a nice circle of graft hair in your crown, surrounded by a ring of bald scalp, and then full hair again along the sides and back.  You are then going to need another 2000-3000 grafts to fix that, and you may not have enough hair grafts left over to restore the front and mid-scalp, which are much more critical areas.

You should discuss these exact points with your surgeon before you decide to go for a transplant of your vertex.

Good luck!

Cory Goldberg, MD
Toronto Plastic Surgeon
4.9 out of 5 stars 48 reviews

How many grafts

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Thanks for posting your photo. The thinning over your vertex is evident. Before jumping to transplant, have you tried the standard medical treatments such as minoxidil and propecia?  Assuming that you have tried these meds or are not interested in them, transplant would improve your density.  In general, you need about 2000 follicles to fill in this level of alopecia, though it is hard to say for certain without an in person exam.

Best of luck!

Benjamin C. Paul, MD
New York Facial Plastic Surgeon
5.0 out of 5 stars 40 reviews

Hair transplant surgery is not about "how many grafts" you need, but about how a doctor can match your goals and expectations.

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Hair transplant surgery is not about "how many grafts" you need, but about how a doctor can match your goals and expectations.  

Jae Pak, MD
Los Angeles Hair Restoration Surgeon
5.0 out of 5 stars 106 reviews

Diffuse alopecia is not a great hair transplant candidate

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I can't tell from the photo if you are a man or a woman but regardless, this diffuse pattern of hairloss is better treated with medical therapies than transplant.  It takes upwards of 8000 grafts to have reasonable but still thin coverage to the entire top of your head. You are also very young so you need to proceed with caution and realistic expectations in your path to hair restoration.

Jennifer Krejci, MD
San Antonio Dermatologist

Your hair

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A hair transplant is the final resort for thinning.  At this stage in the game for you, I'd consider PRP, Rogaine, and Propecia.

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

Graft requirement for grade 3 baldness

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hello

after analysing your posted picture, you require minimum of 2500-3000 graft to cover your diffuse nature of baldness. fue plus prp plus ATPv will give you a good density and coverage value 

you also need to start antihairloss medication for future hair loss control 

need to evaluate about medical disorders , thyroid profile , family history etc

its better to have consultation with a hair transplant surgeon 

thanks 

Prashant Yadav, Mch
India Physician

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.