Is my donor area over-harvested? Can this be fixed by placing grafts into the bald patches? (photos)
Doctor Answers 8
Donor Zone Depleted
Overharvesting of the donor area with FUE
It may or may not be patchy when it heals. Only time will tell. You cannot tell with photos alone
3500 graft FUE is considered a very high number of grafts harvested at one time. It may lead to patchy looking donor area when you keep your hair buzz cut. It may even out with time and longer hair.
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1. Finding a skilled surgeon that can extract a significant number of grafts while not wasting donor hair is very important. Technician clinics that use unlicenced technicians for FUE should be avoided.
2. Extracting very high number of grafts such as more than 3000 can cause prolonged healing and camouflage time while risking donor depletion. It also leaves little donor hair behind for future sessions. The decision should be made carefully.
3. 3500 grafts is a significant number and even if it was done by a skilled surgeon, prolonged healing and camouflage time is expected. There may also be some shock loss due to this that usually resolves in 4 months.
4. If the extractions were not done professionally, then permanent donor depletion is a risk which will prevent any future attempts for repair and improvement.
Wait for FUE 's final result
In case you don’t see any improvement, theoretically you could do hair transplantation to the donor area but the problem is where the grafts will be taken from. Probably, there are some areas which could help as donor areas but I don’t think they will be enough for resolving completely your problem. Probably you might start considering of micro pigmentation.
Anyway don’t be pessimistic and wait for 4-5 months until you see the final result and then you can decide.
FUE risk factors
3500 grafts and my donor area looks depleted
FUE donor harvesting
This does not appear to be the case from your photos. It is possible that you have experienced shock loss in the donor area. If this is the case, then you may have to wait 3-4 months for the hair to start to grow.
If, at 6 months, the hair has not recovered then you should see your surgeon for assessment.
It is unlikely that hair transplantation to the donor area would be a viable option. After all, where would the new donor hair come from?
If things don't recover one option might be to have micropigmentation tattooing.
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