Do double and triple hair transplanted grafts grow slower than singles?

I had almost 3,000 FUE grafts by a world class surgeon. He transplanted front and mid scalp. My hairline is more developed than mid scalp. Is this because doubles and triples were transplanted mid scalp and singles in front?

Doctor Answers 9

Transplanted grafts may grow at a different rate. It does not matter if they are single hair or triple hair grafts.

Transplanted grafts may grow at a different rate. It does not matter if they are single hair or triple hair grafts.


Los Angeles Hair Restoration Surgeon
4.9 out of 5 stars 85 reviews

Graft Growth

Probably a followup with your world class surgeon would be the best option vs an internet forum as none of us can examine your scalp and give you a correct evaluation in regards to your concern.  However, all grafts whether 1 hair or 4 hair generally grow at the same rate based on the anagen phase/cycle of scalp hair.

Amir Yazdan, MD
Irvine Hair Restoration Surgeon
5.0 out of 5 stars 22 reviews

Doubles and triples follicular grafts

They should all grow at the same follicular rate.  The higher the percentage of doubles and triples, the higher the hair density.  

Baubac Hayatdavoudi, MD
Beverly Hills Physician
5.0 out of 5 stars 41 reviews

Not really, but the hairline typically grows in ahead of the top

How long ago was the transplant? If it is a new transplant (less than 6 months), then the likely cause of your observation is the difference in latency period (Time between when the grafts are placed and when they start growing ) that exists from one area of the head to the other. The hairline and temple points tend to grow out ahead of the other regions. It is not a matter of whether the hairs are singles, doubles or triples.

The factors that can affect growth that may be indirectly related to types of grafts would include the robustness of the tissue around the grafts. More robust grafts would yield better. Also if grafts were split from their original groupings, they may not do as well as the grafts that were placed without splitting.

Sanusi Umar, MD
Redondo Beach Dermatologic Surgeon
4.7 out of 5 stars 30 reviews

Growth rate in different hair grafts

No, they should all grow at the same rate.  What most likely is the problem is that surgeons usually don't use the same density of hair when implanting hair in different areas of scalp.  Most patients benefit from haivng a higher density in the very frontal areas and it tapers as you go back.  

Parsa Mohebi, MD
Beverly Hills Hair Restoration Surgeon
5.0 out of 5 stars 28 reviews

Growth rate and hairs per follicle

The rate of growth shouldn't vary significantly based on the number of hairs per follicle.  It will have more to do with the phase of each of those grafts.  You could potentially see initial differences in growth rate in different areas, but those differences should be minimal over time.  Good luck

Scott K. Thompson, MD
Salt Lake City Facial Plastic Surgeon
4.9 out of 5 stars 99 reviews

Should single hair grafts grow faster than double and triple hair grafts?

The major question is when did you have your transplant performed?  Hair resumes growth at 3 months typically and continues in after that.  In my experience there really are very few natural single hairs in an average or better donor area so we make them by splitting the 2s, 3s, 4s, etc.  Splitting usually results in slower growth of the unnatural singles.  Furthermore, the unnatural singles typically result in a lower yield than the natural 2s, 3s, 4s, etc.  It may be that the density in the central area was higher and this impacted your circulation to the area.  I'd have your doctor check it out and if the disparity continues, the result needs to be evaluated more closely.  Again, the duration between now and the time of the transplant is of paramount importance in your history and evaluation.  Photos also help.  Still, it may be something unique to you so don't begin to panic.  

John P. Cole, MD
Atlanta Hair Restoration Surgeon
5.0 out of 5 stars 10 reviews

Do double and triple hair units have different hair growth?

That is a good question and I am not aware of scientific studies on that. However in general each hair has different cycle of growth and depending on where in the cycle that particular hair is, It will then grow out. when making the units under a microscope, in triple hair units we observe that each hair may be at different stage of growth even though they are attached to each other. Also on the recipient sites, the one hair graft incisions are smaller and made closer together where as the three hair incisions are made with larger needles and a bit farther apart for circulation. so in the three hair unit areas unless all the hair grows out at the same time, it usually appears as if it's thinner and have slower growth. As time passes they reach the same cycle eventually and you should see growth in all areas uniformally.

Michael Meshkin, MD
Newport Beach Hair Restoration Surgeon
4.8 out of 5 stars 27 reviews

Growth of singles, double and 3-4 hair grafts

These grafts generally grow at the same rate. Sometimes, some areas grow faster than other areas. When a hair transplant was done correctly, the number of hairs per grafts will not impact growth. 

William Rassman, MD
Los Angeles Hair Restoration Surgeon
5.0 out of 5 stars 27 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.