Is 1000 FUE grafts enough? (Photos)
Doctor Answers 6
You can add 1000 grafts but if you lose 1000 of your native hairs you would be left with no gain.
Balding crown area
1000 FUE grafts to cover crown hair loss
Greetings, and thank you for your question. I enlarged your top down pic and it looks to me like you are developing a crown lost pattern that is progressing forward to the mid-scalp area. It may not stop there. The fact that you have had to foresight to be on Propecia for the past years is good, but distressing that despite that your hair loss appears to be progressing. I would recommend that you consider maximizing your medical regimen to include minoxidil 5% twice per day, biotin 5 mg daily, nizoral shampoo every other day , and Lasercap Pro every other day. SMP may decrease the contrast with your scalp making it look thicker in the crown /midscalp area. I would reserve your available donor for maintaining the frontal area. Of course, an in person evaluation would be the best option to start the process.
Bernardino A. Arocha, MD
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FUE transplant to the crown
The other question to eval is density at the recipient site. This determines how many grafts you would need pending yield after transplant. My suggestion to you is go into your consultations knowing this information, and make sure your hair restoration surgeon discusses all these issues with you.
Best of luck!
Am I a candidate for FUE in the crown
First, the area is about 94-100 cm2. Which means that 1800-2000 would be nice to use in the area to boost the density up by 20 follicular units per sq cm. If one wants to be cautious then fewer grafts are appropriate for sure. 1000 grafts would boost the area by 10 follicular units per sq cm.
Future balding is likely and at 29 we don't really know what balding is in the picture for the front over the next 15-20 years.
Crown transplants are tricky. The skill and thought and planning that is needed for crown hair transplant surgery can't be overemphasized. They are the toughest of all.
You have about 4000-5000 grafts to move in your lifetime. Maybe a bit more, maybe a bit less. Placing them in the crown might look amazing at 30 and 31 but make sure you have a plan in place when further balding occurs. I always advise my patients that they can't assume they'll be on finasteride forever.
I always encourage patients to get several opinions. There is sometimes no right or wrong answer but there is always an option that is well thought out with calculated risk/benefits.
First FUE, then SMP
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