How many grafts can be extracted from my donor area? (Photo)

Hello Sir,

Thank you for the opportunity to share with you my thoughts. To begin, as has been suggested an examination by a board certified hair surgeon is reasonable and necessary. Board certification represents a dedication by the surgeon  to hair science and high standards of practice and treatments. A hands-on exam is essential to answer your question with greatest confidence.  

That being said,  your donor harvesting capacity appears to be anywhere from 3500-4000. The reason for my conservative estimation is: 1) Lack of an in-office exam, 2) Your short hair photos reveals a lower density subjecting you to hypopigmentation if you decide to wear your hair short, and 3) You are at higher risk than average for donor depletion if over harvesting occurs or an inexperienced surgeon performs your surgery.  

You have a wave to your hair that covers your occipital and temporal parietal regions nicely.  Additionally, Propecia is appropriate but please consider an Anagen induction agent like Rogaine, as well as low laser level therapy. You may consider Scalp Micropigmentation (SMP).

A competent experience surgeon is essential. Ask if the surgeon actually harvests the grafts and designs  and creates your recipient sites. Too many surgeons delegate hair surgery to technicians and that is the reason for poor outcomes in hair surgery. 

 

First, I cannot see where you need the grafts placed. Assume it is in the front area but need photos of that area.   Next,  the question is not just a pure numbers question.  The texture, diameter, follicular unit density , and color of your hair and scalp all come into play with  regard to provide  determination for number of grafts recommended for  coverage of the bald scalp.  The real question is 'what is the fewest numbers of grafts I can use for a transplant and still give me a great result  ?’   The reason that is the real question is supply and demand - You have increasing demand and a limited suppluy for the rest of your life.  In the end the number of grafts needed  is only answered based on a personal consultation.  The fact that you are on Propecia, especially at your age, is EXCELLENT, because ongoing hair loss is the major problem you face at this time.  There are other good options for non surgical prevention of hair loss and maintenence as well.