What is the maximum density that can be attained to the recipient area via FUE grafts per cm? (Photos)

Question

I've had one procedure June 2017 via Neograft. Approx 2500 grafts and have plenty of donor area My results are a nice improvement, but my goal would be to not be able to see my scalp and not appear as if I'm still losing my hair or thinning... So the big question is how much can be added to an existing area without damaging the current grafts health or viability? How many "existing" grafts-hairs get damaged in the process of punching new holes ? Assuming plentiful donor area.

Anil R. Shah, MD · Answer

Hello,Density is one of the most critical factors after hair transplantation.  Early on you may not be able to fully determine your density.  Density depends on various factors including the number of hairs  per cm squared, the thickness and vibrancy of hair, direction and design of hair.  Techniques for density vary from surgeon to surgeon.  In my office, we utilize a specialized technique that allows for optimizing density and found it to be helpful.  
Best,
Dr. Anil Shah

Jae Pak, MD · Answer

Hair transplant does not create new hair.  You cannot achieve a no-see-through density in a wide area without making another part of your head thin.

Baubac Hayatdavoudi, MD · Answer

I would suggest having a consultation with a doctor that specializes in dense packing and hairline work.A great first step would be an online consultation. Often you can submit photos to top hair restoration surgeons for a complimentary evaluation. This should help lead you in the right direction. Having multiple consultations with different doctors cannot hurt.

Robert Jones, MD, FISHRS · Answer

Hi, The maximum density I that you can achieve is about 100 grafts per cm squared, although I never recommend this density! If you plant 3000 grafts at this density, you will only be able to cover 30 square centimeters, or 5 X 6 sq cm, not a lot of area covered. I would normally not recommend over about 40 or 50 grafts per cm sq. This provides enough density to make the hair look thick, but allows for more coverage area.In your case, another 20 or 30 grafts per cm sq should add adequate density.Usually very few hairs get damaged in the extraction process,Dr. Robert Jones

Ilhan Serdaroglu, MD · Answer

40-45 GRAFTS per centimeter square yields nearly  %50 density of normal hair. it is better to see your photos from back and front and top  in order to understand the problem you have, treatment methods and/or estimate how much graft do we need to cover or make dense the area.The game changer is your donor site density .

Karl Hekimian, MD · Answer

You may have a 'plentiful' donor area, but it is still a finite resource.  Age matters; it is unwise to use up too much donor hair at a young age and wish you had it later.  Depending on your age a second procedure would not be unreasonable, and although sometimes there is "shock loss" typically the previous grafts and native hair follicles recover.If you don't want scalp to show and are on the young side, consider scalp micropigmentation as an adjunct to decrease scalp show without using up more donor hair.

Steven Schuster, MD, FACS · Answer

You had 2500 FUE grafts done 8 months ago.  I certainly would wait until June before doing it again.  I use the SmartGraft and have done a maximum of 3300 grafts in one sitting.  Several factors must be taken into account. How large of an area was treated?  What is your donor density?  What is the density of the treated area now?  How old are you and has your hair loss stabilized?  Are you using any supplemental treatments like Rogaine, finasteride or PRP?  All these questions will play a role in your end density.  We usually do not see the scalp unless the density goes below 50 hairs / cm2.  Discuss your concerns with your hair surgeon to see what you can expect as an end result.  Good luck, Dr. Schuster in Boca Raton.

William Rassman, MD (retired) · Answer

In a single procedure, you might be able to achieve 40% of your original density so if that was achieved in the first procedure, a second procedure should double it up

What is the maximum density that can be attained to the recipient area via FUE grafts per cm? (Photos)

Answers (8)

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