I'm 43 years old with a hair density of 5/5 and a present class V l l. My estimated future class of the same V I I (Photo)

Rosanellie said 2400 to 2800 is about all the donor hair I have. I do not style my hair combed back so he can make my front more fuller with the FUE surgery In one surgery he would do 2400 to 2800 depending how much donor hair is actually available while he is preforms the procedure by way FUE. Question is if I only have enough donor hair for only one procedure in my life for the fact of all the donor do available is only between 2400 to 2600 it doesn't make much difference between FUE and FUT

Doctor Answers 7

From the photograph it appears that you have limited donor options as well as retrograde alopecia

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From the photograph it appears that you have limited donor options as well as retrograde alopecia. It is important to have a consultation with a hair restoration expert prior to a procedure, in order to discuss your options as well as set reasonable expectations.

West Hollywood Hair Restoration Surgeon
4.9 out of 5 stars 21 reviews

Donor Capacity in Advanced Hair Loss

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You have an advanced hair loss pattern. Retrograde alopecia (hair loss from the neck upward) seems to limit your hair loss even more.

You have to understand that a very limited restoration can be possible, possibly an 'isolated frontal forelock' designed. This is an isolated island of hair at the front. The first thing for you to decide is fi you would be happy with a limited coverage.

FUT would clearly give more grafts than FUE with such a narrow donor area. The logic is simple: FUT only needs about a 1,5cm which strip to give 3000 or more grafts, whereas FUE requires 1cm2 area for each 15-17 grafts extracted. I would estimate about 1500-2000 grafts via FUE. You could certainly have some more grafts in a subsequent session which ever option you choose.

You have to also consider if your hair loss advances such that most of your hair bearing area is see-through, you may end up with visible scars.

I recommend you think twice before deciding on having hair surgery.

Ali Emre Karadeniz, MD
Turkey Plastic Surgeon

In general most men have about 6000 to 8000 donor hair grafts in their life time.

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In general most men have about 6000 to 8000 donor hair grafts in their life time.  You can plan your surgery based on your donor hair and understanding of what is possible (in terms of final results).

Jae Pak, MD
Los Angeles Hair Restoration Surgeon
5.0 out of 5 stars 106 reviews

Neograft FUE for crown and frontal hairline reconstruction

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I would recommend at least 3000 FUE grafts via Neograft or similar single follicular unit technique rather than a strip harvesting technique. In our clinic, we would focus on reconstructing your frontal hairline, and then adding density to your scalp crown. You may need more grafts in the future.

Scalp donor region

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It does appear that you have about 3000 grafts harvestable from the scalp donor region.  Depending on your beard, perhaps more.  

The main question is what your expectations are and how you wish the appearance of the transplant to be.  As a general rule, if you make a fist, the area your fist covers requires roughly 1500 grafts to cover at moderate density.  What would be possible in your case is to create facial framing of a conservative nature and use the grafts available to you to restore the frontal half of your scalp leaving a bare crown.   Again, a key component of the equation will be your expectations and how you wish to wear your hair when its grown out. 

Baubac Hayatdavoudi, MD
Beverly Hills Physician
5.0 out of 5 stars 42 reviews

Yes, it makes a difference

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With FUT, you will lose a significant amount of hair in the back -- excising a strip of the only hair you have. FUE will make it thinner, but it won't affect the vertical height. I would recommend FUE with either a VERY experienced manual FUE surgeon or consider the ARTAS procedure.  Good luck!

Robert S. Houser, DO
Columbus Plastic Surgeon
5.0 out of 5 stars 17 reviews

Class 7 pattern of balding

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Always ask your doctor to see and meet patients who had your pattern of balding to see their results. What you see is what you are going to get. We can show many patients that have had your balding pattern. The quote you received is very low and few doctors can really address problems like you have unless that combined scalp micropigmentation with hair transplantation.

William Rassman, MD
Los Angeles Hair Restoration Surgeon
5.0 out of 5 stars 29 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.