How Good Is My Donor?

Donor management is vital to ensuring the donor remains in the best condition possible over time. Also to ensure the donor area can be safely used to the maximum potential over time. Your donor zone, as well as recipient area, is in the best state prior to any procedure being performed, known as a “virgin scalp”

At this point skin and hair properties will never be better, so has the best potential. FUT and FUE harvest hair from the donor area in different ways; FUT relies more on skin laxity as a thin strip of hair bearing tissue is removed and the area sutured leaving a fine line. This makes little change to the donor hair density

How many grafts required is partly determined by the surface area needed to be covered, how many sessions you can have or needs depends partly on the progression of hair loss and the quality of the donor area after successive hair transplant procedures

The planning and management of the donor hair and donor area will determine the success of the hair transplant, especially as hair loss progresses and more and more grafts are required.

Typically most people can have 3 maybe 4 hair transplant procedures over time, with good planning and todays hair transplantation techniques it should not be necessary to have many more; timing is important as to when the first hair transplant is performed

FUE is a newer hair transplant technique and generally sessions are smaller than FUT, although larger sessions are being performed they are harder to manage the donor; you will see many more large FUT procedures compared to FUE when treating high Norwood Scale candidates as a result can be achieved faster and more efficiently, even if a second procedure is required

If treating high Norwood scale hair loss it can be easier to manage the donor area to achieve high numbers. A high NW will require 4000 plus grafts and to achieve total restoration can require 6000 plus grafts

FUE relies on the size of the surface area of the donor and hair density as the graft extractions are made individually, having to leave at least one follicular unit between each extraction point to not leave obvious hair less areas

FUT in one day can reach over 6000 grafts on the right candidate. A second procedure will not be able to reach the same high numbers as the first due to changes in laxity becoming slightly less lax. If a first procedure can yield around 5000 grafts then a second is likely to achieve around 2500 plus grafts

FUE procedures can be performed to treat high NW candidates but requires a very high donor hair density and generally cannot be achieved in one procedure. It becomes harder to not over-harvest the donor after every procedure

Donor management is crucial, treating lower hair loss patterns will mean as hair loss progresses more and more hair transplant sessions are required; this makes it harder to keep scarring to a minimum, white dots with FUE can become more obvious, laxity can impair the closure with FUT

If there is a history of advanced hair loss in the family then a plan between the individual and doctor is important, especially if thinking about starting restoration at an early stage of hair loss. In some instances it may be better to postpone restoration until a later date

Donor management and recipient area planning go hand in hand, one affects the other as a hair transplant is simply a matter of what is the supply from the donor and what is the demand of the recipient for hair

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