Planning and Donor Management

Planning is vital from the very first procedure to ensure long term the donor is kept in the best cosmetic condition and the maximum number of grafts can be removed if/when hair loss progresses

The donor area is a safe zone where the hair follicles are genetically programmed to not succumb to hair loss. But it is important as hair loss progresses that a conservative approach is taken to the size of the donor safe zone

An average donor hair density is around 75 FUcm² and can rise to over 100 FUcm² on a very good donor area. The hair density is an important factor in how many grafts you can use; obviously the higher density the more grafts available

Hair loss is progressive and can continue for many years, starting generally from the hair line until it reaches the crown; the hair loss stages are categorised from minimal loss (NW2) to NW7 advanced hair loss

Dependent on the technique used will determine how the follicular units are removed and how many FU´s can be harvested in one or multiple procedures. As hair loss over the top of the scalp progresses it can start to reduce the size of the donor area around the sides and back of the scalp as the sides and crown drop

It is possible to have more than one hair transplant procedure, either with FUE or FUT; generally the 2nd procedure will not yield the same amount as the first as the donor density has been reduced with FUE or laxity changed with FUT

With good laxity a 2nd procedure could yield a further 3000 grafts with FUT, FUE probably much lower because of the reduction in hair density from 100% prior to any surgery to around 70-75% after the 1st procedure

Donor healing will play an important part after the first procedure how many grafts can be removed in the future

An average hair transplant candidate with FUT can reach around 7-8000 grafts over multiple procedures, over multiple procedures with FUE this figure will generally be lower, unless harvesting exceeds 50% of the donor hair

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