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Appearance of a full head from a hair transplant |
| Question: |
Hello Dr Bernstein, I have a few questions. I'll start by saying that I'm a 5A on the Norwood Hair Loss Classification chart, and I've looked into micrograph procedures and know that you can't get back totally a full head of hair like when you were young, but I've seen and heard that you can get, "the
appearance of a full head of hair". Is this a common phrase used by hair
restoration physician's and practitioner My 2nd question: Is it true that
the average amount of hair per square inch on a full head of hair is about
700, and that people don't experience a loss of hair until they lose about
50% of that, or 350 hairs per sq inch, and that the replacement of that
50% would give the appearance of a full head of hair?
My 3rd question: How many micrograph procedures would it take, at 1000
graphs per session, to give the appearance of a full head of hair, using
1 & 2 hair graphs in the hairline and progressing to 2 & 3 hair grafts on top and 3 & 4 hair graphs in the crown, given a 5A Norwood candidate? Approximately.
My last question: Is this normally achieved producing only one scar in the donor area or more, as a end result. and is there a point at which it become unsafe to continue farming the donor area, in other words, what is the approximate maximum number of hairs or graphs that can be taken from a person with a 5A Norwood hair loss classification?
I thank you in advance for your time and input, and apologize for so many questions.
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| Asked
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Frank
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| Answer: |
The appearance of a full head is all a hair transplant does. That is why
the term is used. 100 follicular units/cm2 with 2.1-2.3 hair per unit
is
average.
Putting 50% back would give the appearance of a full head. This is impossible
for most bald people except in select areas. We usually just achieve
this towards the front. I don't perform micrografting. Our published
data on follicular unit transplantation can be found at www.newhair.com/NHI
medical publications/follicular unit transplantation: patient evaluation
and surgical planning.
The average person with good scalp laxity has 6,000 movable follicular units
in their donor area. Even with multiple hair transplant procedures you
should have just one scar.
Dr. Bernstein
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| Answered
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Dr. Robert M. Bernstein, M.D.
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