Two Sessions totalling 3511 grafts, 1437 follicular unit grafts and 2074 double follicular unit grafts.
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Results such as this can occur only after multiple sessions. The major reason for this is that grafts can only be placed within a certain proximity to the adjacent grafts so that each graft can have sufficient blood supply for nourishment. Generally speaking, it takes 2500 to 3000 grafts to cover a completely bald frontal forelock (roughly the area in front of a line running from the back of one ear over the top of the head to the back of the other ear). These grafts would consist of approximately 600-800 single hair grafts to the front scalpline and the balance of 3-6 hair grafts in the "interior." Whether it be 600 or 800 single hair, micrografts and 3 or 6 hair minigrafts would depend upon the person's hair characteristics. If doing the "follicular unit" approach, grafts averaging about 2 hairs, the total number of grafts required would of course be significantly higher. "Interior" vs. "perimeter" is also a useful distinction. Perimeter will consist of wherever a leading edge of exposed. This can be the front scalpline of course but also the partline and the crown if the crown will be left thin or untransplanted.
Five Smaller sessions totalling 4416 total grafts with 2784 follicular unit grafts and 1632 double follicular unit grafts.
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Results such as this can occur only after multiple sessions. The major reason for this is that grafts can only be placed within a certain proximity to the adjacent grafts so that each graft can have sufficient blood supply for nourishment. Generally speaking, it takes 2500 to 3000 grafts to cover a completely bald frontal forelock (roughly the area in front of a line running from the back of one ear over the top of the head to the back of the other ear). These grafts would consist of approximately 600-800 single hair grafts to the front scalpline and the balance of 3-6 hair grafts in the "interior." Whether it be 600 or 800 single hair, micrografts and 3 or 6 hair minigrafts would depend upon the person's hair characteristics. If doing the "follicular unit" approach, grafts averaging about 2 hairs, the total number of grafts required would of course be significantly higher. "Interior" vs. "perimeter" is also a useful distinction. Perimeter will consist of wherever a leading edge of exposed. This can be the front scalpline of course but also the partline and the crown if the crown will be left thin or untransplanted.
Session 1: 1171 Total Grafts with 585 follicular unit grafts and 1186 double follicular until Grafts in
Session 2: 1744 Total grafts with 711 follicular unit grafts and 1033 double follicular unit grafts.
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Results such as this can occur only after multiple sessions. The major reason for this is that grafts can only be placed within a certain proximity to the adjacent grafts so that each graft can have sufficient blood supply for nourishment. Generally speaking, it takes 2500 to 3000 grafts to cover a completely bald frontal forelock (roughly the area in front of a line running from the back of one ear over the top of the head to the back of the other ear). These grafts would consist of approximately 600-800 single hair grafts to the front scalpline and the balance of 3-6 hair grafts in the "interior." Whether it be 600 or 800 single hair, micrografts and 3 or 6 hair minigrafts would depend upon the person's hair characteristics. If doing the "follicular unit" approach, grafts averaging about 2 hairs, the total number of grafts required would of course be significantly higher. "Interior" vs. "perimeter" is also a useful distinction. Perimeter will consist of wherever a leading edge of exposed. This can be the front scalpline of course but also the partline and the crown if the crown will be left thin or untransplanted.
This gentleman had two sessions totalling 3942 total follicular unit and coupled follicular unit grafts
Session 1: 2062 total grafts
Session 2: 1880 total grafts
Two Sessions: One to the frontal forelock and one to the crown. A total of 2300 mini and micrografts over two session 5 weeks apart. This produced the following at 7 months.
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The first session was limited to the frontal forelock (the area in front of the crown) and the second session was limited to the area behind the grafted area of session #1, ie. essentially the crown. Two sessions can occur several weeks apart if the recipient areas do not overlap. The photos show the frontal and crown views before the transplantations, the patterns of grafting of these areas, a view of the appearance at one month (as he was preparing for the session grafting the crown) and the results six months after the second session (and seven months after the first transplantation). On the larger views you may notice a small number of micrografts with "dimpling" that were done elsewhere. He has received a third session to enhance the most visibly important areas. It was anticipated from the outset that three sessions would be needed to get two session density in the more important areas up front and one session density in the crown. We have no pictures of the results from the third session as the person lives out of state but email correspondance relates him to be "very satisfied" and "I'm still amazed at the results."
33 year old before and after receiving 2600 grafts over 4 smaller sessions.
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Four smaller cases were used in this situation to allow for a more subtle change in appearance. An initial case of 400 grafts were used to fill in behind the "widow's peak", the small tuft of hair that you see up front. A second session of 400 grafts five months later moved the scalpline laterally and forward to the position that you see in the "after" view. Two additional sessions followed to add additional density throughout and additional feathering to the scalpline. The total number of grafts over the four sessions totalled approximately 2600. These grafts were composed of one hair grafts to the front scalpline zone, 3 and 4 hair mini-grafts to a zone behind the single hair grafts and 4 to 6 hair grafts were decided upon to fill in the middle zone. See "FAQs" for a discussion of the pros and cons of using larger grafts than the normally occurring clusters of the "follicular graft" that averages 2.3 hairs. A disadvantage of moving the scalpline forward in subsequent sessions is that you often have to do one session more than if you define the scalpline with the first session. This is due to the fact that if you define the final scalpline with the first session, you are able to thicken and add subtlety to the feathering with each subsequent session. Usually two sessions should be thought necessary to get adequate density of the scalpline if the scalpline is in a previously bald (vs thinned) area.
35 year old before and after 3500 grafts over 4 sessions.
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Results such as this can occur only after multiple sessions. The major reason for this is that grafts can only be placed within a certain proximity to the adjacent grafts so that each graft can have sufficient blood supply for nourishment. Generally speaking, it takes 2500 to 3000 grafts to cover a completely bald frontal forelock (roughly the area in front of a line running from the back of one ear over the top of the head to the back of the other ear). These grafts would consist of approximately 600-800 single hair grafts to the front scalpline and the balance of 3-6 hair grafts in the "interior." Whether it be 600 or 800 single hair, micrografts and 3 or 6 hair minigrafts would depend upon the person's hair characteristics. If doing the "follicular unit" approach, grafts averaging about 2 hairs, the total number of grafts required would of course be significantly higher. "Interior" vs. "perimeter" is also a useful distinction. Perimeter will consist of wherever a leading edge of exposed. This can be the front scalpline of course but also the partline and the crown if the crown will be left thin or untransplanted. The patient shown had light transplantation of his crown to explain the number of grafts over 3000. His hair characteristics were sufficiently favorable that thin coverage in the crown was an option. The more severe hair characteristics (see discussion of hair characteristics elsewhere on this web site) would not allow this option.
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