Hair Transplant - Planning/ Procedure plan - hair transplant

One of the major and most important issues before starting a hair transplant is to discuss your specific goals and the plan for the procedure. This involves progressing hair loss in the future and detailed questions about age and your family.

Everyone interested in hair transplant needs to be aware of the fact that there is a magnificent difference between younger and older patients. A 20 years old patient and a patient reaching his 40ies will have different long term prospects. Older patients are less susceptible to progressive hair loss for the future. When planning surgical hair restoration it is important to accept an inherent uncertainty about the progression of hair loss. Limited resources of follicular units in the donor area necessarily ask for economical redistribution as an increase of the balding process may be expected in the future.

The planning of a surgical hair restoration may only be calculated on statistical averages and never will accurately predict the final process of balding based on the individual progression.

A "worst case scenario" always includes conservative planning for the hairline and may often start with a higher marked line on the forehead. Most of the patients have to be aware that lower hairlines will often be irresponsible and neglect a possible future balding even if younger patients seek for a full restoration of their natural hairline.

Microscopic measurements


Microscopic measuring of the natural apparent density in the donor area reveals the number of permanent grafts placed per square centimeter and determines a maximum of follicular units to be harvested. Accurate measuring and planning is necessary to economically redistribute hair follicles to the balding area.

An artistic and skillful redistribution characterizes the planning process of a surgical hair restoration. As much as it is necessary to determine the maximum number of grafts to be extracted it is important to estimate possible requirements for the balding area. Any personal goals and needs of the patient have to be discussed.

A few words on "aggressive" / low hairlines:

In those patients with a sufficient donor density a lower hairline may be easy to perform. A number of patients without sufficient donor reserves are often unsatisfied by the proposal of conservative hairlines. As the forehead marks the most important area on the head young patients often want their natural hairline back. A "worst-case scenario" does not reveal their dreams of possible results as much as extremely high densities are on top of their agenda without reflecting a future progress in balding.

Unfortunately many patients do not realize an inherent uncertainty about progressive hair loss and will find their personal demands fulfilled at unscrupulous clinics.

In case there is not enough donor hair on the scalp it is possible to augment an insufficient supply of grafts by body hair transplantation (BHT). This method of relocating hair from different parts of the human body has become popular since it has been possible to extract single grafts with the FUE-method. Although the growing yield of transplanting body hair still remains unsatisfying some outstanding results have already been achieved. Every responsible plan for hair restoration has to include an economically redistribution of grafts from the permanent zone to the balding area.

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