So funny, this topic came up. I emailed Dr. Carman and Dr. Reed this question yesterday. I was comparing their practice to Dr. Wong. Dr. Carmon does awesome hair lines with fewer graphs (averaging 2500 per session) while Wong covers a lot of ground (average 4500 graphs)
Dr. Carman from CA responded saying the following:
The reality is that in general, most patients do not have 5000 natural occurring follicular units available in a single setting, and, if that
many naturally occurring follicular units ARE harvested, the donor strip would be quite large, thus placing the average patient at risk for unsightly scarring
or other complications. My rule of thumb is to obtain the largest number of available follicular grafts (that are needed) without subjecting my patients to unnecessary
risks. As for results, I let those speak for themselves.
I like Dr. Carman's response, but am not sure if some of that risk is because- simply the surgery is SUPER DUPER long, and that it takes a lot of patience, energy- and a lot of blood loss on our part. It does make me question the dr's skill. If the dr. had some expereince in both worlds (including Mega Sessions) instead of just pushing for less graphs, I would have evidence to believe that after doing both surgeries why he prefers less.
However, One post today said Dr. Rahal just did a 7,160 graph sugery (WOW). However, I have noticed that those who do these lateral slit surgeries subject themselves to looking like "crap" for the next 6 months as their scalp is healing very red and inflamed- and the donor scar wraps pretty much around the whole head, which can have an impact on future donor areas.
I would love if other dr.'s chimed in on this discussion.