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Is it ever acceptable to put multiple grafts into the hairline?


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Is it ever acceptable to put multiple grafts into the hairline? If so, why?

 

I always see warnings on the HTN about transplanting multiple grafts into hairlines, however, I also know of instances that it is done. Usually, it's when someone is referring to shoddy work by an HT physician.

 

So when is it acceptable to incorporate multiple grafts into the hairline?

 

 

Corvettester

Edited by corvettester

My Hair Loss Website - Hair Transplant with Dr. Dorin

 

1,696 FUT with Dr. Dorin on October 18, 2010.

 

1,305 FUT with Dr. Dorin on August 10, 2011.

 

565 FUE with Dr. Dorin on September 14, 2012.

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I had some 2 and 3 haired grafts placed in my hairline with my first crummy procedure. If you want an unnatural/hard hairline then it would be a great idea! In my opinion, it's an elementary mistake that an experienced doc should NEVER make. Fortunately, Dr. Paul removed most of these multi-haired grafts via punch outs and my hairline looks much better now.

Dr. G: 1,000 grafts (FUT) 2008

Dr. Paul Shapiro: 2,348 grafts (FUT) 2009 ~ 1,999 grafts (FUT) 2011 ~ 300 grafts (Scar Reduction) 2013

Dr. Konior: 771 grafts (FUT) 2015 ~ 558 grafts (FUT) 2017 ~ 1,124 grafts (FUE) 2020

My Hair Transplant Journey with Shapiro Medical Group

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I would say that one of the main points of Hair Tranplants 101 is always use single hairs/follicular units to create the hairline. Multiple hair grafts in patients with white, light grey, or blonde hair might not be a noticeable compared to patients with darker hair. I have successfully removed multi-haired grafts in the hairline many times over the years.

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But then if you think, if a transplanted hairline isn't as low as the original hairine, then you would in real life have 2 or 3 graft hairs there anyways.

Finasteride 1.25 mg. daily

Avodart 0.5 mg. daily

Spironolactone 50 mg twice daily

5 mg. oral Minoxidil twice daily

Biotin 1000 mcg daily

Multi Vitamin daily

 

Damn, with all the stuff you put in your hair are you like a negative NW1? :D

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But then if you think, if a transplanted hairline isn't as low as the original hairine, then you would in real life have 2 or 3 graft hairs there anyways.

 

Good point RCWest. You're always full of good points... I really appreciate all your contributions to the forums. Keep up the good fight.:)

 

 

Spex,

Yes and no... General and specific question.

 

 

Corvettester

My Hair Loss Website - Hair Transplant with Dr. Dorin

 

1,696 FUT with Dr. Dorin on October 18, 2010.

 

1,305 FUT with Dr. Dorin on August 10, 2011.

 

565 FUE with Dr. Dorin on September 14, 2012.

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I had multis and minis in my hairline and they looked like tiny black dots...just awful.

I am the owner/operator of AHEAD INK a Scalp Micropigmentation Company in Fort Lee, New Jersey. www.aheadink.com

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Multiple hair grafts in patients with white, light grey, or blonde hair might not be a noticeable compared to patients with darker hair.

 

I agree with above statement from Dr. Charles. In majority of patients, there is no need to plant any other size grafts than 1 hairs in the very frontal hairline. However, on patients with fine, fine white hairs or baby fine blonde hairs, we have incorporated two hair grafts within the "peaks" of the hairline. If you can picture our hairline design of peaks and valleys, such as this "V" within hairlines - single hairs are planted along the line of the V but a two hair graft is inside it. Hope that makes sense. I may have to post a real picture. But that is the only instance when two hair grafts are acceptable. The two hair grafts give density and does not look pluggy since the hairs are so fine.

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