Number of grafts and type of HT

[Wendell]

My questions is very centric and basic to solve my case (see last topic: fue or fut for me):

 

As a patient or as HT specialist what would you do or recommend: 1600 FUE GRAFTS OR 2300 FUT & FUE GRAFTS for a 42 year old  hispanic  man with a 55 to 60 graft density in 5 to 6 Norwood focussing 1300 or 1800 grafts on the crown and the rest to cover frontal density??????????????

 

Note: if the doctor cannot get more than 1600 for getting something for the front then use that 1600 for the crown.

 

Thank you !!!!!!!!!!!

[LaserCap]

55-60 density...What does that mean?  I realize it is per square inch....but so much more goes into this.  Is that the density in the donor area?  What native hair do you currently have? Are you doing any time of medical therapy?  Where are you working...hairline? front and top?  To be able to help you you need to post photos.

1600 in the crown is a waste of time.  You'll see no visual change.  

Cover?  What does that mean?  Consider most believe we are born with 100,000 hairs.  By the time you are a teenager you have 50,000 and don't yet realize there is any hair loss.  Consider that most believe patients can have 5000-8000 grafts.  On the average 2.2 hair per graft.  So, at the end of the day you are asking 16000+ hairs to do the job of 50,000.  It is an illusion.

Again, best way to help you is if you post photos.

[JayLDD]

21 hours ago, Wendell said:

My questions is very centric and basic to solve my case (see last topic: fue or fut for me):

 

As a patient or as HT specialist what would you do or recommend: 1600 FUE GRAFTS OR 2300 FUT & FUE GRAFTS for a 42 year old  hispanic  man with a 55 to 60 graft density in 5 to 6 Norwood focussing 1300 or 1800 grafts on the crown and the rest to cover frontal density??????????????

 

Note: if the doctor cannot get more than 1600 for getting something for the front then use that 1600 for the crown.

 

Thank you !!!!!!!!!!!

Sounds like the doctor you're considering is incompetent or misleading you. I'd recommend sending an online consult to Hasson and Wong and getting their opinion as one example of a top clinic that is skilled at high norwood cases such as 5-6. 

The graft numbers you're raising are miniscule for the area needing to be covered, and only an incompetent and dishonest surgeon would suggest them. Its highly likely you could get 4-5k grafts via either FUE or FUT in a single procedure if you have even an average donor area.

[Wendell]

2 hours ago, LaserCap said:

55-60 density...What does that mean?  I realize it is per square inch....but so much more goes into this.  Is that the density in the donor area?  What native hair do you currently have? Are you doing any time of medical therapy?  Where are you working...hairline? front and top?  To be able to help you you need to post photos.

1600 in the crown is a waste of time.  You'll see no visual change.  

Cover?  What does that mean?  Consider most believe we are born with 100,000 hairs.  By the time you are a teenager you have 50,000 and don't yet realize there is any hair loss.  Consider that most believe patients can have 5000-8000 grafts.  On the average 2.2 hair per graft.  So, at the end of the day you are asking 16000+ hairs to do the job of 50,000.  It is an illusion.

Again, best way to help you is if you post photos.

Cover or coverage or in Spanish CUBRIR.

OK, it is a Norwood 6 but my expectation is not the front. I just need a fist of grafts or hair there in the top in the very affected area not in the front. With that I am happy. I think with the strip procedure I can keep safe and get more hairs for the future but that annoying hole is what is bothering me, nothing else jaja

 

[DrTBarghouthi]

Hello. You should really post some pictures for us to help. 

Furthermore, I dont see the logic behind focusing on the crown and only having little hair in the front. There is a risk that you won’t get the right coverage in the crown (not with those numbers) and yet it might not look like a 4a pattern, if thats what you’re trying to reach.

It will definitely be helpful if you can share some photos.

[txtransplant]

Strip procedure for 1500 grafts would be plain dumb. A huge scar for a tiny transplant makes no sense.  50 grafts per cm2 is only 30 cm2 coverage. That's almost nothing!  We need to see pics. This sounds kind of like a mess waiting to happen and maybe a not so good surgeon. But we won't know what you are trying to explain without pictures.