Advice on graft placement

[Duke1984]

Hi, I have my second fut procedure booked in September. I had my fist transplant 2 years ago and had 2200 graft at the front of my head. For the second operation I would like to concentrate on my crown area but I am aware that the crown is a difficult area to work on and I don’t want to waste a lot of my donar area just on my crown . So my question is how many grafts would be safe to place in my crown area? Many thanks 

[Melvin- Admin]

The pictures are pretty poor, it’s hard to say if you should put any grafts in the crown.

[Britanium]

Please show the crown in much brighter light, we cannot really see it. Although I can see you do have some hair loss.

[Duke1984]

Sorry photo wasn’t great 

here is a better one 

[Melvin- Admin]

The area is small, it looks like it can be revived with minoxidil, finasteride, microneedling combo. If you’ve already tried that and it doesn’t work, I would say no more than a 1,000 grafts. Take a look at @1978matt thread, he had a similar size crown, and he got 700 grafts.

[Britanium]

Ahhh the good old black hole for grafts! I certainly would be careful in who you choose as it’s quite the art recreating the crown whirl pattern. 
As Melvin said maybe 1000 max ! 

[1978matt]

1000 seems right

[Zoomster]

if ever there was a case for meds over surgery this is it... Combo per Melvins advice and you should be good to go. 

Edited July 22, 2020 by Zoomster
Update

[Duke1984]

Cheers lads appreciate all the replys

I was thinking 800-1000 but it’s nice to get some advice from guys who know what they are talking about. I don’t use rogaine as it use to make my head itch like crazy for I had to stop using it but I have been on  tablets for a few years and they have definitely helped. Just hope the operation goes ahead as I’m not too sure on travelling situation yet. Fingers crossed 

[paddyirishman]

I would evaluate what norwood number you would most likely end up with. Then you can Forcast how many grafts you have potentially left in the bank for the coverage you require.  

Why would you waste 1000 grafts now into a small part of the crown ?   Then you lose more and before you know it you need another 1000 grafts.

@Melvin-Moderator and @Zoomster plan would be the way to go imo also. You don't have a large area to cover for the moment anyway.  If you have tried that already or you don't want to go down the meds and microneedling road you have another option.

If you are intent on having a HT I would recommend using 500 scalp grafts along with 500 beard grafts . These would blend in really well together . While at the same time preserving precious scalp donor grafts. I had beard grafts myself and no scarring to be seen by the naked eye . It's a great  compromise and would be the way to go imo if you are really intent on a HT.

Best of luck.

Paddy.

[Gabreille Nelson Mukhia]

If you don't take finasteride then your crown will look the same or even worse even after you get a hair transplant. 

[Rolandas]

As others mentioned give meds a go if you haven't been on them yet! Sometime they can definitely be a miracle you won't believe exist!

If meds doesn't work for you, my suggestion - contact 20-30 top doctors in the world with high-quality pictures and see what they say. After having such amount of opinions you will see a good average that you need.