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Big head = good or bad? More donor v more recipient area


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  • Senior Member

Does my larger-than-average dome give me more grafts in the bank with a potentially bigger donor region? If so, is that negated by my crown / frontal regions being potentially bigger too?

I've heard some people say a big head is a good thing for HTs but I don't see how the donor could be bigger but the recipient areas being average size.

 2,000 grafts FUT Dr. Feller, July 27th 2012. 23 years old at the time. Excellent result. Need crown sorted eventually but concealer works well for now.

Propecia and minoxidil since 2010. Fine for 8 years - bad sides after switching to Aindeem in 2018.

Switched to topical fin/minox combo from Minoxidil Max in October 2020, along with dermarolling 1x a week.

Wrote a book for newbies called Beating Hair Loss, available on Amazon

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In my experience, a smaller head is better, less area to cover. The back and sides may have a little more donor, but having a small space to cover is always better.

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I’m a paid admin for Hair Transplant Network. I do not receive any compensation from any clinic. My comments are not medical advice.

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Melvin- Managing Publisher and Forum Moderator for the Hair Transplant Network, the Coalition Hair Loss Learning Center, and the Hair Loss Q&A Blog.

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  • Senior Member

The best I have seen are the guys with the “triple ripple” In their donor area. Seen massive FUT sessions from these.

As you say it’s quite relative. A bigger head/area would take more grafts. But yes your more likely to have a larger donor area. 

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  • Senior Member

Interesting topic, I would guess the donor and recipient area size increases on larger heads would cancel each other out though. The important factors as always would be the hair characteristics like thickness, straight/curly, color contrast with skin tone, etc that create the illusion of coverage.

 

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You know what, it looks like we’re split up here. I’m gonna send the bat signal to some surgeons and get their thoughts.


I’m a paid admin for Hair Transplant Network. I do not receive any compensation from any clinic. My comments are not medical advice.

Check out my final hair transplant and topical dutasteride journey

View my thread

Topical dutasteride journey 

Melvin- Managing Publisher and Forum Moderator for the Hair Transplant Network, the Coalition Hair Loss Learning Center, and the Hair Loss Q&A Blog.

Follow our Social Media: Facebook, Instagram, Linkedin, and YouTube.

 

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  • Senior Member

You want the smallest area on top, so I'd suggest egg shaped like on the right:

shape.jpg

4,312 FUT grafts (7,676 hairs) with Ray Konior, MD - August 2013

1,145 FUE grafts (3,152 hairs) with Ray Konior, MD - August 2018

763 FUE grafts (2,094 hairs) with Ray Konior, MD - January 2020

Proscar 1.25mg every 3rd day

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  • Senior Member

I would suggest a smaller, narrower head shape, which is longer in length to width ratio, high sides donor with good hair characteristics to be optimum.

Thin forehead and non recessed temples always bodes well for patients to have a more juvenile hairline design restored - a rounder head shape can largely exacerbate the balding area, particularly in relation to crown loss. 

 

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  • Senior Member

Thanks for your replies! 

On 11/11/2020 at 5:39 PM, Melvin-Moderator said:

You know what, it looks like we’re split up here. I’m gonna send the bat signal to some surgeons and get their thoughts.

That would be good, Melvin - seems like there's nothing conclusive on this.

Like others have said, I don't see how the donor could be big but the recipient areas be normal size.

 2,000 grafts FUT Dr. Feller, July 27th 2012. 23 years old at the time. Excellent result. Need crown sorted eventually but concealer works well for now.

Propecia and minoxidil since 2010. Fine for 8 years - bad sides after switching to Aindeem in 2018.

Switched to topical fin/minox combo from Minoxidil Max in October 2020, along with dermarolling 1x a week.

Wrote a book for newbies called Beating Hair Loss, available on Amazon

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