How many grafts do you think I need?

[FilthyCasual]

Hawdy folks,

I am currently trying to navigate toward my 2nd transplant. I previously had 1200ish FUE grafts place in front on both sides. Even then I knew I would need some extra grafts in the middle, but opted out just to fill in my temples. Now I am looking to fill in my midscalp and a small patch in the middle of my hairline. Now my question to you folks is how many grafts do you think I need to fill in those areas?

Last transplant in 2019

On fin for +5 years.

Some photos include wet hair. also just shaved my head to see how my hairline is doing.

Thanks for any input!

 

[Melvin- Admin]

Are you on finasteride? You need to preserve the hair you have before thinking about more hair transplants. You could end up with net gain if you don't stabilize your hair. Now, if you are on hair loss stabilization medication. I would say you need around 3,000 grafts to really make a significant impact.

[FilthyCasual]

On fin +5 years, most of pictures I posted are my hair fresh out of shower, I talked to Dr.Diep/Bloxham. Diep quoted around 800 grafts for frontal coverage including slight lowering of left corner and Bloxham quoted around 600. I do have some thinning on top but front is main priority to fix first.  

Picture below is my hair brushed forward, w/o me trying to hide any thinning. If I brush my crown to the side its fairly easy to hide at +4 month growth.

Edited March 5, 2021 by FilthyCasual

[Melvin- Admin]

I'm a bit confused on what area you want to have restored. The pictures you showed earlier show a diffuse Norwood 5. I would imagine you would require more than 600 grafts. However, this last picture looks great. So were those other pictures before having surgery? And now this new picture is your current hair?

[TorontoMan]

I’m a little confused too, your hair in that last photo where it’s grown out looks good. With a little bit of fiber if you really cared too you’d look covered

[FilthyCasual]

1 minute ago, Melvin-Moderator said:

I'm a bit confused on what area you want to have restored. The pictures you showed earlier show a diffuse Norwood 5. I would imagine you would require more than 600 grafts. However, this last picture looks great. So were those other pictures before having surgery? And now this new picture is your current hair?

I see how it might be a bit confusing, it just direction of light. It's very harsh light going against my hair direction + my hair being like one inch long. I think first picture best shows my loss (wet, longer hair). 

This is when my hair is dry w/o super harsh light, but I do have light right over my head in this picture as well. I showed different pictures sadly do not have those anymore, also I video chatted with Dr.Diep when I had longer hair  and showed him my frontal loss in detail (5 month growth at that time, most of a time I buzz it off due to not wanting to hide my thinning spots right now). I talked to him few months back. I'm currently reassessing my hair.

[FilthyCasual]

9 minutes ago, TorontoMan said:

I’m a little confused too, your hair in that last photo where it’s grown out looks good. With a little bit of fiber if you really cared too you’d look covered

I am always on the go and active, my head gets sweaty fibers probably would make my hairline look like it's actually crying (lol). I am aiming to restore visual density without any additional fibers. 

[FilthyCasual]

26 minutes ago, Melvin-Moderator said:

I'm a bit confused on what area you want to have restored. The pictures you showed earlier show a diffuse Norwood 5. I would imagine you would require more than 600 grafts. However, this last picture looks great. So were those other pictures before having surgery? And now this new picture is your current hair?

 

14 minutes ago, TorontoMan said:

I’m a little confused too, your hair in that last photo where it’s grown out looks good. With a little bit of fiber if you really cared too you’d look covered

Here is my post-up btw.

[BLE123]

Forget about lowering anything, you need to use the grafts you have left to add density throughout the entire area.

[Doron Harati]

In every photo it looks different.

Some photos it looks too dense for a 2nd procedure and some photos around 2500 grafts only for frontal area.

[Westview]

If you're a NW5 I would say you need about 4,000 grafts to have  nice thick hair.

And thats assuming all your native hairs on top are gonna fall out eventually anyways, even if you use FIN and MX.

Maybe you can post pics of the back of your head so we can see what NW you are??

[Melvin- Admin]

10 hours ago, FilthyCasual said:

I see how it might be a bit confusing, it just direction of light. It's very harsh light going against my hair direction + my hair being like one inch long. I think first picture best shows my loss (wet, longer hair). 

This is when my hair is dry w/o super harsh light, but I do have light right over my head in this picture as well. I showed different pictures sadly do not have those anymore, also I video chatted with Dr.Diep when I had longer hair  and showed him my frontal loss in detail (5 month growth at that time, most of a time I buzz it off due to not wanting to hide my thinning spots right now). I talked to him few months back. I'm currently reassessing my hair.

If you specifically want to treat that area then yea 600 grafts makes sense, but you have thinning throughout your entire scalp. You will need around 5000 grafts eventually to restore the entire scalp, unless you are on finasteride.

[FilthyCasual]

OK 600 is does seem reasonable, but you guys making me paranoid now. I just shaved my hair so I can not take any good photos for hairloss analysis. I have lost some of my hair photos for better overview with longer hair. I believe I am not diffuse thinning when my hair is short it clumps up ( 1 inch to like 3 inch growth) after that it start looking normal. Here is my 8ish month post-op with same light. I do have some loss in the back nothing crazy + I also had an accident where my head got split on top leaving me with bald spot as well, so I am used to folks telling me I have a bald spot since I was like 10.

Wet longer hair with on same day brush to the side

Here are my photos somewhat before my first transplant: 

different light same hair

You think I still need entire scalp? I am hella paranoid now.

[BLE123]

Some pics you look like you have a thick, dense head of hair but then others show quite extensive thinning throughout almost the entire scalp. 

[gillenator]

It seems we all have a different opinion of our estimations...based on your stated goals, I think something like 800 - 1000 grafts would make a huge visual difference and also remove the reflection of light off the thin areas...this does not include any work in the crown.