Jump to content

The Crown is No Longer a Black Hole For Grafts- Dr. Wong


Recommended Posts

  • Administrators

 

  • Like 4


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.

 

Link to comment
Share on other sites

  • Moderators

I never understood why so many people think the crown is a black hole. Most people will agree that the front half on a NW 6 would take around 4500 grafts, depending on the person's hair characteristics. Why would they not realize that the same size area in the back half of the head would need the same amount of grafts to get the same density and coverage? Less grafts are done in the crown because most people don't have 9000 or more grafts that they can use, so you have to leave some areas with less density. It makes sense in most cases to have the frontal half more dense than the back half because that creates the best overall appearance when you don't have an unlimited amount of grafts to use.

Here's what I mean. Here's a NW 6 head.

1558741499_ScreenShot1.png.dc7aac69d8a5e81e55dc2ed5592e9620.png

 

So if it takes 4500 grafts to fill in the front half at a reasonable density that provides acceptable coverage, then why wouldn't the back half be the same?

 

669040075_ScreenShot2.png.7a6b028a3bb2e7bb7f9a04f7c32cdcb5.png

 

You can flip the oval around and it's the same either way, but somehow most people assume the crown should only need half or even less than half of what the front needs. That thinking never made any sense to me. Again, obviously we have to try to use as little grafts as possible in the crown in order to use them in the front where they provide a better visual improvement, but that doesn't somehow make the crown a "black hole" for grafts.

 

Edited by BeHappy

Al

Forum Moderator

(formerly BeHappy)

I am a forum moderator for hairrestorationnetwork.com. I am not a Dr. and I do not work for any particular Dr. My opinions are my own and may not reflect the opinions of other moderators or the owner of this site. I am also a hair transplant patient and repair patient. You can view some of my repair journey here.

Link to comment
Share on other sites

  • Administrators
5 hours ago, BeHappy said:

I never understood why so many people think the crown is a black hole. Most people will agree that the front half on a NW 6 would take around 4500 grafts, depending on the person's hair characteristics. Why would they not realize that the same size area in the back half of the head would need the same amount of grafts to get the same density and coverage? Less grafts are done in the crown because most people don't have 9000 or more grafts that they can use, so you have to leave some areas with less density. It makes sense in most cases to have the frontal half more dense than the back half because that creates the best overall appearance when you don't have an unlimited amount of grafts to use.

Here's what I mean. Here's a NW 6 head.

1558741499_ScreenShot1.png.dc7aac69d8a5e81e55dc2ed5592e9620.png

 

So if it takes 4500 grafts to fill in the front half at a reasonable density that provides acceptable coverage, then why wouldn't the back half be the same?

 

669040075_ScreenShot2.png.7a6b028a3bb2e7bb7f9a04f7c32cdcb5.png

 

You can flip the oval around and it's the same either way, but somehow most people assume the crown should only need half or even less than half of what the front needs. That thinking never made any sense to me. Again, obviously we have to try to use as little grafts as possible in the crown in order to use them in the front where they provide a better visual improvement, but that doesn't somehow make the crown a "black hole" for grafts.

 

Great post, I agree for most head shapes and sizes 9,000 grafts is enough, but very few can reach these numbers. Especially if you get FUE only, with FUE alone you can probably extract 6,000 grafts at most from the average person. 


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.

 

Link to comment
Share on other sites

  • Senior Member
5 hours ago, BeHappy said:

I never understood why so many people think the crown is a black hole. Most people will agree that the front half on a NW 6 would take around 4500 grafts, depending on the person's hair characteristics. Why would they not realize that the same size area in the back half of the head would need the same amount of grafts to get the same density and coverage? Less grafts are done in the crown because most people don't have 9000 or more grafts that they can use, so you have to leave some areas with less density. It makes sense in most cases to have the frontal half more dense than the back half because that creates the best overall appearance when you don't have an unlimited amount of grafts to use.

Here's what I mean. Here's a NW 6 head.

1558741499_ScreenShot1.png.dc7aac69d8a5e81e55dc2ed5592e9620.png

 

So if it takes 4500 grafts to fill in the front half at a reasonable density that provides acceptable coverage, then why wouldn't the back half be the same?

 

669040075_ScreenShot2.png.7a6b028a3bb2e7bb7f9a04f7c32cdcb5.png

 

You can flip the oval around and it's the same either way, but somehow most people assume the crown should only need half or even less than half of what the front needs. That thinking never made any sense to me. Again, obviously we have to try to use as little grafts as possible in the crown in order to use them in the front where they provide a better visual improvement, but that doesn't somehow make the crown a "black hole" for grafts.

 

I think it's to do with the shape of the back half of the head, due to the curved nature of our skulls in this region, the cm2 of the surface area is actually a lot greater than what it appears to be. 

Regardless, all positive that modern day hair transplantation is utilising grafts much more effectively, and efficiently. 

I always try to make the point that, people often get too hung up with finding 'the cure' . . however, sometimes improving and perfecting what we already have, is going to be just as good, if not better for some. Look at how far we have come from transplants that were being carried out 10 years ago - they are only going to get better and better. 

Link to comment
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now
×
×
  • Create New...