How many hairs do I need?
This is one of the most frequently asked questions by possible hair transplant candidates. To answer this question we must take into consideration several aspects: Be realistic in the work that can be carried out: And transmit this to the patient as it is the surgeons job to know, based on experience, what will the patients future appearance be like. For example, a person who is extremely bald (Norwood 6 or 7) and with fine hair will never hope to have a transplant with any level of density. If these facts are not made known to the patient beforehand then dissatisfaction afterwards will be unavoidable. When someone has lost 65 - 75% of their hair (the normal loss for Norwood 6 or 7 patients), a part of the bald area could be covered with a good enough pattern which would surely improve the patient's appearance. If we were to try to achieve the original density, there would not be enough hair in the donor area to complete the process. Evaluate the hair-loss The donor area and the characteristics of the hair, Working with realistic expectations, the total number of implants which are required for each patient will depend on the contrast in colour between the hair and the scalp, the density of the donor area, the laxity of the scalp, the number of hairs per follicular unit and the type of hair (colour, texture, thickness…etc). The surgeon considers these factors and combines them with the patients' expectations and calculates the amount of work required. Still though, at time it is very hard to know if the patient will be satisfied. Bear in mind the patients age and the possible evolution of alopecia after the operation: this has already been discussed. Consider if one transplant alone is sufficient or if we need to plan several consecutive sessions. The FUE technique is usually carried out over several days as the extracting of the F.U.´s is slower than other methods. And finally to bear in mind the total mid- to long-term costs for the patient. Medical incompetence is more common than is actually recognized. The error of the professional who offers unrealistic expectations always leads to a dissatisfied patient. And this can only be avoided with very clear explanations of the entire procedure and with particular emphasis on determining the results which the patient can hope to receive. A man who is used to his baldness will be easier to keep happy and will accept a less than complete result as opposed to a younger man who is beginning to lose his hair and still remembers the days when he looked in the mirror at a full and gleaming head of hair. The younger patient will always want a front hairline similar to his youth and will be unhappy with anything less. Given that the surgery is permanent, the surgeon should consider carefully a hair pattern that is appropriate for rest of the patient's life. The surgeon should also bear in mind the hair remaining the in the donor zone. It is due to these reasons that we consider some younger patients to be unsuitable candidates for a hair transplant. A mature patient with considerable hair-loss will be much happier than before with a restored frontal hairline and a modest amount of hair covering his head for the first time in years. That said, the great majority of patients that we consult lie between these two extremes and it is here that the professional must carefully instruct and educate the patient so that he understands the goals we can achieve and the efficiency of the process. If we take into account human psychology, the dynamics of hair and practical experience, it is not always wise to recommend a specific number of implants as if this were a definitive and absolute amount. The amount is orientative and if possible above what is reasonable and safe to carry out. It should also always be decided based on the five guidelines mentioned above. The goal of the hair transplant professional is to help the patient understand how close he can get to resolving his needs and personal expectations, how much the entire process will cost and how many sessions he may need. With the right approach, patient satisfaction is easy to achieve. It is important to bear in mind that the number of hairs to be transplanted reflects an estimated amount of the total hair that can be transplanted and is applicable to each alopecia sufferer individually. The amount of hair that can be transplanted depends on the five guidelines above and the experience and skill of the surgeon. The impact of a transplant depends on the area being transplanted and the number of implants used. However, it is still useful that the patient has at least some idea of the number required in the initial and subsequent procedures.  
C   Injerto capilar
Paseo de la chopera, 66  Alcobendas - Madrid
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From 800 Ufs From 1000 Ufs From 1500 Ufs From 2000 Ufs From 2500 Ufs From 3000 Ufs From 3500 Ufs From 4000 Ufs From 5000 Ufs From 6000 Ufs From 8000 Ufs F.U.īs approximately for a density of 30 to 40 F.U.īs per cm2. Greater densities can be achieved in procedures of "dense packing"
Dr. José Lorenzo - Dra. Ximena Vila
Advanced Hair Transplant Clinic PIONEERS IN SPAIN Year 2003 FUE TECHNIQUE