6200 FUE grafts in a single session, Is it too much? (photo)

/by William Rassman, M.D./0 /

This patient has had much of his donor hair removed and now will have a see through donor area. In addition, the arrows show that the donor area extends beyond the permanent zone into the nape of the neck. This hair will fall out where ever it is placed as he gets older. Pushing numbers of grafts is never a good idea. The depleted donor area can be treated with Scalp Micropigmentation  and that means that either his hair must be very, very short in the donor region or very long and let the Scalp Micropigmentation supply the look of fullness. The arrows at the bottom of the photo show the area of the neck that should not have been harvested to achieve the number of grafts.

depleted donor area 32

Rarely, hair transplants don’t last the life time of the patient

/by William Rassman, M.D./0 /

There is an autoimmune disease called Lichen planopilaris (LLP) which appears to be a rare inflammatory condition that results in patchy progressive permanent hair loss mainly on the scalp. From time-to-time this disease, which may be present when we perform a hair transplant and is not evident with any of the modalities available, can reactivate and could then kick out the hair that was transplanted. Some patients might have signs that LLP participated in their frontal balding, possibly overlying the genetic component of the hair loss.