Is a 4000 graft FUE procedure too much for this patient’s donor area?

The FUE Megasession seems to be more and more common lately and will lead to depleted donor area hair enough to produce balding. Newer doctors n the field seem to be offering larger FUE sessions once they think that they have mastered the FUE. It has become a marketing tool as many doctors from around the world (Turkey, India, Iran) are now routinely performing 3000-6000 FUE graft procedures at low prices. Large session FUEs is a way to control this expanding market for their services. The questions you as a consumer should ask:

1- Will the patient be bald in the back of his head due to large number of FUE grafts and what can go wrong?

2- What is the risk of necrosis in the donor area?

3- What does this do for the future needs of the patient who continues to bald?

Most of the patients who have these large procedures (3000-6000 graft FUE procedures) will develop a see-through donor area and many of them will become, frankly, almost bald in the back of the head. The risks of scalp necrosis is high when grafts are extracted that are too close to each other. I just published an article in the HAIR TRANSPLANT FORUM that addresses these issues. People of Asian, African or middle eastern decent are at greater risk for the above listed problems (because of their lower hair densities in the donor area) than Northern Europeans. I have written this post as a warning to my readership that everything you read about Large FUE Sessions is fraught with problems.  See the following posts that show some of these problems:

• https://baldingblog.com/2016/12/13/fue-forms-punctate-small-scars-100-time-sometimes-scars-large/
• https://baldingblog.com/2017/05/12/4000-fue-grafts-now-balding-back-head/
• https://baldingblog.com/2017/05/09/picture-depleted-donor-area-fue/

I also showed the recipient area. Note that the grafts have a wavy line pattern, like soldiers lined up in an empty field. This can be seen when the hair grows out in people with a strong hair character. An artist knows that hair grafts are naturally randomly distributed throughout the scalp without any pattern. Only doctors or inexperienced technicians make patterns in the recipient area.