Donor density variation & Efficient donor harvesting

[chiaHead]

» It really depends on how far the patients is willing to thin out.
» We have a NW6 patient in a couple of weeks that went to a Turkisch clinic
» and received 2500 grafts over a 5 day period.
» During his consultation with us he said he wanted 3000 grafts more and
» nothing less. We explained that it would thin out his donor area quite a
» bit.
» However he answered that this was exactly his goal. He ultimate goal is
» to have a donor density that matches his implant area so that there is
» little contrast.
» So here we have a patient, a full blown nw6 who will receive about 5500
» grafts with FUE alone.

This seems logical to me to have the donor area match the implant area. Why isn’t this done more often?

[mwinston]

» » Hi James bond,
» » I dont know if you understand Dutch. But if you do you should sign up
» to
» » the Dutch forum haarweb. This forum and its members have come to the
» » conclussion that there is no proof for dr. G stemcell practice. In
» fact
» » some of his patient have already reported no donor regrowth, instead
» donor
» » thinning.
»
» Beverotti and CIT:
»
» I always wonder on what is the maximum number of grafts available with a
» NW 6 patient for FUE? (consider an average donor density)…

Hi 2sar,

We can harvest about 6000 grafts on a typical NW 6. The important fact to remember is that our clinic typically transplants less grafts per procedure than many other clinics. We average 2.9 hairs per harvested follicular unit. That said, we maximize the coverage value of each transplanted graft and leave the donor area plentiful in consideration of any future loss. Each patient naturally has a finite amount of donor supply that varies from donor area to donor area. We perform CIT farming to replete the donor area of patients with advanced degrees of hair loss. The farming is subject to the same limitations of body hair transplantation. The caliber and characteristics of transplanted body hair can change over time. The growth of the body hair cannot be predictable from one patient to the next.

[nwone]

» I noticed that this is almost like a bell curve, the density is low on
» either end (near the left/right ear) and around the middle is where the
» density is higher, this may be the same for everyone.

Hmm… What do you think a donor area looks like under good magnification?

[mwinston]

» » I noticed that this is almost like a bell curve, the density is low on
» » either end (near the left/right ear) and around the middle is where the
» » density is higher, this may be the same for everyone.
»
» Hmm… What do you think a donor area looks like under good
» magnification?

Nwone,

Here’s a microscope photo of a patient’s donor area under magnification. You can see that the donor area has many large follicular units. This donor area has approximately 212 hairs per square centimeter with 180 being about the average. We now harvest 2.9 hairs per follicular unit. The average with strip surgery is 2.0 hairs per follicular unit. In CIT, the extracted grafts are harvested and placed intact into the recipeint area.

[mwinston]

» Here’s a thought, what if the difference is due to the patient having
» telogen effluvium in certain areas?

There isn’t too much you can do in a case of telogen effluvium. The hair will more than likely regrow after time but the usage of anagen stimulators should help.

My advice is not medical advice