Also, I’m strongly considering wearing my hair
» shorter and noticed you (and every other clinic) leave a wreath at top and
» front sides of hair at original density. Is the reasoning behind this so
» that hair that at a later date might bald not be transplanted? OR That
» hair can grow out longer and provide coverage?
» It would seem that for a shorter hair cut, it would be better to keep the
» density closer to the same as it might look slightly odd being thicker
» just at the official wreath. I think I have seen this done a couple times
» at consumer’s request.
» It would accomplish 2 things:
» 1) give additional donor source (albeit small number of grafts)
» 2) provide less of a contrast between balding areas and wreath
I understand what you are talking about.
The idea being to depixelize the denser areas and repixelize the thin/empty areas to create a uniform appearance.
You are correct that most of the times a wreath is left near the upper margin of the scalp donor area.
The reason is that this hair falls outside the safe donor area and may be lost. Happens in some people.
That will lead to a situation where the hair transplanted from this area may thin and even be eventually lost.
However, there are instances when we have used this hair.
In Hairytale’s HT, the exact same thing was discussed.
The upper zone was also thinned, after due deliberation.
This was because Hairytale’s aim was to be able to keep his hair buzz cut (with almost even density throughout). A zone of very high density in between the transplanted and donor would be distracting.
In my experience, if the patient is willing to use this hair knowing the potential chance of losing it, there are ways of using it.
This hair has to be placed at strategic pre programmed locations.
Use these hair to fill in, for example, the temple recessions or the swirl.
That way, even if this hair is lost years later, it will look as if the temples have receded (or crown has thinned) with passage of time.