» I remember that you said once that you do not like to go back into an area
» twice. Has this changed at all due to current techniques?
Its true I prefer to complete transplanting one area of the scalp, before doing the other.
However, in a suitable patient, who understands all the implications and has formed a viable plan for his hair restoration, I give equal weightage to the patient’s choice. After all, its the patient who is going to fit the hair transplant into his life.
Reasons for going one area at a time :
- Finishing the transplant for one area means that we do not need to buzz the transplanted hair again to thicken them.
- When areas involved are huge, transplanting at a very low density is not going to do much improvement. In fact, it can be counterproductive in certain instances. Why?! To understand that we have to understand the difference between natural thinning and a thinly transplanted bald scalp.
A naturally thinning scalp, (lets say crown area), contains a mix of some terminal, thick calibre hair with a lot of fine vellus hair.
Contrast this with a crown containing all transplanted, thick calibre hair. Now, as long as one transplants till, in my experience, as low as 25 to 30 FU grafts/ sq cm, its still possible to pull off a thin but natural look. In most hair types that is.
The moment you go below 20 FU grafts/sq cm, (and the area is not hidden by surrounding hair growth), the terminal, thick calibre hair will stand out. More so in case of straight, dark colored, thick calibre hair. Those with thin calibre, light colored and/or curly hair may just about manage to pass casual scrutiny at this density.
This has to be kept in mind when planning multistage low density sessions.
Please let me know if you have any queries on this subject, because this is, in my opinion, a very important aspect.