How many grafts do I need for an ideal hair transplant?

Before anything, the pattern of hair loss must be determined prior to any hair restoration procedure.

If hair loss is at the initial stages or the person still suffers serious loss of hair, additional corrective surgery may be required in the future, which means extra costs for the patient.

If the patient insists on hair transplant at this stage, the results will be unsatisfactory, because the hair loss will continue in different regions of the head.

Therefore, if the hair loss has not stabilized, the patient should avoid a hair transplant for some time, and the clinic should warn the patient about additional future costs in case of a corrective procedure.

The important points about the ideal number of grafts:

– To achieve a natural appearance, the graft to be transplanted per cm2 should not go below a certain number.

20 to 30 grafts per cm2 are ideal for optimal efficiency. The ideal number also depends on the following factors:

  • Your expectations regarding the density of your hair
  • Desired appearance of hair
  • Efficiency of your donor site

Considering these factors, a middle ground should be reached between the possibilities and expectations, and the number of grafts should be decided accordingly.

  1. The donor region should be used wisely for any future possibilities, because extracting too many grafts from this area will cause serious thinning here and it cannot be restored to its original state.
  2. If the patient prefers a denser appearance and if the donor site is suitable, the number of grafts can be increased to achieve the desired results.
  3. If the hair loss is categorized as stage 6 or 7 based on the Norwood Hamilton Scale and the donor site yields low-density grafts, the results will be far from ideal.
  4. Therefore, such people should be well informed by the doctor so that they should not expect miracles.
  5. As DK Klinik Hair Transplant Unit, we avoid transplanting more than 2500-3000 grafts in a single session.
    We have the technical capacity to do more, but if we need to transplant more grafts, we discuss in detail about the drawbacks and benefits of such a course with the patient.
  6. The patient’s budget is also an important factor in determining the number of grafts. If you need to get 2500 grafts to achieve a good result but your budget allows only 1000 grafts, then you will not be satisfied with the outcome.

In such cases, we recommend you to save up for a little longer until you can afford a satisfactory number of grafts so that we can promise good results.

For us, hair transplant is all about using the donor site wisely, planning ahead for the future, and obtaining maximum gain with the material at hand.

The real art is achieving optimal gain with little material.

Important Facts

According to the 50% rule generally accepted in the hair transplant literature, by the time you notice signs of balding under the light, you have already lost 50% of your hair density.

In other words, most people do not notice hair loss until they lose 50 percent of their hair. This means that while you had 60 hair strands per cm2 in the past, this has reduced to 30 hair strands per cm2, which makes your hair loss visible.

Another factor that determines the number of grafts is the characteristic features of your hair.

If you have thick hair or curly hair, fewer grafts can achieve an improved appearance. But if your hair strands are weak and thin, then you will need a higher number of grafts for a better results.

On average, the donor site yields around 6000 grafts suitable for transplanting.

According to the Norwood-Hamilton Scale, if the hair loss is at stage 5, the affected area should be around 200 cm2.

In that case, 6,000 grafts are harvested and transplanted to the recipient areas by applying 30 grafts per cm2 in order to get the best results. The patient’s preferences and expectations play a key role here, so the following questions are asked.

Should we use all grafts in an equal fashion by transplanting 30 grafts per cm2 to all areas of hair loss or should we use more grafts (e.g. 40 grafts per cm2) in the frontal areas of the head and fewer on the top of the head?

At this point, the doctor should note your expectations and plan a hair transplant in accordance with your demands.

From our own experience with hundreds of patients, we can say that transplanting a higher number of grafts to frontal areas of the head produces the most natural-looking appearance.