Hair Transplant Blog

I have read that the doctors use different kind of tools to make the recepient sites for the grafts. How does it work? How can it have an influence on the results of the hair transplant?

These tools can be classified in two categories: sharp medical instruments, or needles. As far as I am concerned, I decided to adopt Dr Hasson and Dr Wong’s system of little pieces of custom-made rasor blades cutted using a mini-shear. The advantage are that you can adjust them and they are very sharp. Moreover, they can be cutted on beveled edge and this helps to limit at lot the agression of the deep parts of the skin. I usually use three different sizes in order to make a very precise work throught the existant hair. I do not use needles because they cannot give me the opportunity to limit the depth of the recepient sites. Furthermore, they lacerate the skin tissues particularly when they are used to make hundreds of recepient sites (they can be used once). I believe that the quality of the tools can influence the result of the transplant: for the quality of the regrow and to make the surgery undetectable.

I would like to know your opinion about the density of incisions. I have read that some doctors can reach 90 grafts per cm². Is it possible? Is it reasonable?

This is a very interesting question. There are two important limits for the density of the recepient sites. First, if you go over the number of 35 or 40 recepient sites per cm² there is a risk of bad regrow. There is also very often the risk that the grafts collapse because the density is not reasonnable. Second, the patients who asked for a high density forget that the number of grafts, even if it is an important number, must be spread on a surface big enough to make a satisfying result. If we increase too much the density, the surface to cover will decrease. It is better to think about it in this way. What is the best way to spread in density and on the surface the number of grafts reached? The key to obtain a good hair transplant is more the distribution’s strategy then the quest for maximal density.