Dangers of Ultra High Density of plantation in hair transplant | What is optimal density?
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- Опубликовано: 20 окт 2024
- Dr Bhatti discusses what are the limitations of high density and ultra high density while doing a hair transplant. So how much density can we logically and rationally deliver? While both maintaining the illusion and preserving the scalp donor for future use? It is common knowledge that the most a successful hair transplant can deliver, is an almost perfect illusion, but can never rival the original density Nature gave us.
Hair transplant surgeons do not perform magic. Your available grafts are finite. Ebay, Amazon and Flipkart do not sell grafts. So the limited grafts from your own door area need to be placed strategically and this is why the hairline takes many more grafts than the rest of the areas. As we go back to the crown , the number of grafts per sq cm steadily decreases.
With the donor area smaller than the size of the bald scalp in grades 5 and 6 patterns, even if we use all the scalp donor, natural density cannot be given.
We actually cannot even harvest 50% scalp donor, for fear of making it patchy due to shock loss. Each session only harvests 20% of the scalp donor till 50% of the density is depleted- after which skin would be visible even after 2-3 procedures have been done on the same person.
Hair transplants is not sorcery or black magic that the wildest wishes will come true. It is merely an illusion that is sought to be created with limited resources available. Also we need to keep in mind that future progression of baldness will need more grafts.
And when there is miniaturization of the scalp donor, it becomes more challenging.
So how much density can we logically and rationally deliver? While both maintaining the illusion and preserving the scalp donor for future use? 45-55 is the density that is optimally feasible in non-diabetics for the hairline and lesser for other areas.Try anything more and the principle called “All or none phenomenon” steps in.
Grafts subsist on blood supply. Naturally 90-110 FUs/sq cm is what nature gives us. When we injure skin by piercing it, making innumerable slits, we cut off blood supply cause scarring and shock the tissue. In this environment any huge density if given stresses the grafts which even otherwise are fighting for survival. So if we plant more than 45-55 density, the metabolic requirement will completely outstrip available limited blood supply. Most will eventually die out. Precious grafts may be lost due to cavalier attitude since biological tissues have limitations and often times, you cannot play the numbers game with them.
Occasionally, the body does give us a pleasant surprise and they do survive too. But then since grafts are limited, are we ready to take this chance?
Haste makes waste, it is said!
It is also not just the number of grafts but their viability, the invasive nature of the procedure - how much trauma it has caused, how much the incisions have injured the underlying vessels and nerves that counts towards an uneventful recovery and a great result. And an immediate postop picture speaks more than a 1000 words describing the clinic on the website’s ‘about us’ page!
If the surgery fails, the same patient who wanted high density is not going to leave any stone unturned in blaming the clinic for it.
So if you need more density, do get it if you have the resources for it in the donor area, but get it in
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This is Dr Bhatti's Darling Buds Clinic. Our RUclips channel is a destination for those researching Hair Transplant and other remedies for hair loss. We make videos to showcase our hair transplant results on the web through RUclips; all techniques available for hair transplant; and advances in the field of hair transplant are often dealt with.
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Nice to hear the bold truth coming out from u sir ! I have always wanted to.consider a transplant but like many I also had a false image of what I would look post transplant. Now I understand why even most post transplant patients don't achieve a natural density like we expect it to ..good video
The most sensible doctor I've seen here, Kudos Doc!
Thanks for watching and for being on my Channel.
Just got my first hair transplant done from him
He is top class doctor . Respect 🙏
Thanks for sharing.
@@hairtransplantinindia Kitna cost Ata h...
@@RupeshKumar-ti6st 8872238888 pictures bhejiye
great thanks， best doctor willing to explain and open the facts
Very good explanation sir
Salute you sir for being so generous with your knowledge, and thanks for sharing the knowledge.
Thank you for watching and for being on my Channel.
So doctor what is the ideal no. of grafts needed for grade 6/7? north of 6000? and do you think that number can be achieved using scalp hair, beard and chest ? given an average scalp doner has 4000-4500 grafts that can be used . Also when you say baldness progresses , does it happen in grade 6/7? because that is the last NW scale stage.
Wow, you should be an english professor... i can listen to you endlessly without feeling fatigued... God bless dr. Sahab.
Love from Kashmir ❤
Wow, thank you
Brother he edits every sentence haha, good doctor though
Great info. God bless you too Doctor.
Thanks!
Great explanation, very informative.
A couple of questions if you have the time.
How many grafts minimum, of normal thickness hair, are needed to create a great illusion of fullness on a crown?
Also assuming that a doctor is planning 45-55 grafts/cm² for some areas of the scalp, what survival percentage should I expect? (assuming he does everything right)
Qs 1- The crown will need more grafts for a 'great illusion' than hair line would due to reasons in the following video. However less is done due to reasons mentioned in the same video.
Qs 2- All should survive. This is an optimal number for virging skin.
Vido under ref.- ruclips.net/video/Wkyrmj79jKE/видео.html
Scenario: a diffuse thin with say full coverage, yet entirely dispersed see theough norwood 5 ontop…Would there be a lot of probable transections in second procedure destroying pre-existing follicles?
Cannot accurately say without assessment.
Great explanation Doc Saab! Clarified a lot of my doubts
Thanks for watching, doctor.
sir i have been following ur channel from a very long time
pls tell me which technique can offer highest density?
general fue using keep implanters?
or choi pen method(DHI)?
You can message at 8872238888 for a free* video consultation
I’m gonna start a hair loss regime with just finasteride and microneedling. Do you think that’ll be enough to regrow hair and thicken up my hairline?
This will be enough.
Doc, could you please tell if we can use beard hair grafts around 400-500 beard hair grafts to make straight hairline from widow peak to straight hairline, will it work without affecting baby hairs and appropriate blood supply to each and every single hair including baby hairs?
Beard hair never go into the line of sight along leading rows of the hairline since they are coarse, thick and wiry. Whenever used they are mixed with scalp grafts in the midscalp area alone.
@@hairtransplantinindia does that mean we can't use beard hair grafts for hairline?
@@jinkazamalightning9792 We cannot use beard grafts along the hairline
@@hairtransplantinindia thankyou so much doc
Which hair extraction device do you use & is there much difference in devices..is the dr more important than the device used?
Ofcourse the device cannot do anything without the doctor. Hair transplant does not only involve harvesting (which the device does). There are so many factors that make a successful hair transplant. Experience counts.
Greeting sir, can I use dutasteride instead of finastride.. if I can then, can I take dutasteride every day
If you are young, there is no point blocking 95% DHT. DHT has other purposes for which it is made.
Doctor does mesotheraphy..help in hair thinning...baldness grade 2...
Doctor Please Answer
No it does not in androgenetic alopecia.
Great knowledge doctor....we gets relief...
Glad to hear that. Thanks for watching.
Sir I am not bald but my hair density is too less since my birth and now my age is 19,so can I get a hair transplant to increase the density on the upper head and at what age?
At age 25 and only if you have a good donor.
What is an average of total number of graft available in the donor area?
3000 anagen grafts
Doc I had my hair transplant 6 months back and my result is awesome , I had many existing hair but after 6 months my hair fall starts again, during shampoo I can see so many hair fall , though m still taking medicine time to time what should I do?
Did the hair loss start when you stopped Finasteride after 6 months?
@@hairtransplantinindia no doc m taking once day never missed it,
@@prasadpund4176 Hair fall will continue and hair will continue to grow due to the hair cycle. You have mostly covered progression of baldness by being on OF and so you need not worry. You are doing the best you can.
@@hairtransplantinindia thanks doctor ur comments always inspire me
Why do docs recommend to take atleast 6 months brfore ht either fin or dut?
Not in all cases. Only in those who have miniaturising hairs in the donor.
What about beard, neck and body hair? Can't it be used?
We use this all the time.
Hello dr
Are you doing unshaven fue?
No I do not do it since transection rates are high. But this is what can be done-
ruclips.net/video/dddxidYdafg/видео.html
ruclips.net/video/HKafL4FP_Lo/видео.html
How close are we to find a cure for baldness? Can you make a video on it.
Pleaes watch this: ruclips.net/video/ARlH-tXtE7w/видео.html
Can i have 2 surgeries in the same receipient area to achieve the maximum density or the hair achieved in first surgery is in danger if i go for another in the same area?
2 sittings give a much higher density if done after 6 months without any danger of damage to previously implanted grafts.
Pure knowledge❤️
Thanks for watching. Good to know you liked it.
Sir I am not able to sleep due to finasteride. Does it cause insomnia?
It's due to anxiety.
70 grafts/cm2 is this possible in 2 Operations ??
Yes it is possible.
@@hairtransplantinindia also can i increase the density from 50g./cm2 to 80g./cm2 ?
@@kevinmj5002 It depends upon level of scarring if any left from previous procedure. In a properly done procedure, you can.
Great! thanks for the awareness tutorial on such topics, Impressive.
My Query: Is it compulsory to take pictures of the patient scalp or patient personally. Because like me I personally do not like if I am at patient seat ?
Patient pictures are a must for further follow up to have an objective comparison for modulating drug therapy.
@@hairtransplantinindia Ok, but is there any policy for not showing patient pictures in videos or public to maintain his privacy.
@@janethowe6370 No doctor displays pictures without patient's consent in writing.
@@hairtransplantinindia thanks for clearing a doubt & thanks for awarding us on hair care tips gbu
Sir what if the hair transplant is done twice in the same area suppose in first time the person achieved 50 grafts per cm sq can he achieve another 50 in next time or it is imposiible to do so
One just cannot rival God's creation. Anythinf less than that is doable. Say 55-70 per square cm. Also this will significantly deplete your donor area which is limited.
Doctor sahab plees.give your own clinic address and per cost graft kitna .hai ..
Pleaes send me pictures at 8872238888. We shall give you the exact costing for the grafts needed.
Ocean of knowledge ❤️
Thanks for the kind words.
Dr I had a hair transplant of around 3800 grafts to cover my front area and a bit crown in some clinic.. I have had decent growth by now but I see some hairs have grown while others are still baby hairs which can be seen under bright light or when pouring water on it n when I touch I can feel too.. the thing that makes me feel better is that they have already popped out but still baby what's the reason behind it ? Is it because of hairfall n the hair goes under new cycle or prp is needed to boast growth.. bdw I take minoxidil n finasteride
How much time has elapsed since the hair transplant?
@@hairtransplantinindia it's been 5 n half months
@@hairtransplantinindia it's been 5 n half months
@@yashkeshani9940 There is still a lot of time for growth. Do not stop oal Finasteride.
@@hairtransplantinindia okay thankyou dr and I also see lots of hair coming out but they are very very thin like they cant give you a desirable density, will the hair texture change with time?
Sir great explanation 👍👍
Thanks
Doc your English is grate
Thanks for your comment.
i dont get why density even matters, only 1 girl is is going to run her hands through your hair and she isnt going to leave you for having "low density".
So true!😊
When you speak it always sounds like poetry…
That's so nice of you!
Can long term use of finasteride result in finasteride accumulation or finasteride presence in sperm?
It lasts for 60 days after cessation of the medication.
We freaking need hair cloning now!!!
Ofcourse!
If your a norwood 3 you can have 55 grafts per square cm and restore full density without the illusion
Yes that is possible if you're not too young and it's still not known how far the baldness will progress.
Good
Thanks!
👍👍
Thanks
Life of hair transplant hair
Depends....
5.06 I'd say hope means finasteride. The greatest creation human ever made.
I agree. But in the right person.
shame you deleted the comment
Which