Dangers of Ultra High Density of plantation in hair transplant | What is optimal density?
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 KZread 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 KZread; all techniques available for hair transplant; and advances in the field of hair transplant are often dealt with.
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Пікірлер: 123
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
Just got my first hair transplant done from him He is top class doctor . Respect 🙏
@hairtransplantinindia
11 ай бұрын
Thanks for sharing.
@RupeshKumar-ti6st
11 ай бұрын
@@hairtransplantinindia Kitna cost Ata h...
@hairtransplantinindia
11 ай бұрын
@@RupeshKumar-ti6st 8872238888 pictures bhejiye
The most sensible doctor I've seen here, Kudos Doc!
@hairtransplantinindia
2 жыл бұрын
Thanks for watching and for being on my Channel.
great thanks， best doctor willing to explain and open the facts
Salute you sir for being so generous with your knowledge, and thanks for sharing the knowledge.
@hairtransplantinindia
2 жыл бұрын
Thank you for watching and for being on my Channel.
Great info. God bless you too Doctor.
@hairtransplantinindia
2 жыл бұрын
Thanks!
Great explanation Doc Saab! Clarified a lot of my doubts
@hairtransplantinindia
2 жыл бұрын
Thanks for watching, doctor.
Very good explanation sir
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.
Pure knowledge❤️
@hairtransplantinindia
2 жыл бұрын
Thanks for watching. Good to know you liked it.
Sir great explanation 👍👍
@hairtransplantinindia
2 жыл бұрын
Thanks
Ocean of knowledge ❤️
@hairtransplantinindia
2 жыл бұрын
Thanks for the kind words.
Wow, you should be an english professor... i can listen to you endlessly without feeling fatigued... God bless dr. Sahab. Love from Kashmir ❤
@hairtransplantinindia
2 жыл бұрын
Wow, thank you
@bobmarley9712
2 жыл бұрын
Brother he edits every sentence haha, good doctor though
Great knowledge doctor....we gets relief...
@hairtransplantinindia
2 жыл бұрын
Glad to hear that. Thanks for watching.
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?
@hairtransplantinindia
2 ай бұрын
Cannot accurately say without assessment.
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)
@hairtransplantinindia
2 жыл бұрын
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.- kzread.info/dash/bejne/iZ-t1M-jZ5zQe6g.html
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?
@hairtransplantinindia
2 жыл бұрын
This will be enough.
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)?
@hairtransplantinindia
Жыл бұрын
You can message at 8872238888 for a free* video consultation
Which hair extraction device do you use & is there much difference in devices..is the dr more important than the device used?
@hairtransplantinindia
2 жыл бұрын
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.
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?
@hairtransplantinindia
2 жыл бұрын
2 sittings give a much higher density if done after 6 months without any danger of damage to previously implanted grafts.
Greeting sir, can I use dutasteride instead of finastride.. if I can then, can I take dutasteride every day
@hairtransplantinindia
2 жыл бұрын
If you are young, there is no point blocking 95% DHT. DHT has other purposes for which it is made.
Good
@hairtransplantinindia
2 жыл бұрын
Thanks!
What is an average of total number of graft available in the donor area?
@hairtransplantinindia
2 жыл бұрын
3000 anagen grafts
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?
@hairtransplantinindia
7 ай бұрын
At age 25 and only if you have a good donor.
Why do docs recommend to take atleast 6 months brfore ht either fin or dut?
@hairtransplantinindia
2 жыл бұрын
Not in all cases. Only in those who have miniaturising hairs in the donor.
How close are we to find a cure for baldness? Can you make a video on it.
@hairtransplantinindia
2 жыл бұрын
Pleaes watch this: kzread.info/dash/bejne/c4agqo-tiNerZ9o.html
Doctor does mesotheraphy..help in hair thinning...baldness grade 2...
@ZakarieMFiile
2 жыл бұрын
Doctor Please Answer
@hairtransplantinindia
2 жыл бұрын
No it does not in androgenetic alopecia.
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?
@hairtransplantinindia
2 жыл бұрын
Did the hair loss start when you stopped Finasteride after 6 months?
@prasadpund4176
2 жыл бұрын
@@hairtransplantinindia no doc m taking once day never missed it,
@hairtransplantinindia
2 жыл бұрын
@@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.
@prasadpund4176
2 жыл бұрын
@@hairtransplantinindia thanks doctor ur comments always inspire me
Doc your English is grate
@hairtransplantinindia
2 жыл бұрын
Thanks for your comment.
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?
@hairtransplantinindia
Жыл бұрын
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.
@jinkazamalightning9792
Жыл бұрын
@@hairtransplantinindia does that mean we can't use beard hair grafts for hairline?
@hairtransplantinindia
Жыл бұрын
@@jinkazamalightning9792 We cannot use beard grafts along the hairline
@jinkazamalightning9792
Жыл бұрын
@@hairtransplantinindia thankyou so much doc
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
@hairtransplantinindia
2 жыл бұрын
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.
What about beard, neck and body hair? Can't it be used?
@hairtransplantinindia
2 жыл бұрын
We use this all the time.
👍👍
@hairtransplantinindia
2 жыл бұрын
Thanks
Hello dr Are you doing unshaven fue?
@hairtransplantinindia
2 жыл бұрын
No I do not do it since transection rates are high. But this is what can be done- kzread.info/dash/bejne/lpiY2sudicfHlso.html kzread.info/dash/bejne/en-VyK5tdrPFfNI.html
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
@hairtransplantinindia
2 жыл бұрын
How much time has elapsed since the hair transplant?
@yashkeshani9940
2 жыл бұрын
@@hairtransplantinindia it's been 5 n half months
@yashkeshani9940
2 жыл бұрын
@@hairtransplantinindia it's been 5 n half months
@hairtransplantinindia
2 жыл бұрын
@@yashkeshani9940 There is still a lot of time for growth. Do not stop oal Finasteride.
@yashkeshani9940
2 жыл бұрын
@@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?
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 ?
@hairtransplantinindia
2 жыл бұрын
Patient pictures are a must for further follow up to have an objective comparison for modulating drug therapy.
@janethowe6370
2 жыл бұрын
@@hairtransplantinindia Ok, but is there any policy for not showing patient pictures in videos or public to maintain his privacy.
@hairtransplantinindia
2 жыл бұрын
@@janethowe6370 No doctor displays pictures without patient's consent in writing.
@janethowe6370
2 жыл бұрын
@@hairtransplantinindia thanks for clearing a doubt & thanks for awarding us on hair care tips gbu
70 grafts/cm2 is this possible in 2 Operations ??
@hairtransplantinindia
2 жыл бұрын
Yes it is possible.
@kevinmj5002
2 жыл бұрын
@@hairtransplantinindia also can i increase the density from 50g./cm2 to 80g./cm2 ?
@hairtransplantinindia
2 жыл бұрын
@@kevinmj5002 It depends upon level of scarring if any left from previous procedure. In a properly done procedure, you can.
Doctor sahab plees.give your own clinic address and per cost graft kitna .hai ..
@hairtransplantinindia
2 жыл бұрын
Pleaes send me pictures at 8872238888. We shall give you the exact costing for the grafts needed.
Can long term use of finasteride result in finasteride accumulation or finasteride presence in sperm?
@hairtransplantinindia
2 жыл бұрын
It lasts for 60 days after cessation of the medication.
Sir I am not able to sleep due to finasteride. Does it cause insomnia?
@hairtransplantinindia
10 ай бұрын
It's due to anxiety.
If your a norwood 3 you can have 55 grafts per square cm and restore full density without the illusion
@hairtransplantinindia
2 ай бұрын
Yes that is possible if you're not too young and it's still not known how far the baldness will progress.
We freaking need hair cloning now!!!
@hairtransplantinindia
Жыл бұрын
Ofcourse!
5.06 I'd say hope means finasteride. The greatest creation human ever made.
@hairtransplantinindia
2 жыл бұрын
I agree. But in the right person.
Life of hair transplant hair
@hairtransplantinindia
2 жыл бұрын
Depends....
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".
@hairtransplantinindia
2 жыл бұрын
So true!😊
shame you deleted the comment
@bobmarley9712
2 жыл бұрын
Which