Design and Planning
The experience of the doctor and the aesthetic point of view, are the most important aspects for a correct planning of the intervention.
The cosmetic surgeon plans the details of the process, such as the optimal number of grafts to be taken, the density and how to transplant them
Important points in the planning of the capillary graft
- Calculation of the optimal number of grafts in a single operation, according to the needs of the patient.
- The study of the donor area.
- The design and elaboration of the frontal line for natural result.
- The calculation of the density of micrografts to clocar.
The planning of the optimum number of grafts depends on
- The size of the donor area.
- The density of the hair in the donor area.
- The size of the receiving area.
- Hair loss or total decrease in the receiving area.
An adult man has approximately 100,000 hair follicles (between 80,000 and 120,000). The total area with hair is 500 square cm on average and there are 200 hair follicles in each square cm.
If the hair follicles are long and thick, a human eye can perceive hair density at 30% as well as 100%. So this means that in order to have a natural-looking result, approximately 60-80 hair follicles are sufficient for 1 square cm.
For an area with total hair loss, 25-30 micrografts are sufficient for the desired density of 1 square cm.
Even in situations of severe hair loss such as type (6 and 7), approximately 6,000 grafts can be removed in 2 or 3 sessions. With what you would get a sufficient amount for the result to be natural.
The design and planning of the front line
The design of the frontal line is one of the most important points so that the hair transplant has a natural result.
Patient photos taken before hair loss can be very useful for re-designing your frontal line as you had previously.
Points to consider in the design of the frontal line: (more severe cases)
- There are differences between the skin where the hair grows and the skin of the forehead in terms of color and thickness.
- While the skin of the forehead moves when the eyebrows are moved, the front line does not move.
- The midpoint of the frontal hairline is generally 8 cm above the upper limit of the eyebrows.
- The front implantation line can be designed as a triangle, oval or straight, according to the patient’s request and the aesthetic surgeon’s criteria.
For severe cases, such as type (6 and 7), in which the donor area is limited, the recipient area can be reduced in order to have a more dense and natural appearance. Thus the front implantation line can be placed a little higher than normal.
The front implantation line should never be designed in an artificial way.
For a natural look, the front hairline should have a good graft density. Grafts containing 1 hair are reserved for the first line , because this makes the result natural.