Through a hair transplant hair is moved to cover bare areas on the head. This is most commonly done at the coves or at the crown of the head. It can sometimes also be bigger areas over the entire head that needs to be covered. The hair is always collected from the neck and in some cases, it can also be collected from the chest.
Crown + Temples
There is no right or wrong when it comes to the hairline. You can always say what is a “normal and natural hairline” but it is up to each patient to choose how they want their hair.
A male hairline often has light curves in by the bays or is slightly “boxier”. How deep you want the bays to go often correlates to one’s age as a natural hair lines often develops deeper bays over time.
A female hairline is often straighter or round to create a softer, more feminine shape of the face. The female hairline does not typically change as much with age as for men, but often stays the same or recedes just a little bit.
A graft is a group of follicles. When you look at the hair you can see that there can be two, or even three or four hairs growing from the same spot – each of those groups are called a graft and it can also just be one single hair. On the right you can see an example of one graft with two hairs and one graft with four hairs.
If you have many hairs in each graft your hair will be thicker. Middle eastern men often have more hairs in each graft than for example Scandinavian men. That being said, a hair transplant of 2000 can vary in looks as a person can have thicker hair with multiple hairs in each graft.
Muscle attachments needs to be taken into consideration when choosing where to place the new hairline. By lifting the eyebrows, you can see how high your muscles go, try it in the mirror and see how high yours go.
When you do a hair transplant you can, from an aesthetic standpoint, not place the hairline by the highest muscle attachments. There are therefore limitations related to how low you can place your hairline. Even though it from a visual standpoint can look good to place the hairline relatively low it may not be possible.
For a hair transplant you are required to shave the donor sites where the grafts are collected. The size of the area that needs to be shaved depends on the size of the transplant that is being done. Men often chose to shave their heads of all hair in connection to the transplant. The reason being that it creates a smaller contrast between the lengths of the hairs, and as the procedure does not show as much – or maybe they just changed their hairstyle. They then let the hair grow out nicely together with the new transplanted hair.
Also women are required to shave to donor sites where the grafts are collected. For female transplants it is often a bit more visually sensitive to shave larger areas – therefore it is rare to do transplants of over 2000 grafts. In those cases where the women agree to shave a large area that will show there are obviously no medical limitations to shave as much as for men. Typically when doing a female hair transplant, one or two square are shaved at the neck to be able to let the hair down and cover the shaved area (picture above).
Donor sites, also called donation area, are those areas where grafts are collected to be moved to the new area. In most cases the most common donor site is at the neck, but in some cases it can also be collected from the chest.
The reason hair is taken from the neck only (that reaches forward to the level of the ears) is because that hair is genetically coded to not fall off – and therefore the transplant is a permanent solution.
The donor site plays a big role in what conditions you have for a hair transplant. There are possibilities to do a big and possible multiple transplants if you have thick hair while someone with very thin and weak hair at the neck has smaller opportunities to transplant.
In some cases the chest is used as a donor site and is then done in combination with the neck as it does not have exactly the same structure and needs to be mixed.
There are for medical reasons limitations to how large of a hair transplant should be done during the same procedure as for example the survival grade on grafts will be worse if the procedure is prolonged. In addition to the medical reasons it is also hard for the patient to sit for over 7-8 hours. Here at our clinic we for the most part complete no more than 4 000 grafts, which can take up to 8 hours depending on how difficult the skin is to manage and if the patient wants to take multiple breaks etc.
It is practically possible to complete larger hair transplants, but it is not something we recommend.
The size of a procedure that can be done on man is often depending of the quality of the donor site. Some has larger areas with good grafts while others have smaller. This is a judgement call that we do here at the clinic when we go over the conditions. In some cases men has lost so much hair at the same time as they have an incredibly good donor site. In these cases we perform a max procedure of 3 500 or more and then we plan a second hair transplant a minimum of 6 months later for cover the rest.
A max procedure for women is often limited for visual reasons, as most women want to be able to cover the shaved area. To be on the safe side we typically do not do transplants of over 2 000 grafts in those cases. Aside from this there are no medical differences when it comes to max procedures for men and women.