View Full Version : Don't skimp on graft counts, particularly in the crown. Dr. Lindsey McLean VA

Dr. Lindsey
10-26-2015, 05:48 AM
I routinely tell patients that hair is like money and companionship with the sex of your choice....its hard to have too much. Certainly in the front, lots of singles are needed followed by doubles and triples to effectively camouflage hairloss. In the crown, its even harder to camouflage hairloss due to the way that hair naturally splays out from the center. Even kids with no hairloss have thinner appearing crowns than the rest of their heads. Thus, I usually recommend larger cases, particularly for the crown and even then, I've almost never had someone come back and say it was too thick. In the crown rather I tell folks we can usually make a nice significant change, but in baseball terms we'll get to about the shortstop...not a homerun, simply because of the way the hair splays out and the limited length most guys keep there crown hair doesn't allow as much layering.

So when I told this fellow he needed 1500 grafts to the crown, I meant 1500!

However he went and got 700 grafts elsewhere and brought me this little certificate admitting I was right. He needed more hair.

While some guys may up their graft recommendation to increase their bottom line...usually the money is not THAT different....rather its how do you spend your finite donor hair. My advice...if you are doing an area with surgery, do it with enough hair.

Dr. Lindsey McLean VA