why did I not get more hair density with my hair transplant
people who undergo hair transplant want to have more hair that looks natural
most people are aware of the pluggy look because of how the hairs look sparse and
lack density in surveys done of men after hair transplant surgery by professional organizations
sixty percent of hair transplant patients were disappointed in their hair density
after surgery I'll discuss why hair transplants have inherent limitations
when it comes to hair density as well as how we are able to achieve natural density improvement
without surgery I'm Dr Amiya Prasad I'm a diplomate of the American Board of Cosmetic
Surgery and a Fellowship-trained oculofacial plastic and reconstructive surgeon I've been in
practice in New York City and long island for over 25 years I've performed hair transplant
surgery throughout my career and have had the same challenges with achieving optimal density
due to difficulties with graft survival in 2011 we used a material called extracellular matrix by
ACell to improve graft survival and donor area healing in addition to significant improvement
in graft survival and donor area healing I was delighted to see that areas where hair was
thinning and not transplanted had better coverage than the area that was actually transplanted
inspired by this observation I spent the next several years developing formulations
of extracellular matrix with PRP customized to individual hair loss clinical profiles people
have been coming to us from around the world for years and we created a standalone non-surgical
treatment system for male and female pattern hair loss which we call TrichoStem Hair Regeneration
this treatment has been so popular that we have opened the first TrichoStem Hair Regeneration
center in Vienna, Virginia the first office outside of our two main locations in New York
the issue of limited hair density can best be understood by comparing
natural hair density with hair density from a hair transplant natural hair density can range from
50 to 100 hairs per square centimeter in the scalp hair transplants cannot achieve
this level of natural hair density even if multiple hair transplants were to be performed
in surgery a safe transplant density is basically limited to 20 grafts per square centimeter
the scalp's blood supply cannot sustain any more than this number nor can the skin tolerate greater
numbers of stabs into the skin without the skin integrity becoming no longer viable this
means that grafts get lost and the donor area is limited so these grafts cannot be readily replaced
another limitation of hair transplant surgery is that when hair grafts are placed near
existing hairs there can be irreversible damage to the existing hairs resulting in more
native hair loss this is referred to as collateral damage and further makes achieving natural density
even less likely my professional shifting away from surgical hair transplant to TrichoStem Hair
Regeneration is based on this simple principle hair loss is not solved by a hair transplant
hair loss should be managed strategically with every modality available
apart from an individual who has significant frontal balding in my experience most people
considering hair transplant are better candidates for TrichoStem Hair Regeneration
as a part of their hair loss treatment strategy I help many people
save time and the expense of hair transplant surgery with TrichoStem Hair Regeneration with a
typical two year treatment plan a TrichoStem Hair Regeneration patient will usually only need one to
two treatment sessions 18 months apart to thicken thinning hair and stimulate growth of dormant hair
follicles which already exist with natural density our results generally exceed the benefits of
two hair transplant surgeries in terms of coverage as a function of hair thickness and density
I hope you found this information helpful and thank you for your question
you