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Coverage & Density

sl

sl

BHR Clinic Patient Advisor
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#1
We often as a Clinic have patients who want full scalp coverage whilst maintaining a good density throughout. Indeed density is a key factor in obtaining a natural look but not the only factor. We can also consider the hair groupings in the FU and the characteristics of the hair in general.

As we know, the donor supply is limited and especially in advanced hair loss there is always a delicate balance between coverage and density, whilst not over harvesting from the €œdonor safe zone €, or the area that will not be affected by MPB.

In those with limited hair loss, the density of the transplant does not usually present a problem as the supply outweighs the demand and thus required coverage is obtainable.

However when the frontal, mid and crown areas have hair loss then there can be an area of 250 plus cm2 requiring treatment it will take a lot of grafts at even a low density. Even at a low density of 20 FU per cm2 , 5,000 grafts would be needed to cover the area, and would not give the desired result.

This is where the art of the transplant comes into play. It is impossible in such cases to have a like for like density, so the grafts need to be placed at the correct angles and in correct groupings to give an illusion of like for like density. The density can also be less going towards the back part of the scalp in comparison to the front, but still give the same illusion of thickness.

A combination of techniques is also useful in such cases in order to maximise donor supply, and of course, patients need to be realistic as to what can be achieved according to hair loss and donor capabilities.

 
toc

toc

Member
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#2
I would like to know what technique is used in order to have the hairs lie flatter to the scalp as opposed to sticking straight up. It seems that the flatter the hair lies the easier it is to conceal less then ideal density.
 
sl

sl

BHR Clinic Patient Advisor
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0
#3
Hi TC

The €œshingling € effect of placement can be a good way to gain more coverage from a limited amount of hair or even with hair that has weaker characteristics. This method can have limitations in terms of styling but is very effective especially when the donor is limited. This is often true in repair cases where every hair really counts.

The placement angle can be more acute in order for the hair to limit light from rebounding off the scalp and thus creating a greater illusion on thickness.

This technique however is not applicable to all of the scalp, for example the hair line. It also does have to be designed within the boundaries of nature but obviously with some poetic licence. I will seek to show a case to illustrate the coverage that can be achieved with lesser grafts using this technique.
 
Bigmac

Bigmac

Administrator
Staff member
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#4
Great post Stephen.

This is something people researching need to know when they choose which doctor they feel best suits their needs.

Thanks bm.