When is a hair graft recommended

For a hair graft to be recommended in a patient, several requirements are necessary. The situation of your alopecia, the reason for the loss and the state of health of your hair are fundamental. We review one by one.

Many patients come to our office to ask if, in their case, they are suitable people for a hair graft . The margin is wide, but the truth is that this surgery is not, far from it, for anyone who is losing hair. First you have to be clear about some aspects.

A hair graft is not recommended if the alopecia is not stabilized

It is one of the fundamental requirements so that a hair graft is not recommended. If hair loss is not stabilized, surgery is not a good option. Because there is no way to ensure the results.

Experts always warn that there is no recommended age for a hair graft. In fact, there are 20-year-olds and even adolescents who already have alopecia. But there are men who do not start to lose hair until they are fifty (and of course, others who never lose it). 


Age does not matter

We would say then that age does not matter.

In fact, in our hair clinic we have several success stories in young men, as you can see in this case of a FUE transplant for alopecia in a 20-year-old man or this other case that shows that there is no minimum age for a hair transplant .

But what does matter is that the alopecia is stable. And the truth is that this does not usually happen in young patients. In men who, with 25 years, are losing hair, it is usual that it is a situation in process. And in those cases, a hair graft should not be done because of the risk that it will not work.

The explanation is simple. It is impossible for the surgeon to know in which areas hair will continue to fall. Thus, even if it grafts in a certain location, the future may reveal that it was not the appropriate one. And, in this way, the distribution of the hair will not be natural. It is important to know the pattern and progression of the patient’s hair loss.

But that a young person suffering from alopecia cannot undergo a hair transplant with the FUE and FUSS techniques , does not mean that there is no room for maneuver. These patients are good candidates to start treatment with solutions such as Minoxidil or Finasteride .

Hair loss usually stops between the ages of 30 and 40. That is why this strip is preferred by surgeons. You can already foresee how the fall will evolve and the areas already affected by alopecia are clearly detected, well arranged for grafts. Those areas are usually the entrances and the crown.

Density in the donor area is another requirement

A second equally important requirement. The patient must have a good capillary density in the areas that will be donors of the follicular units. The amount of hair must be sufficient to avoid compromising the donor area and to cover the recipient area.

The donor areas are usually the posterior area and lateral areas of the head. They are genetically encoded areas so that hair does not fall out. Therefore, the amount of hair in these points must be sufficient so that the extraction of follicular units does not cause a loss of density.


Hair quality

In addition to capillary density, it is important that the patient’s hair has good quality. That it is strong, thick and has a large amount of melanin.

Good general health of the patient

Hair transplantation is surgery. As such, it is performed in an operating room under local anesthesia. If the patient requires it, a light sedative can also be administered. Therefore, it is a full-blown surgical procedure, with the possible risks of any intervention.

This forces the patient to have a good general state of health. That is why tests such as blood analysis or electrocardiogram are previously done.

The reason for baldness

Finally, to know if a hair graft is recommended, it is essential to know the reason for baldness. There are factors that cause hair loss that is not irreversible. For example, stress or a poor diet are two good examples. Once these types of aspects were solved, the hair would stop falling out and that is why hair transplantation is not recommended in these patients.


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