Dangers of Ultra High Density of plantation in hair transplant | What is optimal density?

Dr Bhatti discusses what are the limitations of high density and ultra high density while doing a hair transplant. So how much density can we logically and rationally deliver? While both maintaining the illusion and preserving the scalp donor for future use? It is common knowledge that the most a successful hair transplant can deliver, is an almost perfect illusion, but can never rival the original density Nature gave us.
Hair transplant surgeons do not perform magic. Your available grafts are finite. Ebay, Amazon and Flipkart do not sell grafts. So the limited grafts from your own door area need to be placed strategically and this is why the hairline takes many more grafts than the rest of the areas. As we go back to the crown , the number of grafts per sq cm steadily decreases.
With the donor area smaller than the size of the bald scalp in grades 5 and 6 patterns, even if we use all the scalp donor, natural density cannot be given.
We actually cannot even harvest 50% scalp donor, for fear of making it patchy due to shock loss. Each session only harvests 20% of the scalp donor till 50% of the density is depleted- after which skin would be visible even after 2-3 procedures have been done on the same person.
Hair transplants is not sorcery or black magic that the wildest wishes will come true. It is merely an illusion that is sought to be created with limited resources available. Also we need to keep in mind that future progression of baldness will need more grafts.
And when there is miniaturization of the scalp donor, it becomes more challenging.
So how much density can we logically and rationally deliver? While both maintaining the illusion and preserving the scalp donor for future use? 45-55 is the density that is optimally feasible in non-diabetics for the hairline and lesser for other areas.Try anything more and the principle called “All or none phenomenon” steps in.
Grafts subsist on blood supply. Naturally 90-110 FUs/sq cm is what nature gives us. When we injure skin by piercing it, making innumerable slits, we cut off blood supply cause scarring and shock the tissue. In this environment any huge density if given stresses the grafts which even otherwise are fighting for survival. So if we plant more than 45-55 density, the metabolic requirement will completely outstrip available limited blood supply. Most will eventually die out. Precious grafts may be lost due to cavalier attitude since biological tissues have limitations and often times, you cannot play the numbers game with them.
Occasionally, the body does give us a pleasant surprise and they do survive too. But then since grafts are limited, are we ready to take this chance?
Haste makes waste, it is said!
It is also not just the number of grafts but their viability, the invasive nature of the procedure – how much trauma it has caused, how much the incisions have injured the underlying vessels and nerves that counts towards an uneventful recovery and a great result. And an immediate postop picture speaks more than a 1000 words describing the clinic on the website’s ‘about us’ page!
If the surgery fails, the same patient who wanted high density is not going to leave any stone unturned in blaming the clinic for it.
So if you need more density, do get it if you have the resources for it in the donor area, but get it in
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This is Dr Bhatti's Darling Buds Clinic. Our YouTube channel is a destination for those researching Hair Transplant and other remedies for hair loss. We make videos to showcase our hair transplant results on the web through YouTube; all techniques available for hair transplant; and advances in the field of hair transplant are often dealt with.
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