What is the Number of FUE hair transplants needed over a lifetime?
The question of the number of FUE hair transplants needed over a lifetime is relevant to any kind of hair transplant. Every patient case is very different. After one surgery it is not uncommon to require transplants in the future depending on several variables. Here are two possible scenarios.

What is the number of FUE hair transplants needed over a lifetime

There are several variables that can influence this

(1) Need for Repairing Mistakes Due to Poor Execution

The results of FUE surgery will depend on the skills, expertise and experience of the doctor who performs the procedure. There are many examples of patients (including those who underwent strip surgery) who ended up with little to no growth, or badly placed grafts. Transient yield or continued baldness and thinning may result from selecting the wrong follicles which had already started to miniaturize. They may produce some hair in the recipient area. But these results will not last.  Lack of growth could also be due to errors in handling the follicles which caused them to become injured. Hair may have been inserted at the wrong angles or directions. Or their results may have included an ill-fitting facial frame, consisting of the hairline and temple points. With these types of outcomes, you might want to consider a hair transplant repair in order to achieve your desired appearance.

(2) Continued Shedding Of Your Native Hair

Once the harvested grafts are inserted, they are permanently embedded in the scalp. In fact, it has been determined that it only takes nine days before the recipient slits completely close above the follicles.  After this point, they will not fall out. Therefore when hair restoration results seem to decline, it is not because the grafts have somehow become dislodged. Outside the transplanted region, the patient’s natural hair will most likely continue to shed. Therefore, depleted and bald areas may continue with progressive hair loss. And additional transplantation surgery  with FUE may be needed to harvest more grafts (either from the scalp or the body) to fill in these areas.

Prevention and Maintenance to Reduce the Number of FUE Hair Transplants Needed Over a Lifetime

After a hair restoration procedure, the doctor may recommend the use of Rogaine or even Propecia to help maintain the results. Rogaine increases the supply of blood and oxygen to the hair follicles which fortifies them and the processes they use to produce new shafts. Prescription drugs such as ketoconazole shampoo and topical tretinoin may also be recommended by physicians to enhance the performance of these FDA approved medications. While these measures can help maintain the results of one’s hair transplant,  they may or may not entirely prevent the need for additional FUE  hair transplant procedures. Again this would depend on the nature of each patient’s case.

Obtaining More Donor Grafts For Future Follicular Unit Extraction Operations

Subsequent surgeries will obviously depend on having enough donor follicles to repair the targeted areas.  If not enough grafts are available on the scalp, a secondary option to consider would be the use of follicles from the body. Extracting these alternate hair structures would require specialized Advanced FUE instruments such as uGraft. This helps ensure that they can be safely removed without injury. Grafts from the head can also be inserted along with the body hair to create a more even looking texture.

FUE Shave Test poor candidate
This is an example of a patient who failed the FUE Shave Test. Thus a poor candidate for the use of nape and peri-auricular hair as donors in follicular Unit Extraction*

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