Is it possible completely deplete my donor area in order to rebuild my hairline, temple points and nape?  What’s the best way to maximize a hair transplant in my case since I’ve lost all hair on top of my head?

Anything is possible.  But whether or not depleting your donor hair and moving it all on the top of your head is a good idea is another completely different question.

Moving all of the hair follicles from the sides and back of your scalp to the bald or balding areas on top of your head could cause several problems down the line.  For example, this would create a scarred, depleted and unnatural appearance on the sides and back of your head all over.  And there will be no hair to cover it.  Moreover, the inevitable scarring could potentially ruin the scalp – not to mention, there will be no more available hair for transplanting anytime in the future.  Also, if the hair transplant is not successful, the possibility of correcting the initial surgery would no longer be an option.

What is more concerning, is the fact that you require the nape to be rebuilt and transplanted. This leads me to believe you may not have a permanent or stable donor site.  Prior to any surgery, it is imperative that you consult with a qualified hair transplant surgeon to thoroughly examine your donor site for miniaturization. Although, you state you have a Norwood 7 hair loss pattern, you may be suffering from Diffused Unpatterned Alopecia (DUPA). If you are suffering from DUPA it is likely you are not a hair transplant candidate.

In conclusion, it is possible to deplete the donor and transplant the majority of the hair from your donor site to the desired areas. However, that does not mean that the surgery will be a success or give the desired appearance. In fact, it is possible that the opposite may occur for the reasons mentioned above. It is important to rule out the possibility of Diffused Unpatterned Alopecia (DUPA) prior to considering surgery.

Written and Published By,

Melvin (HTsoon), Editorial Assistant and Forum Co-Moderator for the Hair Transplant Network, the Coalition Hair Loss Learning Center, and the Hair Loss Q & A Blog.

Melvin

Editorial Assistant and Forum Co-Moderator for the Hair Transplant Network and The Coalition of Independent Hair Restoration Physician

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