This question comes from a member of our hair loss social community and discussion forums: 

I’m beginning to research hair transplant surgery, and I have a few questions about follicular unit graft extraction and implantation: why are some hair restoration physicians able to extract and implant a larger number of grafts per session (compared to other doctors)? Does it come down to the patient’s physiology, or is it more surgeon preference? Does the number of available hair transplantation technicians play a role?

The experience and skill of the hair restoration surgeon, the number of skilled technicians and a patient’s physiology all play a role on the number of follicular units available for transplanting during a single procedure.  But remember, there can always be an overabundance of people working at once, and unless physicians are reserving a huge number of technicians and “substituting” during long procedures to keep people fresh, there are only so many people who can be in one room, dissecting grafts and implanting follicular units at once.

As far as difference in graft estimations is concerned, it’s not necessarily that a physican doesn’t have the ability to perform larger sessions.  Hair restoration physicians have varying philosophies regarding the number of grafts needed to meet a patient’s individual goals and expectations.  While some physicians may recommend a larger session, it may not always be necessary to provide the patient with what they’re looking to achieve.  This is a case of “sometimes less is more”.  On the flip side, sometimes adding more hair is necessary to provide a denser and fuller appearance in thinning areas.

Physician members of the Coalition of Independent Hair Restoration Physicians are in an elite group of surgeons who have the ability to provide large, densely packed sessions of ultra refined follicular unit hair transplantation exceeding 2500 grafts when appropriate for the patient.  Click here for an exclusive list of physicians we recommend.

Despite a physician’s ability however, a patient’s donor characteristics plays a major role in the number of grafts available and the overall result.

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Blake Bloxham – formerly “Future_HT_Doc”

Editorial Assistant and Forum Co-Moderator for the Hair Transplant Network, the Hair Loss Learning Center, the Hair Loss Q&A Blog, and the Hair Restoration Forum

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