I Want My Hair Back and My Whole Head Covered
Written by Hair Transplant Surgeon Ali Emre Karadeniz
Publish Date: 09.10.2019
I'm going to talk about the statement "I want my hair back and I want my whole head covered". Here are the reasons why this statement doesn't entirely fit in with the limitations of hair restoration surgery.
Most hair transplant surgery candidates have 50% or more hair loss and a lot of these patients have also a significant amount of miniaturization. Miniaturization is thinning of the existing hairs that actually cannot be treated with hair transplant. This type of miniaturization is best treated with medicine.
Hair transplant surgeries do not bring us new hair, they just redistribute what's remaining. Hair transplants make the appearance of the hair better by relocating some of the existing hair. Since hair transplantation does not create new hairs, the total number of hairs on our head remain the same after a hair transplant. The maximum hair density provided via a hair transplant is about 50% of the original density due to the technical limitations. So the goal of a hair transplant is to achieve the "illusion" of a density not mathematical density.
Miniaturization i.e. the thinning of existing hairs is best treated with medicine, not surgery. In fact, surgery can make diffuse thinning patients look worse, because doing incisions on a scalp that contains miniaturized thin hairs may cause damage of the existing thinning hairs. So, it can even make it worse.
Hair loss patients have to understand the technical limitations of the hair transplant procedure and the importance of medical treatment. The two types of hair loss patients such as the "diffuse thinning patient" and the "advanced hair loss patients" have to be more careful.
The main treatment for diffuse thinning patients is medicine and not surgery, actually hair transplants can actually make their situations worse.
It is probably not going to be possible to give a full head of hair to the advanced hair loss patients, i.e. the patients who have lost over 50% of all of their hair. The reason for this is that the amount of hairs needed to give a full head of hair for this type of patient doesn't exist in their donor area. However, a successful hair restoration surgery is the one that gives a natural appearance even though it may not give you a full head of hair because of the limited donor area.
Written By Dr. Ali Emre Karadeniz, MD, PhD
Ali Emre Karadeniz, MD (Dr. K) is the only American Board of Hair Restoration Surgery Certified Turkish plastic surgeon. He has performed over 2000 hair operations. He is an active member of the International Society of Hair Restoration Surgery (ISHRS). Her performs hair restoration surgery at AEK Hair Clinic in Istanbul, Turkey.