Is high density hair transplant in India with density of 60 – 80 or 100 grafts per sq cm is possible?

There are many websites which mention the high density hair transplant in India claiming densities 70 , 75 or 80 or 100 or 120 grafts per sq cm in your hair transplant. Lets solve this query As there are many patient who ask this question from us

Article written by – Dr Akhilesh Jangid

First of all i want to go back to basics of mathematics. We have to calculate the area of baldness in square centimetres . Then we have to decide density. When we multiply

Bald area in sq cm multiplied by hair density required = total hair graft requirement to cover bald area

Bald area   X  hair density  = Hair grafts requirement

Calculation of bald area

Now first thing you to be sure is your area in sq cm . You can take a normal scale which has 6 inches or 15 cm markings . Now you can mark your area. Now take a marker pen to divide the bald area into multiple rectangle and triangles . Area of rectangle is Length X breadth . Area of triangle is Base X height divided by 2 . By this way you can calculate your bald area in sq centimetres if you have taken every measurement in centimetres.

Calculation of hair transplant density

Suppose we have 40 Sq cm area and we transplant 2000 grafts in that. So density is 2000 grafts / 40 sq cm = 50 grafts per sq cm . If we want to give density of 60 grafts per sq cm then same area will require 40 X 60 = 2400 grafts . If we want to give density of 80 then requirement will be 80 X 40 = 3200 grafts .

What is you normal hair density

Normal density is between 80 – 120 grafts in occipital area ( back area ) and 40 – 80 grafts per sq cm in temporal area ( area around your ear ) . Each graft may contain 1, 2 or 3 hair or follicles .

What is target hair density in hair transplant

  • World wide acceptable figures in front area is between 35 – 50 grafts per sq cm .
  • In hairline we can go up to 55 – 60 grafts per sq cm . I
  • n mid scalp and crown area usually 30 – 40 grafts per sq cm is adequate .
  • The reason of giving around half of natural density is that , it will look normal in photos or videos or visually . People can only detect when you apply hair oil , hair gel or bright sunlight that density is lesser than your normal hair .
  • High densities are possible but donor area get depleted as we extract more number of grafts and it may be difficult to do hair transplant in future if you get bald from other places .

Do high densities like 80 , 90 or 100 grafts per sq cm get successful in hair transplant

We have to understand that to create high densities we have to make holes very close to each other.

  1. As we increase number of holes per sq cm the existing blood circulation in the skin also get damaged.
  2. As blood supply becomes low so there are chances of skin wound formation ,
  3. There are chances of permanent numbness of scalp ( because of extensive nerve injury )
  4. Because of decrease in blood circulation graft survival rate also decreases.
  5. It may be successful if done in very small area like 5 – 10 sq cm but making so much holes in the entire bald area may lead to massive skin necrosis and wound formation .
  6. Graft survival rate decreases rapidly when we try to cross density of 55 – 60 in majority of patients. Density more than that can be successful in very few patients .

Are clinics really using densities of 75 , 80 or 90 or 100 or 120  grafts per sq cm in hair transplant

  • In vast majority of cases clinics cover 60 – 80 sq cm with 3000 – 3500 grafts providing you average density between 40 – 50 grafts per sq cm .
  • But there are clinics which claim density of 75 , 80 , 90 or 100 grafts per sq cm in their website and YouTube .
  • You have to understand that density of 80 will require 6400 grafts to cover 80 sq cm area .
  • Most of time the clinics don’t use this much number of grafts but give false claims . Beware of such misleading claims .
  • When anyone says that then immediately measure your area and match the graft requirement given by clinic in that area. Now you can calculate yourself what density you will get by number of grafts quoted by clinic .
  • Sometimes they mislead you by term follicle . They said that on website it was written 90 follicles ( or hair ) per sq cm . As every graft contains 2 follicles on an average so it is equivalent to 45 grafts per sq cm . This explanation may come when you catch their false claim
  • Sometimes some clinic claim to do 7000 grafts in 90 sq cm to provide you density of close to 80 grafts per sq cm. But all these are fake claims . After two days of your hair transplant your transplanted hair develop black scabs . by taking photograph of scabs you can calculate the number of grafts implanted by clinic. They may claim 7000 and charge you for 7000 and do 4000 – 4100 grafts because most of patient don’t know how to confirm number of grafts done by clinic.

What should you do if you desire density of 80 – 100 grafts per sq cm

  • You should consider the donor area available and possibility of requirement of donor area for baldness .
  • You should not do such densities if your age is less than 35 because you may become bald in future so more grafts may be required from your donor area

If you are actor or celebrity then you can go for such densities in front hairline zone of 2 cm . First go for density of 50 – 55 grafts per sq cm . After you get result of first hair transplant , we can supplement it in second session for target density of 80 .