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How many grafts will I need? What actually decides the number.

The honest answer is a measurement, not a guess. These are the five things that measurement takes into account.

A surgeon in gloves sketching a hairline plan on paper
In this articleFirst, what a graft isThe five things that decide your numberWhy we measure rather than estimateA word on very large numbers
The short version
  • A graft is a follicular unit: a natural group of one to four hairs.
  • Your number depends on the area, the density that will look natural, your hair itself and your donor capacity.
  • Donor supply is finite, so a responsible plan keeps some in reserve.
  • An online calculator gives a range. An examination gives a number.

It is usually the first thing people ask, and it is the one thing nobody can answer properly from a photograph. Two men with what looks like the same hairline can need very different plans. Here is what sits behind the number you are eventually given.

First, what a graft is

Hair does not grow as single strands. It grows in follicular units, small natural groupings of one to four hairs. A graft is one of those units, moved intact. That is why a graft count and a hair count are not the same thing, and why the mix of single and multiple-hair units matters: single-hair grafts build a soft hairline, while larger units build density behind it.

The five things that decide your number

  1. The area to be restored. A receded hairline, a thinning mid-scalp and an open crown are different sizes of problem, and crowns in particular take more than most people expect.
  2. The density that will look natural. The aim is a result that suits your age and face, designed rather than maximised.
  3. Your hair itself. Thicker, wavier hair covers more scalp per graft than fine, straight hair, and the contrast between hair colour and skin tone changes how much coverage is needed.
  4. What your donor area can safely give. Every graft comes from one finite band of permanent hair at the back and sides. Over-harvest it and it does not recover.
  5. What the next twenty years may bring. Hair loss continues. A sound plan holds donor capacity in reserve for the decades ahead instead of spending it in one sitting.

Why we measure rather than estimate

At City Clinics the count you discuss is calculated from robotic scalp mapping: follicle density, hair calibre and the true capacity of your donor area, measured before anything is promised. Your surgeon then draws the design by hand and agrees it with you in the mirror. Your data is shared with you openly. It is your head, and your decision.

Robotic scalp mapping of a patient's donor area displayed on screen
Scalp mapping measures donor density and capacity, so the graft count is calculated rather than estimated by eye.

A word on very large numbers

More is not automatically better. A very high graft count quoted without an examination of your donor area is a sales figure, not a surgical one. The right number is the one your donor supply can responsibly support, placed where it will do the most good.

From the clinic

Our graft estimator gives a sensible starting range. Your own number is confirmed at consultation, from measurement.

82 Harley Street · London

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