Please provide your answers in the space below each question and then hit SUBMIT when completed. 

Background: I am 35 years old, and first started noticing loss in my early twenties. I have, what I believe to be general frontal thinning, particularly at the temple area. The donor area (back, as well as sides) are rather dense/thick. I believe my hair loss has stabilized. I have noticed very little loss for the past few years. Last year, I tried Avodart (7-8 months worth of treatment) but didn't notice any change in my situation. I have never had a procedure done so this will be my first.

Now, for the questions:

1) From what I understand you place the grafts 1mm apart. This seems a bit too far apart. What kind of density can one reasonable expect to obtain from grafts placed 1mm apart? Is it possible that you place the grafts closer than 1mm? How close can you place the grafts? As you can tell from my pictures, I still have good density near the front so it is important that I get good density to match the rest of my hair. 

Dr. Genne: Highest density we can achieve is 30-40 per square centimetre. (1 square centimetre is about 1/6 of a square inch) You always have to leave a tiny bit of scalp tissue in between 2 adjacent holes. To obtain a higher density we perform a further treatment in the same area at least 6 months after the first treatment. In this treatment we place the grafts between the previously placed grafts.

2) If the desired density is not achieved in a single session, can you perform back-to-back procedures for me in the same trip? What is the maximum number of procedures you can do for me in within 5 days? 

Dr. Genne: By looking at your pictures we advice you to have 2 treatments in 2 consecutive days (1 left side and 1 right side). After the final result we can do 1 (maybe 2) treatment(s) to increase the density if you want this. Treatments in the same area have to be separated at least 6 months.

  
3) Given that I still have a fair amount of my own hair, do I have to worry about shock fallout after the procedure? What percentage of your patients experienced shock fallout after the procedure? I don't want to end up losing more hair after the surgery. 

Dr. Genne: As of today we didn't see any cases of shock fall out with our technique.

  
4) The dotted lines on my pictures represent the area that needs to be treated. In your opinion, how many sessions do I need to fill in that area ? Please see the pictures with the dotted lines above. 

Dr. Genne: As mentioned above, you will need 3 (or 4) treatments to have the best result. These treatments can be performed in 2 visits, separated by at least 6 months.

  
5) I understand that I will need to shave the part of the back where the donor hairs are to be extracted. What about the recipient site? Do I need to shave the hair surrounding the recipient site? I would like to keep the hair long for camouflage. 

Dr. Genne: We do not have to shave the recipient area. it is no problem to place the grafts between existing longer hairs.

  
6) What are some of the possible complications associated with the procedure? 

Dr. Genne: There will be some crusts in the donor and recipent area and slight redness and swelling may occur. These are all temporary side effects.

  
7) Will you be doing the procedure? Can I request that you perform at least 30%-50% of the procedure?

Dr. Genne: All the procedures are performed by our team of technicians and physicians who are all very competent ans well-trained people.

8) Please provide any additional comments you have about my conditions.

Dr. Genne: If you have any further questions, don't hesitate to contact us.

You can e-mail at info@ghoclinic.com
Kind regards,
Steve Genne, MD Coen Gho, MD