Extracting too many follicles: Hair transplantation is one of the most effective ways to regain a thicker hairstyle in people struggling with androgenetic alopecia or other hair loss problems. The procedure involves taking hair follicles from a donor area (usually the back of the head) and transplanting them into the areas affected by baldness. However, a key aspect of the procedure’s success is proper management of the patient’s hair supply. Taking too many hair follicles can lead to serious consequences in both the donor and recipient areas. Below are the most important consequences of excessive graft harvesting.

Overmatig oogsten van haarfollikels

Taking too many hair follicles – 6 consequences

1. thinning and unsightly appearance of the donor area

The donor area, usually located at the back and sides of the head, is characterized by an abundance of permanent hair follicles resistant to the hormone DHT (dihydrotestosterone), which is responsible for androgenetic alopecia. However, taking too many grafts from this area can lead to marked thinning. The skin becomes more prominent and the hair is arranged in an unnatural way, which can result in a so-called “moth-eaten scalp” (moth-bitten skin) effect. This is a serious aesthetic problem that can worsen a patient’s appearance instead of improving it.

2. scarring and damage to skin structure

Transplantation techniques, such as Follicular Unit Extraction (FUE) or Follicular Unit Transplantation (FUT), involve taking individual follicular units or strips of skin with hair. If over-extraction occurs, the skin of the donor area may not regenerate properly, leading to scarring and microscars. This can affect not only the aesthetics, but also the elasticity of the skin, limiting the possibility of further procedures in the future.

3. uneven hair distribution and unnatural effect

The hair in the donor area plays an important role in the natural appearance of the hairstyle. When too many grafts are taken, the harmony of hair distribution can be disrupted, making the donor area look unnatural even after healing is complete. This problem is particularly evident in people with thin and light hair, where any thinning becomes more noticeable.

4. reduced effectiveness of future transplants

Patients who opt for a hair transplant often anticipate the possibility of further procedures in the future. Unfortunately, if too many grafts are taken in the first procedure, a subsequent procedure can be made much more difficult or even impossible. The reserve of hair in the donor area is limited, so its misuse in the first procedure reduces the chances of further hair restoration in the future.

5. risk of transplant shock and loss of adjacent hair

Graft shock is a phenomenon in which temporary hair loss occurs in the treated areas. If an excessive number of hair follicles have been harvested, the skin in the donor area may become overstressed and weakened, resulting in an increased risk of loss of adjacent hair. In some cases, this process can be irreversible, leading to permanent hair thinning.

6. impact on the patient’s well-being and confidence

One of the main reasons patients opt for a hair transplant is to improve their appearance and self-confidence. Paradoxically, if the graft harvesting was inadequately managed, the final result can fall far short of expectations. Visible thinning, scarring or an unnatural appearance can cause frustration and lower the patient’s self-esteem, which contradicts the purpose of performing the procedure.

How to avoid these problems?

In order to avoid the negative consequences of taking excessive hair follicles, patients should choose experienced clinics that specialize in hair transplantation. It is important for the doctor to carefully evaluate the potential of the donor area and determine realistic possibilities for the procedure. The transplant should be performed with a balance between the amount of follicles taken and preserving the healthy appearance of the skin in the donor area.

Summary – extracting too many follicles

Taking too many follicles during a hair transplant can lead to a number of negative consequences, such as thinning of the donor area, scarring, an unnatural visual effect, reduced potential for subsequent treatments and hair loss due to transplant shock. To avoid these problems, it is crucial to have the procedure performed at a reputable clinic and to tailor the procedure individually to the patient’s capabilities. Proper transplant planning will allow for natural and satisfying results, without the risk of permanent damage to the scalp.

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See the effect of a hair transplant at Kierach Medical Clinic:

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