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Every graft counted, protected and documented

Hairline Graft Integrity Protocol

At Hairline International, counting is one part of a connected graft-handling process. Follicular units are counted on Petri dishes during extraction. Every graft is checked under a microscope, transected grafts are excluded from implantation, and the grafts prepared for implantation are protected and documented in the patient record.

Counting and microscopic inspection happen within the same container-protective workflow. The count records how many grafts are prepared for implantation, while inspection confirms which grafts are suitable to use. Documentation connects that number to the completed procedure.

Why does the graft count matter?

Three things follow directly from it – which is why an unverifiable count is not a small detail.

It sets the price

Hair transplants are quoted on graft count. If the count delivered is lower than the count quoted, you have simply paid more per graft than you agreed.

It sets the achievable result

Coverage and density are a function of how many follicular units reach the recipient area. A count you cannot verify makes the result you were promised unverifiable too.

It spends a finite resource

Your donor area is limited and does not regenerate. Grafts taken and wasted are not available for future work, so the count is a record of what was spent.

How the protocol works during your procedure

STEP 1

Counted on Petri dishes during extraction

As follicular units are extracted, they are placed in Petri dishes within Hairline’s container-protective system and counted in batches. The count is measured rather than estimated from procedure time or treatment area.

STEP 2

Every graft is checked under a microscope

The team examines every graft under a microscope, sorts intact grafts by hair count – singles, doubles and triples – and excludes transected grafts from implantation.

STEP 3

Protected in the container system

The Petri dishes form part of a container-protective process. Grafts remain in protective holding solution while they are counted, inspected, sorted and prepared for implantation.

STEP 4

Documented for the patient record

The running total remains available during the procedure. The confirmed count of grafts prepared for implantation is then written into the medical record and provided after surgery.

What is being counted
The four types of follicular unit Four follicular units shown in cross-section through the scalp, containing one, two, three and four hairs respectively. Each unit is one graft. Counting grafts records the number of units, while counting hairs records the individual hairs within those units. scalp surface Single 1 hair Double 2 hairs Triple 3 hairs Quadruple 4 hairs Every one of these is a single graft
Each graft is examined under a microscope and sorted by hair count. This makes a graft figure meaningful: two clinics quoting 3,000 grafts can be quoting different amounts of hair, which is why a quote given in hairs is not comparable to one given in grafts.
Published clinical basis

Prof. Irakli Bebiashvili co-authored Container-protective method of follicular graft preservation in hair transplantation, published in the official ISHRS Hair Transplant Forum International in 2008.

View the publication record →

Comparing quotes between clinics

If you are weighing quotes from several clinics, the figures are only comparable once you know what each one is counting. Three questions settle it:

1Is the quote in grafts or in hairs? One graft holds one to four hairs, so the same number means very different procedures.
2Is the count verified during surgery, or reported afterwards?
3Do you receive the final count in writing?

A lower price per graft is only a lower price if the graft count is real. This is the single most useful thing to check before you commit anywhere – including here.

What graft transection means →

Questions about graft counting

How do I know I received the number of grafts I paid for?

Because the grafts are counted as they are extracted, not estimated afterwards, and the running total stays visible to you during the procedure. The confirmed figure is recorded in your medical file and given to you after surgery, so the number you were quoted and the number you received are the same document.

What is the difference between a graft and a hair?

A graft is a follicular unit, and each one contains between one and four hairs. This distinction matters when you compare quotes: 2,000 grafts and 2,000 hairs are very different procedures, and a clinic quoting hairs will appear cheaper for the same money. We quote and count in grafts, and record the hair count separately.

How are grafts protected while they are being counted?

Extracted grafts are placed in Petri dishes within the clinic’s container-protective system and kept in a protective holding solution while the team counts, examines and sorts them. Prof. Irakli Bebiashvili co-authored a published article describing this container-protective approach to follicular graft preservation.

Are transected grafts implanted?

No. Every graft is examined under a microscope. Grafts identified as transected during this inspection are excluded and are not implanted. Hairline does not apply one transection percentage to every patient because donor anatomy and extraction conditions vary.

What happens if fewer grafts are available than planned?

Your donor area sets the ceiling, and the surgeon confirms what it can safely supply during the assessment. If the achievable count turns out lower than planned, you are told during the procedure rather than after it, and the price follows the count actually transplanted.

Can I be given a written record of the count?

Yes. The final graft count is part of your medical record and you receive it after surgery, alongside your aftercare instructions.

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