Guides & How-Tos

Donor Area Sufficiency Assessment Tool

February 23, 20265 min read1,000 words

Donor area sufficiency determines whether a hair transplant can achieve your coverage goals. The donor area (the back and sides of the scalp) has a finite supply of follicular units, and your graft needs depend on your Norwood stage and the area requiring coverage. This free browser-based tool at myhairline.ai helps you estimate whether your donor supply matches your needs before visiting a clinic.

What Is Donor Sufficiency?

Donor sufficiency measures whether the follicular units available in your safe donor zone are enough to cover your balding areas at adequate density. It is the single most important factor in determining whether a hair transplant will produce a satisfactory result.

The Math Behind Donor Supply

Your donor supply is calculated from three variables:

VariableTypical RangeHow Measured
Donor area size100-200 cm2Physical measurement of safe donor zone
Follicular unit density120-230 FU/cm2 (varies by ethnicity)Trichoscopy or clinical estimate
Safe extraction limit45% maximumIndustry standard to prevent visible donor depletion

Example calculation: A Caucasian male with 180 cm2 donor area, 200 FU/cm2 density, and 45% safe extraction limit has approximately 16,200 available grafts (180 x 200 x 0.45).

Ethnicity-Based Density Ranges

Follicular unit density varies significantly by ethnicity, directly affecting donor supply:

EthnicityFU Density (per cm2)Average
Caucasian170-230200
African120-180150
Asian140-200170
Hispanic145-195170
Middle Eastern150-210180

Note that African hair types typically have more hairs per follicular unit (higher curl pattern provides more visual coverage per graft), partially compensating for lower density.

Graft Requirements by Norwood Stage

Your graft needs depend on your current Norwood stage:

Norwood StageGrafts NeededDescription
Norwood 2800-1,500Slight recession at temples
Norwood 31,500-2,200Deep temple recession forming M-shape
Norwood 3V2,000-2,800Temple recession with vertex thinning
Norwood 42,500-3,500Further recession with enlarged vertex area
Norwood 53,000-4,500Separation between front and vertex narrowing
Norwood 64,000-6,000Bridge between areas lost, horseshoe pattern
Norwood 75,500-7,500Most extensive hair loss, narrow band remains

How the Tool Works

The myhairline.ai donor sufficiency assessment uses 468 MediaPipe facial landmarks for precision measurement. The process takes approximately 60 seconds:

Step 1: Upload or Capture Photos

Provide clear photos of:

  • Front view: Hairline and temple areas, face centered
  • Top view: Crown and vertex area from above
  • Donor area: Back of head showing the safe donor zone from ear to ear

Step 2: AI Analysis

The tool automatically:

  • Maps your hairline position using facial landmark coordinates
  • Estimates your Norwood stage based on recession pattern
  • Calculates the area requiring graft coverage
  • Estimates your graft requirements based on the Norwood stage detected

Step 3: Sufficiency Report

Your report includes:

  • Norwood stage assignment with confidence level
  • Estimated graft requirement for full coverage
  • Donor supply estimate based on visible donor area characteristics
  • Sufficiency ratio: whether estimated supply meets or falls short of needs
  • Recommendations for next steps based on your specific results

Interpreting Your Results

Sufficiency RatingWhat It MeansRecommended Action
High sufficiency (supply exceeds need by 50%+)Donor area can comfortably cover all balding areasProceed to clinic consultation for detailed planning
Adequate sufficiency (supply meets need)Coverage is achievable but with limited reserveDiscuss strategic graft distribution with surgeon
Borderline sufficiency (supply slightly below need)Full coverage may require compromise on densityConsider combination approach: transplant + medication
Insufficient (supply significantly below need)Donor cannot cover all balding areas adequatelyExplore partial coverage, SMP, or non-surgical alternatives

Why Donor Assessment Matters Before a Clinic Visit

Many patients visit clinics without understanding their donor limitations. This leads to:

  • Unrealistic expectations about coverage density
  • Surprise when surgeons recommend fewer grafts than expected
  • Poor planning for future hair loss progression (your Norwood stage may advance, requiring more grafts later)
  • Risk of over-harvesting if a clinic prioritizes immediate results over long-term donor health

The safe extraction limit of 45% exists to prevent visible donor thinning. Clinics that exceed this threshold may produce short-term results at the cost of noticeable donor depletion.

Factors the Tool Cannot Measure

While the AI assessment provides valuable estimates, certain factors require in-person clinical evaluation:

  • Scalp laxity: Affects FUT strip width and total graft yield
  • Hair caliber: Thicker individual hairs provide more visual coverage per graft
  • Hair color vs. skin contrast: Low contrast (blond hair on light skin) requires fewer grafts for the same visual density
  • Body hair availability: Beard and chest hair can supplement scalp donor in some cases
  • Miniaturization percentage: Requires trichoscopic measurement in clinic

Try the Assessment Now

Get your free donor sufficiency estimate at myhairline.ai/analyze. No account required, no data stored, and results in 60 seconds from any browser.

For more context on how staging works, read the Norwood Scale complete guide. To understand the full AI analysis capabilities, visit the AI hair loss analysis tool page.

Medical disclaimer: This tool provides estimates for informational purposes only. Donor area sufficiency must be confirmed by an in-person clinical examination with a qualified hair restoration surgeon. Actual graft yield, density, and surgical outcomes depend on individual anatomy and surgical technique.

Frequently Asked Questions

AI-based Norwood staging at myhairline.ai uses 468 MediaPipe facial landmarks to measure hairline position, temple recession, and vertex thinning with high precision. Clinical validation shows it matches dermatologist visual assessment for most standard cases of androgenetic alopecia.

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