Hybrid Grafting Technique

The use of larger grafts for the top and non-central portion of the crown and smaller grafts for the frontal hairline and perimeter of the transplant has a variety of names including the Hybrid Technique, Blend Grafting and Variagrafting. Although this hybrid approach is detectable on close inspection, it may not be noticeable in a social setting unless the hair is wet or the patient is in bright sunlight. The results are best in patients who have curly, white or very blonde hair. Although the look from a distance of two to three feet in soft lighting may be relatively undetectable, on closer inspection it always is; and it will never fool the barber.
In individuals with curly or wavy hair, the hybrid approach may be a reasonable way to reduce the costs of the process. For individuals with straight hair, such an approach can be disastrous, particularly if the color of the hair stands out against distinctly contrasting skin tones. The hybrid procedure generally costs less, and can be performed without the intense labor required for larger sessions of small grafts. The larger grafts may range from 1.5 mm in size to more than 2 mm in size. Another disadvantage for those who will accept the hybrid compromise is that the larger grafts may become more evident when further balding occurs, particularly when recession allows them to be viewed from a different angle. The hybrid approach is more a short-term economic solution than a long-term one and is not recommended by NHI physicians.