Today I will discuss the Hair Transplant Optimal Cosmetic Density procedure. To begin with, I utilize specific elements in my procedures which allow me to create the maximum amount of cosmetic density in a safe manner. To this end I fabricate custom cut blades that I use to create my recipient sites for the new follicles. This allows me to use the smallest blade possible that still accommodates the patient’s follicles, but not too large or too small. The analogy I use is fitting a foot into a perfectly sized shoe. One size does not fit all when it comes to hair follicles. I also inject fluid into the scalp called “tumescence” which expands the skin and allows for more grafts placed per cm, and protects the blood vessels below. The fluid is absorbed overnight and the scalp returns to normal size the next day. These modifications in my technique allow me to create densities of between 30-60 follicles per cm squared. I have included a video of me combing through my patient’s hair to show an example of excellent density achieved.