HOI Encyclopedia Category: Techniques & Technologies

Channel Opening Depth

Written by HOI Medical Editorial Team
Medically reviewed by Dr. Ahmet Dilber
First published: December 2025 · Last updated: September 2026

Channel opening depth determines how securely grafts sit and how well they survive. Shallow channels risk graft popping, while overly deep channels may damage blood supply. Precise depth control is essential for graft stability, healing, and natural long-term results.

Key Facts

Channel depth Depth of the recipient site holding one graft
Set against The length of the grafts, measured on site
Too shallow Grafts sit proud, dry out and pop
Too deep Buried grafts, pitting and cysts
Varies by Scalp thickness across the head
Wider risk Reaching the vascular layer that feeds every graft

Depth is set against the graft, not against a number. There is no universal millimetre figure. The channel has to match the length of the follicular units being placed, and those differ between donors and between grafts in the same donor. Depth is calibrated on the first sites, with real grafts, and rechecked as the scalp changes thickness across the head.

Recipient channel depth: too shallow, correct, too deepThree cross-sections of skin with a graft placed at a different level in each. Too shallow: the graft sits proud of the surface, dries out and lifts out of the site. Correct: the graft sits flush, anchored, its bulb in contact with living tissue. Too deep: the graft is buried and skin closes over it, giving pitting, trapped hair and cysts.Too shallowSits proud, dries out,lifts out of the site — poppingCorrectFlush and anchored, bulb incontact with living tissueToo deepBuried; skin closes over it —pitting, trapped hair, cystsDepth is calibrated against the grafts themselves, on the first sites — there is no universal millimetre figure.
The same graft at three different levels. Only the middle one is anchored with its bulb in contact with living tissue.
Channel What follows
Too shallow The graft sits proud, dries out, and lifts out of the site — popping
Correct The graft sits flush, anchored, its bulb in contact with living tissue
Too deep The graft is buried — pitting, trapped hair and cysts

Both errors damage growth, by different routes. A shallow graft loses contact with the tissue that has to supply it before new vessels reach it. A buried graft is surrounded by skin that closes over it, so the hair grows into a depression or fails to surface at all. Neither shows on the day; both show at the end of the growth phase.

Depth is also where the recipient area is protected. Channels that go beyond what the graft needs reach the vascular layer that will keep every surrounding graft alive. Restraint here is not caution for its own sake — it is what stops one row of sites compromising the blood supply of the whole area.

For raised or uneven healing over the sites, see cobblestoning after a hair transplant. For the implantation stage in context, see the DHI technique.

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Page last updated: 05.09.2026
Editor Contact: fatih@hairofistanbul.com

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