Procedure detail
This patient is a 42-year-old male who desired to enhance his frontal hairline. His preference was to have FUE as there are times that he shaves his head and he wanted to avoid a linear scar.Exam revealed very medium caliber black hair and definite thinning at the frontal hairline region. We transplanted 2102 follicular unit grafts approximately 6 months ago. When I perform FUE, I utilize between a 0.8 – 1.0 mm round FUE punches depending upon the diameter of the follicular units.
As the surgeon, I perform every punch; afterwards, between my experienced staff and myself ,we extract the grafts. Not infrequently, I will do all the extractions after I incise the grafts with the round blades. Once the grafts are extracted, they are all examined under the binocular microscopes for their integrity. If they are not found intact or transected, they are either used but not counted in the final graft count or discarded. Each graft, once extracted, is also immediately bathed in HypoThermasol. After 500 grafts are extracted, I will make the sites and my team and I place the grafts. We will then put the patient back in the prone position to extract more grafts. We continue alternating between extraction and placement until our plan is accomplished.
The photographs presented show the proposed outline of the frontal hairline and his 6-month growth. The patient does not live in the area so he sent me these 3 photos. He will also send me his 1-year photographs that I will post.
Bald class
Norwood stage 2
There is a slight recession of the hairline around the temples. This is also known as an adult or mature hairline.
