Hair restoration surgery before and after result images with 2510 grafts

When initially evaluated in our
office in early 2010, this 29 YO patient was concerned about density in his
frontal and midscalp area. Although on propecia, he felt he was continuing to
experience loss. He had a previous procedure done about a year prior wherein
grafts were placed so as to recreate his younger hairline. Although happy with
the result, he was concerned about the generalized thinning. On exam, the most
striking feature was the tightness of his scalp- his laxity was very low, and
his donor density only about 70 fu/cm2. In addition, his scar from the previous
procedure was 4mm in some areas. The concerns we discussed were the low donor to
recipient ratio (a supply demand picture that was low on supply and high on
demand!), as well as concerns regarding future loss. We also discussed my
concerns with a recreated hairline as low as it was, as that created a larger
area of "demand" both on numbers of grafts as well as density (lower hairlines,
in general, are denser when naturally occurring). A factor in his favor is a
hairloss familial history that does not include thinning in the crown.

After
discussion of these concerns, we agreed on focusing on increasing the core
density in the frontal and midscalp areas, cautiously utilizing the donor area,
aware of the low yields available, and the scar excision required on our first
procedure.
The first three photos are at consult.

The next three are 1.3
years post procedure one with us: Ellipse 24 x
0.9 cm. 1271 Total, 885 1’s; 717 2’s; 181
3’s.

The last five photos are 5 months post
procedure two with us: Ellipse 12 x .5-.6 (right); 9.5 x .5-.7 (Left). 1239 Total.

This is an example of subtle yet satisfying
results that may be seen with slow, conservative planning. Because of the
thinner strip size, his second two procedures were not complicated by large
scarring areas, and his donor should be able to accommodate one future procedure
if needed.