Procedure detail
Patient returned for his one year follow-up appointment, s/p 1870 FU grafts to
recreate his hairline, which had always bothered him since childhood, and which
had become more apparent with the effects of androgenic alopecia (male pattern
hairloss). He is very happy with the results, as he has been able to go about
all his activities "without even thinking about" his hairline/thinning look. His
crown has been stabilized on finasteride.
Patient is a 25 YO male with a
congenitally high hairline/large forehead. In addition, he experiences
Androgenic Alopecia, i.e., thinning predominantly affecting crown, hairline, FF,
posterior FF, and bilateral temples. Plan: 1600 total grafts, to recreate
hairline and temples. Approx 40 cm2 total area. Goals: Reinforce hairline and FF
and round bilateral temple recessions.
Actual yield at time of surgery: 1870
FU grafts: 700 1's; 1060 2's; 110 3's. Ellipse 18.2 cm x 1.0 cm.
Acceptable
closure tension. Tricophytic.
Bald class
Norwood class 2A.
The class A variation of the Norwood scale is a slightly different and less common progression of hair loss. The main differences are that the hairline recedes back uniformly, without leaving an island of hair in the middle, and there is no bald area at the vertex. Instead, the hairline progresses directly from front to back.