Patients is a 53 year old with AA affecting his hairline, frontal forelock, midscalp and crown. In addition, patient has hair of very thin caliber, which translates as less total hair mass than similar graft counts with larger diameter hair shafts. 2424 total grafts; 683 ones, 1506 two's, 133 three's, and 102 DFU's. In addition, this case is challenging as the patient has a larger than normal surface area due to a larger than average head size. His good scalp laxity in the donor made up for his lower than average density of 75 FU/cm2. The result is at 14 months post op.
Norwood class 4
Characterized by further frontal hair loss and enlargement of vertex, but there is still a solid band of hair across the top (mid-scalp) separating front and vertex.