Procedure detail
This gentleman is a 31 year old hair restoration patient who has been experiencing gradual hair loss
secondary to androgenic alopecia and presents with generalized thinning
predominantly affecting the crown, central core posterior to the frontal
forelock and anterior to the crown, and bilateral temples. He was placed on
finasteride, 1 mg/day following our initial consult one year ago, and has seen
good response from the medication in terms of slowing of his MPA, though he did
not achieve any significant regrowth. We transplanted a total of 2948 FU grafts
as follows: 803 1's; 2014 2's; 131 3's. Donor closure is tricophytic, with an
ellipse size of 28cm x 1.3 cm.
UPDATE
The latest posted photos show results at 1 year. This case is important as it
illustrates the reality of hair restoration in the setting of fine hair. While
the patient is certainly very happy with his result, as are we, it is evident
his results are subtle. While the post-op photos do have the disadvantage of
being taken with "product" in the patients hair, I think it is a good thing for
potential hair transplant candidates to see that results can be gradual, and not
always "night and day". That said, even with the "wet" condition of the post-op
photos, it can be appreciated that the temporal recessions are recreated, with a
definite hairline, and the crown/anterior crown has diminished thinning
apparent. I feel this case is likewise a very good illustration of the reality
of some permanent shock loss which can occur in very very fine hairs that are
present pre-surgery which are so weakened by DHT over the years as to make them
vulnerable. All of these concepts are covered in the pre-op consult as they are
critical in the patient's understanding/expectations of the outcome scenario.
Bald class
Norwood stage 3 Vertex
In terms of the receding hairline, stage 3 vertex balding is a less drastic version of stage 3.
However, people experiencing stage 3 vertex balding will also begin losing hair on the crown of their head. This often starts as one small bald spot.