Procedure detail
This patient is a 32 year old gentleman that came into our office concerned about his thinning hair. After establishing his medical history and understanding the progression of his hair loss, I diagnosed his condition as Androgenetic Alopecia (male pattern baldness), ruling out any other possible dermatological or medical conditions which can cause hair loss. He had been prescribed Propecia two years prior to our meeting and was still taking the medication. The patient felt that his hair loss has been under control since starting the Propecia, but the medication had not reversed the damage that occurred prior to his taking it. Therefore, he wanted to correct the hair loss that had occurred prior to taking Propecia. He was uncomfortable with the thinning of his hairline along with the thinning within the crown area. After understanding the patient’s concerns, I decided that we could address both areas of concern in one surgery. My plan was to build up the hairline and frontal 1/3 of the scalp with a majority of the grafts. The remaining grafts would be placed in the crown area to increase his density in that region. The graft breakdown for the surgery is as follows: 1,401 single hairs, which were all place in the hairline
1,674 2-hair grafts, which were placed in the frontal 1/3
530 3-hair grafts, which were placed in the crown area
A total of 3,605 grafts were placed during this patient’s surgery. These are his results 10 months post-op.
Bald class
Norwood class 3A
The Norwood Class A patterns are characterized by a predominantly front to back progression of hair loss. These patterns lack the connecting bridge across the top of the scalp and generally have more limited hair loss in the crown, even when advanced.
