Procedure detail
This 30 year old gentleman’s hair loss pattern was
similar to a class 4 before his surgery. He came to me hopeful that I could
rebuild his hairline and add more density to the frontal 1/2 of his scalp. His
goal was to be able to comb his hair back without any signs of thinning in the
hairline. After establishing his medical history and understanding the
progression of his hair loss (which is important, as you’ll see below), I
diagnosed his condition as Androgenetic Alopecia (male pattern baldness), ruling
out any other possible dermatological or medical conditions which can cause hair
loss. The patient’s goal was well suited to his needs. That said, I understood
his progression of hair loss and it allowed me to better anticipate where he
would thin as he aged. In educating and discussing this with the patient, we
were able to agree on an approach to the surgery that would reconstruct a
hairline that would be suitable now, allowed the patient to attain his goals,
and would also look good as the patient aged as it took into account where the
patient would likely thin in the future.
A total of 3,241 grafts were
used. The break down was as follows: 1,620 single hair grafts, 1,122 two-hair
grafts and 499 three-hair grafts. I used significantly more single hair
follicular units which allowed me to create a very natural hairline. This action
will allow him to style his hair as he would like without anyone detecting that
he has had anything done. These are his results 10 months post-op and there will
continue to be more improvement over the next few months. The patient is
extremely happy with his results.
Bald class
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.
