This 34 year old gentleman had a hair loss pattern similar to a class 4v on the Hamilton Norwood hair loss scale. His goal was simple; rebuild his hairline and add density to the frontal 1/2. That said, he also wanted to be able to keep his hair short without anyone detecting that he had a procedure done.
I explained to him that he would have a dramatic result and his overall goals could be accomplished after one procedure. I also explained that if he wanted more density in the back ? he would need another procedure.
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. During the discussion with the patient regarding his surgery I conveyed to him that my intent was to reconstruct a hairline that would be suitable for him now, but also something that will look good as he gets older. This is a critical issue which needs to be discussed when planning any work on the hairline.
A total of 3,981 grafts were used. The break down was as follows: 1,307 single hair grafts, 2,652 two hair grafts and 22 three hair grafts.
I used significantly more single hair follicular units which allowed me to create a very natural hairline. A natural hairline is essential in making a patient happy; it gives them confidence. When a patient has undergone a surgery they need to feel comfortable combing their hair/styling their hair in front of others as well as undertaking water sports or swimming around other people. A natural hairline cements this feeling of comfort and allows patients to experience a more carefree lifestyle.
These are the patient’s results 10 months post-op. There will continue to be more improvement over the next few months. As I’m sure you’ve gathered, the patient is extremely happy with his results.
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.