
Hi Everyone,
we would like to present below a case of a patient with a Norwood VI stage. You can find below the details of the surgery. Patient Details
Patient´s age: 35 years old when the first surgery took place. Second surgery took place 1 year after the first surgery.
The patient started to use finasteride 1 month before the 1st surgery and he continued afterwards
Hair Thickness: 52 microns in the parietal areas and 54 microns in the occipital area.
0.8mm micromotor and 0.85mm manual punch were used for the extraction in both surgeries.
Surgical Plan for the 1st surgery: Hairline reconstruction, density increase in the frontal, fronto-temporal area and mid scalp.. The surgery was performed in two consecutive days with 5 sessions of extraction and implantation. Overall, 4677 grafts were implanted, 3318 in the frontal area and 1359 in the mid scalp.
Surgical Plan for the 2nd surgery: density increase in the frontal and mid scalp and crown area. The surgery was performed in 2 days with 4 sessions of extraction and implantation. Overall, 3226 grafts were implanted, 338 in the hairline, 1489 in the frontal and mid scalp area and 1399 in the crown.
Grafts Breakdown 1st surgery
1s: 1105
2s: 2078
3s: 1368
4s: 126
Overall hair/graft ratio: 2.11
Grafts Breakdown 2nd surgery
1s: 587
2s: 1454
3s: 1121
4s: 64
Overall hair/graft ratio: 2.20
1st Surgery implantation
1st Surgery implantation
12 months after 1st surgery wet hair
Implantation after 1st surgery
Implantation after 1st surgery
12 months after 1st surgery - wet hair.
Donor area right after 1st surgery