Procedure detail
This man is a fairly typical type III seeking frontal
restoration. Over 3,000 grafts were implanted into the frontal and temporal
regions. This case exemplifies what we mean by "framing the face". Simply
restoring the frontal hairline results in improvement but the wide forehead that
results from failing to restore the temples will lead to a sub-optimal result.
We used both lateral and sagital slits. Most of our patients do not want to
shave their heads and expect to be back to work in a week so we like the sagital
slits to blend into existing hair. We also try to angle the grafts very acutely forward so the patient has more styling options: downward, to the side, or
combed back. If the grafts are too upright, the patient often has to comb the
hair back because it won't lay down. Temporal restoration must be undertaken
with care in younger men because further recession behind temporal grafts can be
problematic. This patient was in his 30's and his hair loss had been stabilized
with finasteride and minoxidil. The patient was very pleased with the
result.
Bald class
Norwood class 3
The earliest stage of male hair loss. It is characterized by a deepening temporal recession.
