Procedure detail
This hair transplant patient is a 23 year old male who was experiencing a loss in definition of his frontal hairline, along with generalized thinning in the frontal and posterior frontal forelock as well as the crown. This case illustrates that hair transplantation can proceed in the younger patient when a prudently designed conservative hairline is created, and caution is exercised with respect to transplanting the crown. If it is the patients desire to take medication (finasteride) as part of their "battle plan", I advise they wait at least one year prior to considering transplantation of the crown. In this patient, the crown has not been transplanted, and there is a subtle, but cosmetically significant improvement over the baseline presentation.As for the hairline in this example, a conservative approach is utilized, in that there is moderate recession, and density is created to match this design. The goal here is to gain a natural appearance, replacing weak, fading hair with healthy growing follicles. The adage of "less is more" applies here, and the added feature of coarse asian hair characteristics further requires careful balance between hairline contour, density, and graft size selection.This result will provide a workable scenario in the distant future, should this patient experience hair loss in the higher Norwood stages, as it is a design he can easily "grow into", that is, it should age well with him, working with his future changes, not against him. I feel this concept is a critical one in the hair transplant procedure.Also, it should be noted he is at the 9 month mark, and therefore has at least another 20-30% growth to come.2084 total FU grafts; 753 = 1's; 1291 = 2's; 43 = 3's.Tricophytic closure.
Bald class
Norwood class 2A.
The class A variation of the Norwood scale is a slightly different and less common progression of hair loss. The main differences are that the hairline recedes back uniformly, without leaving an island of hair in the middle, and there is no bald area at the vertex. Instead, the hairline progresses directly from front to back.
