Procedure detail
This 27 year old gentleman came to me with the goal of rebuilding his hairline and adding as much density and coverage as would be possible. 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. I explained to him that we need to take his age, present degree of hair loss and possible further hair loss into consideration when creating a surgical plan. I indicated that it would be best to create a conservative hairline that will look good for him at 27 but also look good as he ages. As we discussed all of his options, I pointed out that with one procedure I would be able to add more coverage through the frontal 1/3 to ? of his scalp. If he wanted more coverage than that, he would need a 2nd procedure.
During the procedure, I was able to harvest 3,480 grafts. The break down was as follows: 1,425 single hair grafts, 1,906 two hair grafts and 149 3 hair grafts. I used a significant amount of single hair follicular units which allowed me to create a very natural hairline. This action will allow him to comb his hair without anyone detecting that he has had anything done. These are his result 8 months post-op. The patient is extremely happy with his result and mentioned that he has received many positive comments about his appearance.
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.