Procedure detail
This 43 year old gentleman had a hair loss pattern similar to a class 4v on the Hamilton Norwood hair loss scale. 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. His hair was very fine, light brown, and was starting to turn grey. However, his donor area was above average, which allowed me to harvest quite a few grafts.
His goal was to be able rebuild his hairline and add density to the frontal 1/3-1/2 of his scalp. In addition, he wanted to have a conservative hairline that would be age appropriate. Taking all of his concerns into consideration, we came to an agreement regarding the surgical plan.
I reconstructed a hairline that would be suitable for his age. A total of 3,503 grafts were used. The break down was as follows: 1,260 single hair grafts, 2,025 two hair grafts and 218 three 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 results 1 year after his procedure. The patient is extremely happy with his result and is taking finasteride 1mg to control further hair loss. He does understand that he might need an addition procedure if he would like more density or has any further hair loss down the road.
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.
