This fellow stopped in for a visit last week. He came in in the early spring and had 2500 grafts placed in a U shaped pattern preserving his frontal tuft, primarily so that by styling a combover, he could not call attention to his procedure.

Surgical date, 1 week, 1 month or so, 3 month and 6.5 month pics are shown and he'll stop back in the spring for a final check. He is showing some reasonable early growth, but likely contributed to by significant social stress and family genes, appears to be thinning posterior to the transplant.

Dr. Lindsey McLean VA

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William H. Lindsey, MD, FACS
McLean, VA

Dr. William Lindsey is a member of the Coalition of Independent Hair Restoration Physicians

Nice work doctor. It does seem that he has naturally thinned quite a bit since the transplant. Is the patient on any meds to prevent this loss??

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Blake (Future_HT_Doc)

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All opinions are my own and my advice should not constitute as medical advice.

Is not of some concern, that due to the continued loss of this patients native hair, it becomes possible that overtime, his frontal tuft may begin to thin also. Therefore evolving into a rather unnatural hairloss pattern. Is this a concern? What do you feel are the chances of this situation becoming reality?

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I agree that behind his procedure, he has thinned significantly; and that he had the family potential for losing much of that. I think that he is on, or at least was on Propecia.

As to the frontal tuft, that is anyone's guess. At least at the time of surgery, and even now, it is of sufficient quality that I don't think its worth damaging a significant portion of that good hair, for me to put grafts in there. Should he lose that, a smallish case can rebuild that; and he'll have enough surrounding hair to comb over that area and not look "operated upon" after a few days. If that doesn't thin, there is more for work behind the current case should he choose to proceed.

Dr. Lindsey McLean VA

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William H. Lindsey, MD, FACS
McLean, VA

Dr. William Lindsey is a member of the Coalition of Independent Hair Restoration Physicians