30 year old man with receding hairline and slight thinning in the crown. 1300 follicular unit grafts performed on November 26, 2008 with donor strip harvesting.

Dr. Kabaker,

Very subtle difference, but very natural.

Is there a reason you and/or the patient didn't opt for a larger session to provide additional density? I look forward to hearing about your approach for this patient.

Thanks for posting.

Bill

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I am not a medical professional and my words should not be taken as medical advice. All opinions and views shared are my own.

Honestly, I don't think I'm seeing a lot.

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Absolute pants!!! imo.

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I actually like this a lot; it is a bit subtle, for sure, but I really like his hairline and framing of the face a lot better and it's totally natural.

I'm also curious too, tho, why he didn't opt for a bit larger of a session. It's only 6months post-op, but I'd guess when all is said and done a few more grafts could have been nice (particularly for the crown).

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*A Follicles Dying Wish To Clinics*

1 top-down, 1 portrait, 1 side-shot, 1 hairline....4 photos. No flash.

Follicles have asked for centuries, in ten languages, as many times so as to confuse a mathematician.

Enough is enough! Give me documentation or give me death!

I echo what Bill and thana said. It is an extremely subtle, yet a much improved, hairline. Anytime you can get a nice result using so few grafts I am impressed. I don't know what Dr. Kabaker charges, but there is no way that this surgery cost more than $4,500 - 5,000.

This is an interesting case, and I'd also love to hear the doctors approach here, specifically on density levels /cm in the hairline. I'd love to see this *fully* grown, too.

Relating to the graft count and the "debate" TC and I had recently on graft tallies....casrs like this do make me wonder, to say the least...possibly it's when there is a good deal of native hair to support the recipient zone; but in spots like this, and this is a great example, I do see very nominal #s of grafts producing a truly improved result, clearly by way of maximizing "the illusion". In turn, I often see virtually identical cases receive 2x (if not 3x) the grafts.

I suppose it goes back to the still-ongoing debate on what type of density levels are "required" for the hairline; I recall the IHRS conference from 2years ago that Bill went to talked about this in depth.

No doubt, the 2-3x graft cases are producing better true densities, but I'm not always sold on how ideal/appropriate it is, especially for younger guys with very undefinable patterns, when a significantly reduced # might be an ultimately more desireable option.

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*A Follicles Dying Wish To Clinics*

1 top-down, 1 portrait, 1 side-shot, 1 hairline....4 photos. No flash.

Follicles have asked for centuries, in ten languages, as many times so as to confuse a mathematician.

Enough is enough! Give me documentation or give me death!