This 50 year old male who is almost to the point of a Norwood VI level of hair loss, presented requesting hair transplantation, and he chose the "all-FU" method, rather than the "combination" method (in which around 20-30% of the grafts in the first couple of sessions are DFU's or TFU's of 4-6 hairs). 3063 FU's were placed, of which 30% were 1-hair FU's, 50% 2-hair FU's, and 20% 3-hair FU's.
Around one-third of our patients are done exclusively with only FU's densely packed. The public perception of our practice has certainly been that we use the MFU's in almost all surgeries, but we are equally comfortable using all FU's. We especially favor the all-FU approach when the area of concern is a smaller one, such as with deep recessions and erosion of the front hair line.
You will note on the pattern drawing on his head that we drew in a small circular zone in the "frontal core" region, which was approached with "stick-and-place" by myself, placing around 150 two and three-hair FU's into tiny 20 and 19g needle sites. The zone around that was transplanted at moderate density, using all 2's and 3's, and the rear and side zones were filled with 1's and 2's with slightly lesser density. The front hair line had 600 FU's placed.
Mike Beehner, M.D.