This fellow had had a minigraft case several years ago and wanted increased hairline density. 1600 grafts were place along the entire hairline with weighting toward the left. 0.72mm slits for singles and 0.85mm slits for doubles were spaced around his growing, and previously paid for minigrafts done by a local competitor.

Photos are at 18 months and show a nice natural result, helped of course by his fairly thick donor hairs.

Dr. Lindsey McLean VA

__________________
William H. Lindsey, MD, FACS
McLean, VA

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

This fellow had had a minigraft case several years ago and wanted increased hairline density. 1600 grafts were place along the entire hairline with weighting toward the left. 0.72mm slits for singles and 0.85mm slits for doubles were spaced around his growing, and previously paid for minigrafts done by a local competitor.

Photos are at 18 months and show a nice natural result, helped of course by his fairly thick donor hairs.

Dr. Lindsey McLean VA

__________________
William H. Lindsey, MD, FACS
McLean, VA

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

I never liked the idea of transplanting hair on one side and not the other (weighting). While you might be able to get decent pictures in the office with hair combed over to cover everything, as soon as the person walks out the door and into the wind he will look like exactly what you just did. He will have hair on one side of his head and not the other. Forget about going swimming. That would look even worse. And it requires the person to grow his hair extremely long to try to cover the area that you didn't. It seems to me all of those things would be the reason to have a repair rather than what a person would want to achieve. What happened to natural looking results? You don't get that when weighting heavily to one side... unless as I said you are only interested in what you can make it look like in the office when you do the combover.

Be Happy

In certain cases I agree with you. In this man's case I don't. First, he has thick hairs, that like mine, tend to bush out and give the perception of even thicker coverage. Second, he has a finite amount of donor resources; and financial resources and this procedure fit his needs quite nicely.

I don't like to "weight" in really young folks who might change the way that they part their hair several times until they enter their mid 40s; but my best guess is that most men don't significantly change their hairstyle/partlines after 40 or so.

Dr. Lindsey McLean VA

__________________
William H. Lindsey, MD, FACS
McLean, VA

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

Be Happy,

I disagree a little with you, as I have more hair on my non-part side of my head that I never really noticed. When Dr. Cooley combed it down I was very surprised to see the "patch" of hair toward the middle and front of natural hair.

I guess the years of parting thinned it out on one side. I doubt this guy's hair is so "weighted" that it would be like a true comb over when he walks outside. Maybe he should have got 2500 spread out, but I think this is a great improvement.

__________________
100? 'mini' grapfts by Latham's Hair Clinic - 1991 (Removed 50 plugs by Cooley 3/08.)
2750 FU 3/20/08 by Dr. Cooley

My Hair Loss Website - Hair Transplant with Dr. Cooley

Current regimen:
1.66 mg Proscar M-W-F
Rogaine 5% Foam - every now and then
AndroGel - once daily
Lipitor - 5 mg every other day
Weightlifting - 2x per week
Jogging - 3x per week

Like BeHappy, I too am not usually a fan of this approach. However, I do understand the reasons and benefits for this approach.

Personally, I don't like the idea of it because hair styling becomes limited, and I may find myself worrying about whether or not my hair is out of place and not looking optimal under certain weather conditions (wind for example), etc.

However, I believe this is a viable alternative to patients with minimal donor hair who are certain a particular style is better than having minimal to no hair at all.

Ultimately, it's about customizing a hair transplant based on a patient's goals, needs, and what can realistically be achieved.

Best wishes,

Bill

__________________
Managing Publisher of the Hair Transplant Network, the Hair Loss Learning Center, the Hair Loss Q&A Blog and the Hair Loss Forum and Social Community

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-----

To learn about how I restored my hair, view my my hair loss website.

Remember, true beauty radiates from within, not from the skin.

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

You know Bill, a lot of posters on here want a transplant and then immediately want to know if they'll be able to shave it down to a 1. I figure those are younger guys who have unrealistic expectations; or don't really need a transplant.

I would guess the majority of us, who are around this guy's age, will wear the same hairstyle the rest of our lives. I've parted my hair on the right side for the past 20 years so I don't expect to be changing any time soon for sure.

Fact is, this guy looks a hell of a lot better and I'd much rather worry about someone spotting (on a windy day) that I might have a little more hair on my right front than to walk around the other 98% of the time with the thinning look.

And, if he's like me he probably doesn't spend a whole lot of time in the wind anyway, relatively speaking.

__________________
100? 'mini' grapfts by Latham's Hair Clinic - 1991 (Removed 50 plugs by Cooley 3/08.)
2750 FU 3/20/08 by Dr. Cooley

My Hair Loss Website - Hair Transplant with Dr. Cooley

Current regimen:
1.66 mg Proscar M-W-F
Rogaine 5% Foam - every now and then
AndroGel - once daily
Lipitor - 5 mg every other day
Weightlifting - 2x per week
Jogging - 3x per week

I feel if you only have enough donor hair to fill one side, then you probably better put some on both sides to make both sides even because you will need that in a few years when you are NW 7 and want to comb your hair straight back. If you have enough donor available to fill in both sides, then why weight it to one side.

Dewayne,

Your points are valid and I don't disagree. I'm only stating my preference for my scalp.

Personally, I'd probably rather a consistently thinner head of hair than it to be thicker on one side. This way, personally, I wouldn't feel as emotionally vulnerable if a nice wind is blowing my hair around outside or when swimming showing a less than natural thining pattern.

In my opinion, it's a viable option for patients, and I agree his hair looks much better. Patients just need to be aware of the limitation of both methods and decide for themselves with the help of their doctor.

In my opinion, Dr. Lindsey did a great job with this patient.

Best wishes,

Bill

__________________
Managing Publisher of the Hair Transplant Network, the Hair Loss Learning Center, the Hair Loss Q&A Blog and the Hair Loss Forum and Social Community

Follow us on Facebook | Twitter | YouTube

Subscribe to our Newsletters | How We Recommend Physicians

-----

To learn about how I restored my hair, view my my hair loss website.

Remember, true beauty radiates from within, not from the skin.

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

Right Bill,

Patients are best suited to participate in the overall plan WITH the doctor, who hopefully has laid out a couple of treatment options--their pros and cons-- and an informed "customer" can make an informed decision.

Dr. Lindsey McLean VA

__________________
William H. Lindsey, MD, FACS
McLean, VA

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