This lady in her late 20s had hair loss from wearing tight braids for many years. She stopped wearing braids and heavy extensions. She used light and loose extensions, created bangs from hair above her hairline, and wore scarves or headbands to hide her hairline.

Patients with coarser, very curly hair usually do not have dense donor hair. She could not safely transplant enough grafts in one session to cover the whole area well. While I would usually recommend building her hairline forward in 2 steps, she preferred to commit to 2 sessions from the beginning, start with her hairline, and to continue wearing scarves to cover the gap until the hair from her second session grew.

She had 1 session of 2166 grafts transplanted at about 45 grafts per square cm in her frontal hairline and 42 in her temporal hairlines. She had planned to have her second session sooner but it was a year later that she had 2240 grafts transplanted at 36 grafts per square cm to close the remaining gap.

I was concerned that the extensions could cause further Traction Alopecia but they are actually very light weight and are fastened to loose twists. She did not include the transplanted hair in the extensions and plans to stop using the extensions after her transplanted hair grows longer.

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Cam Simmons MD ABHRS
Canadian Hair Transplant Centre,
Toronto, Ontario, Canada

Dr. Cam Simmons is a member of the Coalition of Independent Hair Restoration Physicians

I really like this case Dr Simmons. It seems like a lot of careful planning and effort, and the results are impressive.

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Blake (Future_HT_Doc)

Forum Co-Moderator and Editorial Assistant for the Hair Transplant Network, the Hair Loss Learning Center, the Hair Loss Q&A Blog, and the Hair Restoration Forum

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

i agree....impressive traction alopecia restoration

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Patient Services Director for True & Dorin Medical Group

Dr. True and Dr. Dorin are members of the Coalition of Independent Hair Restoration Physicians

Dr. Simmons,

I actually hear from a number of traction alopecia patients through email asking about their treatment options. For those who's hair loss is permanent from this condition, this would be a great surgical example to show them.

Well done as usual.

Best wishes,

Bill

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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.

Thanks Future, orangehair, and Bill

I think Traction Alopecia is much more common than we realize. I have been noticing it more and more when walking around downtown. Often, women try to hide the Traction Alopecia with heavy hair extensions sewn in to tight braids and accidentally make their problem worse.

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Cam Simmons MD ABHRS
Canadian Hair Transplant Centre,
Toronto, Ontario, Canada

Dr. Cam Simmons is a member of the Coalition of Independent Hair Restoration Physicians

Dr Simmons,

An excellent example of this type of work.

Mick

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Patient coordinator for Drs. Bessam and Nilofer of the Farjo Clinic in England

I agree Doc. I also agree with all the comments made - Nice job!

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Best
SPEX

Consultant for Dr. Feller, Coalition Member and Dr. Lindsey, Coalition Member.

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

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