This patient was a stage 6 hairloss suferrer who wore a hairpiece for 5 years. Because of the hairpiece he lost whatever remaining hair he had on the top of his head. The company that maintained his system also routinely shaved the lateral hump area to afix the system. His goal was to get rid of it all together.

We performed 3,300 follicular units on him with a strip method to provide him with a new hairline and some top coverage. Thankfully he has thick caliber hair and combs it backwards which makes his final result quite dramatic.

He is scheduled to have a second procedure in the top and crown.

William Lindsey, MD
Reston, 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

For 3300 grafts it has made a great change in appearance for this guy. Judging from the pics this guy was in a very advanced stage of balding. From the pictures he looks almost to be a norwood 7.
Adding density to the hairline and filling in the crown could be the next step for this guy.

max

Dr. Lindsey,

The results look nice, but I'm not sure they are a true reflection of the result.

Here are a few observations/suggestions.

The before picture (look carefully) below seems to reveal evidence of a lot of shaved or freshly growing native hair all over the scalp including the areas transplanted.



The "bald" before pictures therefore, don't seem to be a true reflection of the patient's balding condition. If my observations are correct, this also means the result can't be properly determined.

My observations are also found in what seems a lot of hair growing in the forelock / crown area (despite the fact that there is somewhat of a comb-over effect). The before picture would have you believe that he was completely bald in the transplanted and non-transplanted areas.

If you have additional high resolution, closeup pictures of this patient's before condition, this would be helpful in determining the quality of this result. Immediately postoperative photos would also be helpful.

Thanks,

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.

I think that the picture in question is a bit deceptive -- in that it makes it look like he has more native hair then he really has (?). When I examined it more closer, and compared it to another pre-op shot (picture #5), it seems like it is the shadow/lighting giving it the appearance of a lot of fresh stubble/hair. I'm not totally sure, though, and I also thought that the picture you referrenced showed evidence of a relatively good amount of native hair.

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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!

there is no doubt that the patient has a much improved look but the most striking thing when u first look is indeed that comb backed comb over.So its kind of hard to tell whats going on.

His new hairline looks very natural.

looks natural

Bill brings up a valid point. It's hard to tell if there was any native hair on the scalp prior to surgery that was shaved down pre-op. It certainly appears that he has a lot more hair post-op especially for 3300 grafts. If he was indeed slick bald, then this is a very good result IMO.

Picture three looks like there is hair there and to me picture five looks like there is very little if any.

For 3,300 grafts, I think it looks great. The patient has a huge change in their appearence.

Thank you for the comments. This patient was very pleased and is scheduled for a second surgery to address the top and the crown.

As for the mini-controversy concerning the possible presence of hair in the recipient area, there was none at all, nor did we shave anything. Any hair he did have within the the recipient area was killed by wearing his hair system and as such that area was completely alopectic and smooth long before his visit to us. This is very common in long time hair piece wearers.

He did have some hair in the lateral hump area that I outlined in one photo and mentioned in my original write up. Not much, but you can see a bit of it. You can also see a bit of hair recovering around the fringes of the crown where he used to affix his hair piece.

No doubt the back and sides of his head look better in the after pictures because he no longer wears the hair piece; and some of the hair has recovered. But, there was not one hair within the recipeint area prior to surgery nor was any of it shaved prior to surgery.

Most of the coverage in the back comes from this patient growing out his hair transplant and combing it backward. We did not work in the crown or the sides, only the area outlined in the photo which is the hairline, front and top as indicated in my initial write up.

We will post more photos of him when he has his second procedure and we will take video as well.

Thank you for all your comments. Our original photography was not designed for the web, but that will change now that I have a new digital camara and am learning the best way to shoot before/after picutres.

William Lindsey, MD
Reston, Virginia

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

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