This nice fellow was fairly plugged out years ago. As readers may know, I thing that the regularity and "predictability" of a pluggy front is like driving by a Christmas tree farm. My approach is simply to plant alot of trees in the first few rows of the Christmas tree farm, and irregularize the hairline. That makes people driving by the farm think its just a regular forest. Same deal with a hairline.

Remember, there is a limited supply of donor hair to plant, and I like to pack that front inch or so. In order to preserve the already paid for and nicely growing plugs, we crew-cut them and then I make the slits carefully trying not to damage their roots, yet get close enough to camouflage the plugs themselves.

Shown are periop and 1 week pics, and then 10 month pics from this past Sunday. I think he has more still to thicken up but both he and I feel the hairline has been tranformed.

He had inquired about putting more of his limited hair about an inch and a half back in amongst the plugs...but I had to remind him that he has a limited supply of maybe 2000 grafts left...and his crown is thinning despite meds...so I'd save that hair for the crown a few years from now.

Dr. Lindsey McLean 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

Dr. Lindsey,

Thank you for posting the results of this excellent repair work! It's nothing short of amazing to see such a transformation from pluggy to refined and natural.

__________________
David (TakingThePlunge)
Forum Co-Moderator and Editorial Assistant

I am not a medical professional. All opinions are my own and my advice should not constitute as medical advice.

View my Hair Loss Website

Looks great Doc!

Also like to add that was a good analogy ;-)

Kudos on the resut thus far!

Cheers,

__________________
"The road to success is always under construction"

I am here to assist fellow Australian/NZ Hair Loss sufferers both on and off the forum.

Hair Transplant Surgery:
June 3rd 2011
2700 Grafts to frontal 1/3
By Dr Rahal in Ottawa, Canada
Breakdown coming soon...

Current Hair Loss Arsenal:
Proscar (Cut into 1/4): x1 Daily 7 years
Hair-A-Gain Generic Minox: x2 Daily 11 years
Nanofibres: Special occasions x3 years
Natural Instincts Sensitive Shampoo: Everyday x6 years

Other Random products put to use during my hair loss battle (not in use):
Spiro Cream 5mg
Minox 15%
Dr Proctor's Nano Shampoo
Various Herbal supplements
Toppik
Saw Palmetto
Provillus
Laser Treatments (Epic Fail)

6 long years of HT research.

*I am not a medical professional, I only offer my own advice from personal experiences and years of detailed research*

Outstanding blending of grafts Doc! This repair is a success!

__________________
Finasteride 1.25 mg. daily
Avodart 0.5 mg. daily
Spironolactone 50 mg twice daily
5 mg. oral Minoxidil twice daily
Biotin 1000 mcg daily
Multi Vitamin daily

Damn, with all the stuff you put in your hair are you like a negative NW1?

Thanks for the comments. In addition, I really think he has 25% more to grow in. He lives several hours away, so I don't expect to see him until his crown thins more, but I told him I bet its significantly better by July.

Most importantly he is happy and not self conscious of that old pluggy hairline.

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

Dr. Lindsey,

A vast improvement; nicely done!

__________________
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.

Thanks Blake. I've got another plug repair followup coming in for pics this morning as well.

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

Really nice result Dr. Lindsey. You made a huge improvement on this patient's appearance.

__________________
Louise

Lead Hair Transplant Technician for Dr. Cam Simmons at the Seager Medical Group

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

Thanks for the comment Louise.

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