Dr. Keene pt 9 months post 2808 grafts, 7090 hairs

[hairtechnician]

This 32 year old gentleman had seen his hairline and crown gradually decline since his early 20s and decided he would like to see that reversed. He came to Dr. Keene with the goal of restoring his hairline and filling in his crown. The photos are from before, and 9 months post op, 2808 grafts. Here is the graft breakdown:

1 haired grafts 446
2 haired grafts 933
3 haired grafts 918
4 haired grafts 506
Total grafts 2808
Total hairs 7090

[Cant decide]

Nice result. How many grafts went into the crown?

[TakingThePlunge]

Hairtechnician,

Thank you for sharing another example of Dr. Keene's excellent work.

[RCWest]

This is a very nice first pass! Does this patient naturally have this high density or are you using mfu's to get so many 4's?

[hairtechnician]

RCWest,

We do include some DFU's (double follicular units of up to 4 hairs) to increase density. So if hairs are within a mm of each other, we will typically try to keep the hairs togehter in one graft, even if there is a slight gap in between the hairs. This is because dissecting them down into 1 and 2 haired grafts, and placing them into seperate incisions that are spaced a mm apart, results in spreading the hairs farther apart. By keeping the hairs closer together, we provide higher density. However, we avoid exceeding 4 hairs per graft, because more than 4 hairs per graft can result in a grafty appearance. The DFU's are placed in strategic areas, not in the front hairline for example, but more toward central areas including the crown, with follicular unit grafts surrounding them.