Dr. William Parsley

25 yr/old white female with a receded frontal temporal junction. Repair done with 1300 FUT grafts. Results at 7 months.

This 55 y/o WF with a 10 yr history of gradual thinning of her frontal hairline had one procedure of 1,204 FUT grafts to the area just behind the frontal hairline. Results at 1 year.

This 41 y/o caucasian male had 2 sessions of grafts elsewhere but wanted more density. 1712 FUT grafts were placed into the frontal half of his scalp.

42 y/o WM with late NW3 hair loss treated with 2,800 FUT grafts.

58 y/o WM NW-5A treated with 1 session of 2,000 FUT grafts.

65 y/o WM NW5 transplanted with 4,000 FU grafts using the strip method.

55 y/o caucasian male with NW6 pattern and very fine hair. 2,500 grafts placed. Follow up at 6 years.

Pt is a 60 y/o NW6 who had 2 sessions of FUT over the top of his scalp with only light grafting over the vertex. A total of 5500 grafts were placed.

42 y/o WM with previous grafting but had lost some of his existing hair giving a thinner look. 800 FU grafts by strip were added to the frontal zone to thicken the hair.

The patient is a 42 y/o transgender patient desiring a more feminine hairline along with some thickening. Finasteride and minoxidil were used to thicken the vertex. 1800 grafts were placed in a single session. Results are at 9 months.

54 y/o caucasian male wanted a "mature" hairline. 3200 grafts were placed in the frontal 2/3 of his scalp.

52 y/o AfroAmerican female with a long history of developing traction alopecia from hair styles that pulled on her temple hair, had a repair with one session of 1900 grafts. A second session my be done later if needed.

I have seen very few patients have any significant improvement by switching to Dutasteride but some feel that it helped. Most of the patients that improved significantly on this combination treatment had a lot of miniaturized hair and the result was not a great surprise. I have quite a few patients with very good results, but this fellow's result was exceptional. There have been a number of patients on combination treatment who have held there results for over 10 years and counting.

31 y/o WM was rapidly losing his hair in an eventual NW6 pattern. He was placed on 0.25mg of finasteride daily (1/4 of a Propecia) and minoxidil foam twice daily for a year. Not all hair restoration has to be surgical, particularly if the patient has an abundance of miniaturized hair.

It was 2 years between photos.

62 y/o WM with 2,500 FU grafts placed over the top of the scalp. Pt had some good donor sites but they were limited.

Use low dose finasteride in combination with topical minoxidil. Works much better.

32 y/o WF lost most of her eyebrows by excessive plucking and manipulation as a teenager. FUT restoration with approximately 350 grafts was performed in a single session.

Pt. is a 62 y/o WM transplanted with 2,800 FUTs in a single session. Results at 7 months.

Sorry, just now seeing the responses. This patient has had no side effects. I have been primarily using this low dose (0.25gm daily) of finasteride for about 1-2 yrs. Most patients who have had side effects with higher doses have been able to tolerate this lower dose. With this type response, why use a higher dose and increase the chances of side effects? But in my 15 yrs of frequent use of finasteride I have not had one patient to my knowledge with permanent side effects. To answer the question of grafts, I think it would take at least 3500 - 4000 grafts to get a similar result. But just as important, this will probably save him that many more if he continues the meds. There are a couple of important points, in my opinion. The combination of Rogaine and low dose Propecia are very important, possibly allowing this low dose to be effective. The Rogaine needs to be used over the entire top of the scalp, and applied after shampooing. Also, starting treatment while there is a lot of miniaturized hair is vital. Let it go to baldness, and many of the hairs will be too far gone to revive.

47 y/o WM was skeptical of the value of meds and reluctant to use them. Hair loss was rapidly becoming a NW VI. A trial was given using 1/4 tab of Propecia (0.25mg finasteride) daily along with minoxidil 5% foam twice daily. Also, alternating Head & Shoulders and Nizoral shampoo was used. Results at 1 and 2 yrs, showing all hair restoration cases don't have to be treated with surgery. Sometimes surgery can be avoided or at least delayed.

Patient is 42 y/o caucasian male NW V with a single session of 1,700 grafts. Follow-up at 2 years.

38 y/o caucasian male with 2,800 FUGs to the frontal zone. Follow up at 10 yrs. Patient changed part side during this period of time.

This patient is a 42 y/o WM NW3 with a single session of 2065 grafts to the frontal half of the scalp. Results are at 18 months.

This is a 44 y/o WM who had 1 session of FU grafts via strip. Results at 11 months.