Parsa Mohebi, MD

Thank you, yes this patient can benefit from a second procedure.

Having hair that is not very dense will impact the results of your hair transplant.

This is a 32 Year old man with Class IV Male Patterned Baldness who received two hair transplants. We tried to cover a big area of the scalp with 5814 follicular unit grafts. We emphasized on the frontal area, but put minimum grafts on the crown area to help him with styling. FUT Hair Transplant was done with 5814 follicular unit grafts - 12 month follow up Miniaturization Study (Microscopic Evaluation) Location Miniaturization Hair Line: 100 Corners: 100 Top: 50 Crown: 90 Donor Area: 10 Crown Edge: 30 Here is the patient's hair characteristics: Hair loss class: IV Hair color: Blond Skin tone: White Hair character: Slight Wavy Hair thickness: Thick Donor density: 2 Scalp laxity: loose Here is how the grafts were distributed combining two surgeries: Hairline: 540 Front: 3000 Top: 603 Crown: 1671 Temple: 0 Ones: 665 Twos: 4074 Threes: 1075 Fours: 0 Total: 5814

This is a 51 Year old man with Class VI Male Patterned Baldness who received one hair transplant. We tried to cover a big area of the scalp with 3558 follicular unit grafts. We emphasized on the frontal area, but put minimum grafts on the crown area to help him with styling. Obviously he can benefit from a second procedure, which is recommended to him. FUT Hair Transplant was done with 3558 follicular unit grafts - 12 month follow up Miniaturization Study (Microscopic Evaluation) Location Miniaturization Hair Line: Bald Corners: Bald Top: 100 Crown: Bald Donor Area: 10 Here is the patient's hair characteristics: Hair loss class: VI Hair color: Salt & Pepper Skin tone: Medium Hair character: Wavy Hair thickness: Thick Donor density: 2.2 Scalp laxity: loose Donor scar: none Here is how the grafts were distributed: Hairline: 400 Front: 1758 Top: 1000 Crown: 400 Temple: 0 Ones: 875 Twos: 2600 Threes: 83 Fours: 0 Total: 3558

Sure, mate added.

Thanks for viewing everyone; Yes, the recommendation is made for more grafts for some coverage on crown and to add to the density of the crown. We await the patients choice. Dr. Mohebi

Class VI US Hair Restoration; 12month results of 3114 graft FUT performed by Parsa Mohebi, MD Hair Line: Bald Corners: Bald Top: 90 Crown: Bald Donor Area: 10 Here is how the grafts were distributed: Hairline: 280 Front: 1800 Top: 1034 Crown: 0 Temple: 0 Total 3114

FUT performed on a 25 year old male with: Top Thinning Early Class VI Hair loss class: VI Hair color: Black Skin tone: White Hair character: Wavy Hair thickness: Average Donor density: 2.5 Donor closure tension: Average Undermining None Trichophytic Both Recipient graft / site numbers (estimate): Hairline: 270 Front: 2300 Top: 907 Treatment plan: - 1st procedure with 3477 follicular units to restore the hairline and fill in the mid head/crown area - A medicinal therapy with finasteride to stabilize or prevent further hair loss Performed procedure (December 28, 2011): A Follicular Unit Strip Transplantation with 3477 FU: * 287 single hair FU * 2608 double hair FU * 538 triple hair FU * 44 quadruple hair FU Your comments welcome; Dr. Parsa Mohebi, US Hair Restoration

Class V. Before and After Hair Transplant (3553 Hair Grafts). One Surgery. Twelve Months Elapsed Hair transplant performed on a 27 year old male with: General Information Hair color: Brown Skin tone: White Hair character: Straight Hair thickness: Average Donor density: 2.5 Scalp laxity: Average Donor scar: None Hairline: 350 Front: 2000 Top: 403 Crown: 800 Total: 3553 Initial treatment plan: - 1st procedure with 3000+ follicular units to restore the hairline and fill in the mid head/crown area - A medical therapy with finasteride to stabilize or prevent further hair loss Performed procedure (January, 2012): A Follicular Unit Strip Transplantation with 44573FU: * 380 single hair FU * 2486 double hair FU * 657 triple hair FU * 37 quadruple hair FU Dr. Parsa Mohebi, US Hair Restoration

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Thanks for all comments about this case. I think we have explore the idea of early Intervention for Hair Transplant Surgery a little bit more here: Advanced Evaluation Hair transplant surgeons used to have a strict criteria in past as of strictly not perform a hair transplant on anyone younger than 24. However, many things have changed since then. There are more treatment options as well as more documentation on the long term effects of hair restoration medications. Hair restoration doctors did not want to do a hair transplant until they can clearly see the pattern of baldness. Now we have the option to perform a miniaturization study with microscopic evaluation. This gives us a reasonably reliable way to predict the activity of hair loss in different areas with some certainty. We can predict the final pattern of male patterned baldness (MPB) utilizing the patient’s miniaturization study in addition to a thorough evaluation of his family hair loss history. Psychological Considerations It is important to recognize the greatest impact on individuals with hair loss is the emotional impact to their self esteem and self image. We know for certain that these two factors directly impact our quality of life. Today we have more insight to the negative consequences of hair loss and that fact it can be prevented in many cases. In our "Psychology of hair restoration surgery" study that was presented in 15th annual scientific meeting of Internal Society of Hair Restoration Surgery in 2007 we sent questionnaires to 200 men who had only one hair transplant in past and we asked them about the psycho-social aspects of their lives following their procedures. We have compared the responses from the patients with higher classes of hair loss with early stages. We also compared the changes that younger patients experienced in comparison to the older ones. We have found a significant improvement in future outlook in younger patients who received a hair restoration as opposed to the older ones. I am attaching the graph right off the presentation I had back in 2007 that compares the impacts of a hair restoration on younger patients vs. older ones. Ethics of Hair Transplant at a young age I recognize as many people have mentioned that there has been unethical practices in some instances. As medical doctors we must hold to the highest of ethical standards and best practices. Performing a hair transplant when the miniaturization study and the psychological profile does indicate would be a breach of these standards. I appreciate the feedback in this forum and plan to write an article on the indications and specifications of “Early Intervention for Hair Transplant Surgery" soon.

It is of note that our recent posting has caused a ripple of controversy in this forum. I would like to update the community with more information without jeopardizing the patient confidentiality. In most instances HT would not be performed on a patient of this age. However, throughout the medical professions from time to time we come across cases that are exceptional. This case is an exceptional one. The patient came to our offices with his father and had the benefit of parental guidance and permission throughout the process. The patient was also under the care of a psychologist and was experiencing serious quality of life issues that were thought to be a consequence of an accelerated premature hair loss. His care included treatment of severe depression over a two year period. A full evaluation and consult was given with all the risks weighed in the best interest of this patient. The consent was obtained from the patient and his father. Patient has been closely monitored after his procedure and has demonstrated significant improvement. In his 3 year follow up after his procedure the patient reports being happy with his outcomes. He continues to use finasteride with no side effects that had been started after 18 years of age. There has been some European hair loss studies that concluded that there is a higher rate of depression with men who have male patterned baldness. It might be of help to reference the Psychology of Hair Transplant which is the result of the study that Dr. Rassman and I did a few years ago. The article discusses how hair restoration may help depression symptoms experienced by some hair loss sufferers. I look forward to your continuing comments on this issue. Thank You,

US Hair Restoration - Results of HT Surgery performed by Parsa Mohebi, MD Miniaturization Study Hair Line: 90% Corners: 90% Top: 20% Crown: 20% Donor Area: 10% Distribution Hairline: 300 Front: 738 Top: 0 Crown: 0 Temple:200 Total Grafts: 1238

FUT performed on a 41 year old male with: NW Class VI General Information Hair loss class: VI Hair color: Black Skin tone: White Hair character: Wavy Hair thickness: Average Donor density: 2.5 Scalp laxity: Average Donor scar: None Miniaturization Study Hair line: 90 Corners 100 Top: 80 Crown: 100 Donor area: 10 Crown Edge: 30-50%x3-4cm Closure: Deep: - Superficial: Staples Donor closure tension (Minimal- Average- Severe): A Undermining (None- Upper- Lower- Both): N Trichophytic (None- Upper- Lower- Both): B Recipient graft / site numbers (estimate): Hairline: 500 Front: 1300 Top: 1073 Crown: 1200 Temples: 500 Total: 4573 Treatment plan: - 1st procedure with 4000+ follicular units to restore the hairline and fill in the mid head/crown area - A medicinal therapy with finasteride to stabilize or prevent further hair loss Performed procedure (October, 2010): A Follicular Unit Strip Transplantation with 44573FU: * 499 single hair FU * 2415 double hair FU * 1165 triple hair FU * 495 quadruple hair FU Your comments welcome; Dr. Parsa Mohebi, US Hair Restoration

35 Year old male with Male Patterned Baldness and some top thinning. FUT Hair Transplant was done with 2815 follicular unit grats - 6 month follow up Miniaturization Study Location Miniaturization Hair Line: HT Corners: 4HT Top: 30 Crown: 40 Donor Area: 10 Here is how the grafts were distributed: Hairline: 200 . Front: 938 . Top: 0 . Crown: 600 . Temple: 0 . Total: 1738 Ones 298 . Twos 2205 . Threes 312 . Total 2815 Hair Restoration Social Network - Hair Loss and Transplant Photos Hair Restoration Social Network - Hair Loss and Transplant Photos Hair Restoration Social Network - Hair Loss and Transplant Photos Hair Restoration Social Network - Hair Loss and Transplant Photos