This gentleman is in his 50s. His goal was to restore his hair in the frontal to mid-scalp areas to improve his receding hair line. The after photos were taken eight months after Dr. Bernard Arocha completed a 3,375 FU procedure. These before/after images are also featured on Dr. Arocha's website at Photos - The Impact of transplanting 3,375 hair follicles on Hair Transplant Dallas for Dallas Hair Restoration in Dallas, TX.
Two popular hair restoration related topics regularly discussed on our patient community include the highly coveted hair transplant technique follicular unit extraction (FUE) and a unique scalp tattooing procedure referred to as scalp micropigmentation (SMP).
Thus, we’ve recently added a new category for each of these topics for members to discuss on our popular community.
To discuss the pros and cons of FUE and view real patient results, visit our new forum Follicular Unit Extraction (FUE). To discuss and learn more about scalp micropigmentation, visit our new forum, Scalp Micropigmentation (SMP).
We look forward to your participation in these new forums.
This 40 year-old man had a Norwood 4 pattern of hair loss with fine, black, straight hair. His donor density was average but his scalp was flexible.
We transplanted 4169 grafts in front at higher than average transplanted density to compensate for the fineness of his hair and his smaller follicular unit size. He had about 55% 2s, 20% 3s, 20% 1s, and 5% 4s with about 2.1 hairs per graft.
He had a routine 2-layer trichophytic closure without tension.
These photos were taken 12 months after his hair transplant. Although we did not transplant his crown he can now partially conceal the thinning there by styling. He has more hair available to transplant further back if he chooses but he is content for now as he is.
Second Procedure: Additional photos are one year post op following 2740 FU procedure to address crown, midscalp, and refinement of hairline and previous frontal areas. 2740 Total FU's :470 1's; 2156 2's; 114 3's. Tricophytic closure. They are the last five photos in the series.
This is a 60 YO male with androgenic alopecia, with thinning predominantly affecting hairline, FF, posterior FF, and bilateral temples and crown. Our plan was to recreate the frontal hairline, FF, post FF, temples and some crown.. Total area was approx 15cm x 7cm = 105 cm2, plus another 40 cm2 in crown. Decision was made to concentrate on the anterior and midscalp portion, allowing finasteride to work on the crown over the ensuing year, noting any effect at that time. Goals: Recreate hairline and FF and bilateral temple recessions, post FF and anterior crown. Wait to see how finasteride affects crown, possibly place 100 or so FU grafts there at this procedure to decrease severity of appearance.
Ellipse 30 cm x 1.0 cm x 110 (est) (in situ). 3099 total, 1029 1’s; 1990 2’s; 80 3’s.
Tricophytic closure.Patient will have second procedure of about the same number in January to address crown.
This gentleman had a scar in his lateral (outside) right eyebrow that was stretched wide but was flat and fairly soft. He had no other hair loss and wanted to transplant hair to conceal the scar.
We discussed FUE vs. FUT with trichophytic closure (FUT-T) as options. With FUE, we could have cherry-picked natural single-haired grafts but I would have had to trim the hair shorter to see the angles for extraction. FUT-T did leave a short, narrow trichophytic scar but allowed me to keep the hair longer so we could direct the curl toward his face.
He had 95 single-haired grafts and 19 grafts with 1 terminal hair and 1 parallel vellus hair transplanted into pre-made flat-angled lateral slits. We use skinny grafts in eyebrows, as recommended by Drs. R. Bernstein and J. Epstein. Left-over 2s and 3s were transplanted back into the donor incision.
Many of the transplanted hairs were still visible at 10 days but by 1 month most had fallen out. At his 6.5 month follow-up most hairs had grown back. He does need to trim his eyebrows weekly. His eyebrow will still fill in a little more but he is content now that his scar is hidden.
Number of Grafts:2298
Time After Surgery: 10 Months
Top View: Attached
Front View: Attached
Side Views: Attached
On 06/24/2010, Dr. Parsa Mohebi performed a FUT Hair Restoration procedure on a 32 year old male with:
• Hair loss pattern -- Class III
• Hair color -- Brown
• Hair character -- Wavy
• Hair thickness – Thick
Treatment Plan as of 04/02/2010 (date of consultation):
• Begin using Finasteride medication
• Begin scalp exercises
• FUT Hair Transplant procedure-- 2500+ grafts for the front and temple areas
HAIR TRANSPLANT PROCEDURE PERFORMED:
FUT (strip removal) procedure performed on 06/24/2010.
A Follicular Unit Strip Transplantation with 2298 total FU:
• 538 – single hair FUT
• 1446 – double hair FUT
• 314 – triple hair FUT
• 0 – quadruple hair FUT
Size of Donor Strip Cut:
• 15 1/2 x 1.2cm
29 yo male with Androgenic Alopecia causing generalized thinning predominantly affecting FF, posterior FF, bilateral temples and crown. Approx 15 x 7 = 105 cm2 total frontal area, plus 40 cm2 in crown. Goals: Recreate new hairline and FF/post FF and bilateral temple recessions, as well as anterior crown. Patient has been on finasteride x 1 year.
4241 total, 1390 1’s; 2523 2’s; 328 3’s.
Last photo is of donor scar.
This patient is a 49 year old male who presents with loss of the frontal hairline as well as density in the frontal forelock and crown area. His donor area has a relatively thinner density than the average 100FU/cm2, his being approx 70FU/cm2. This yielded a total of 2063 FU grafts as follows: 502 one's; 1525 two's; 36 three's. We chose to concentrate on the frontal area on the first procedure, with a plan to address the crown in a subsequent session. Here, at eight months, he can expect about 15-20% further growth into the one year mark. I like this case as it illustrates how the variability in the colour and texture of the patient's natural hair characteristics can aid in the appearance of cosmetic density, especially at low transplant numbers.