This 30 year old patient presented with a prior history of having undergone what was described as an unsuccessful FUE hair restoration. He was concerned that few grafts grew, leaving him with unacceptably low density in the transplanted frontal area. He was also bothered by unacceptable thinning in the donor harvest area that followed his procedure. His examination revealed miniaturization confined primarily to the frontal half of the male pattern region. This was associated with punctate scarring absent of hair growth that presumably arose following his original procedure. He underwent a secondary procedure in my office at which time 2090 grafts were obtained using FUE harvesting and planted into the outlined frontal recipient area. The graft harvest was strategic in attempting to avoid the previously depleted “sweet spot” of the occipital donor area so as to prevent any additional apparent thinning. The graft harvest focused primarily in the temple and lower occipital regions, which were untouched at the time of his first procedure. Presented are one year postop photos and immediate graft placement photos. Also shown is the depleted occipital donor harvest site with a #2 short-clip and a zero-guard hair length. Finally, an immediate postop photo of the temple donor harvest area contrasts the small punch openings of this session to the large-punch scars that are located toward the back of the current harvest zone.
This 50 year old patient requested frontal hairline restoration. He underwent a 2200 graft session using FUE harvesting in accordance with his request to have the option of wearing very short hair styles. Presented here are 18 month postop pics along with immediate postop views of the graft placement and two-week postop views (provided by the patient).
Hairline Plan Front View
Hairline Plan Tipped View
Hairline Plan Left
Hairline Plan Right
Postop Front View 1
Postop Front View 2
Postop Top View 1
Postop Top View 2
Postop Front Comb-back View
Postop Left Comb-back View
Postop Right Comb-back View
Immediate Graft Placement Top View
Immediate Graft Placement Right View
Immediate Graft Placement Left View
Two-week Postop Front View
Two-week Postop Right View
This 48 year old patient presented eight year earlier hoping to boost density throughout his thinning frontal and midscalp regions. His history was significant for progressive thinning over the previous decade. He began using oral finasteride and experienced decent stabilization, but wanted to strengthen density in the remaining weak zones. A total of 2550 grafts were transplanted throughout the frontal and midscalp zones with distribution being prioritized based on the relative degree of thinning in the various zones. Presented are eight year follow-up photos, including part views, which show the density gains achieved. The value of ongoing finasteride treatment for maintaining density in the preexisting, genetically-susceptible follicle population is implied from the long term density gain that has been realized.
This 41 year old patient received 3108 grafts for his frontal hairline restoration. Presented here are 11 month postoperative photos. Postop comb-back pics provide a detailed look at his hairline. Also included is his immediate postop graft placement.