Dr. Cam Simmons - Getting out from under a hair system - The first 3245 grafts for a Norwood 6 patient with a thinning midfrontal forelock

[Cam Simmons MD ABHRS]

This patient had a Norwood 6 pattern with a thinning, low persistent midfrontal forelock. He grew the hair there long and mixed it with the hair in his bonded hair system. He wanted to get rid of his hair system because he didn't like the cost and time to maintain it or the look of the hairline.

Often a Norwood 6 patient would choose to start with lighter coverage over a bigger area and to start with a higher, more receded hairline. However, patients who are used to wearing a hair system rarely choose this approach. He preferred to get a denser look in front in his first visit with the idea that he would return for a second session to work further back at gradually decreasing density. He knew that he could not expect the density or coverage of a hair system but that hair transplantation would be less expensive in the long-term, would not require special maintenance, and could give him a more natural-looking hairline.

He had good donor density and flexibility and while he had finer than average hair he had many 3-haired follicular units. He elected to transplant his hairline and midfrontal forelock denser than usual at 56 grafts per square cm then we reduced the density to 49 then 42, knowing that he would not be able to cover as big an area. His hairline was placed at a mature level so that it would blend in with the back of his midfrontal forelock but would eventually take over after he lost the hair in the forelock. His plan was designed for 3000 grafts but we were able to get 3245 so we could transplant a bit further back after all.

He could wear his hair system with tape for 8 hours per day on the 5th day after his hair transplant. I usually instruct patients to start thinning their hair system gradually so there is less of a change in density when they get rid of it. Many hair system patients have their second session 6 to 9 months after their first and keep wearing their hair systems until 4 to 6 months after their 2nd hair transplant but he stopped wearing it 8 months after his first session and hasn't had his second session yet. He plans to return to transplant his midscalp and anterior crown at 36 then 30 grafts per square cm.

[TC17]

Good job Dr. Simmons.

[dakota3]

Very nice! I dont often agree that NW6+ patients should have HT's but he seems to have great donar qualities and obviously had almost 100% growth. Dr. Simmons you continue to impress me with your work and Im sure others agree.

[hair_me_out]

Woah, this is a great result. I was skeptical as well when I saw the before photos, but damn you hit the ball out of the park on this one. Nice job.

[Megatron]

phenomenal!

[Forrest Gump]

Awesome job Dr Simmons! The patient has had drastic cosmetic changes in just 8 months! Nice!

[Fingers Crossed]

Dr. Simmons, you and your team did an excellent job! Very impressive!

 

My Hair Loss Website - Hair Transplant with Dr. Hasson

[Cam Simmons MD ABHRS]

Thanks TC17, dakota3, hair_me_out, Megatron, Forrest Gump, and Fingers Crossed.

 

I am looking forward to his second session to get more coverage and will update the photos after that.