Combined medical and surgical Rx by Dr. Parsley

[Dr. William Parsley]

The patient is a 45 y/o WM who first presented as a NW6 in 2003. Considered somewhat of a borderline candidate at the time due to his extensive baldness. Started a combination of finasteride, minoxidil and ketoconazole shampoo, and he started growing hair impressively. He discontinued the medicine and presented again in 2006 with pretty severe loss. Pt was restarted on the medical regimen and was transplanted with 1950 FU grafts, mostly to the frontal zone. Only have 2 pictures of him before the combined treatment.

[TC17]

Dr. Parsley,

 

Are you sure that graft number is correct? If this was only 1,950 grafts, then this is one of the most impressive results I have ever seen.

[phil mascallpen]

I think the drug therapy is what you are mostly seeing here.

[Dr. William Parsley]

The drug effect is very significant in the posterior 2/3, making up 95% of the effect. You can see that the posterior area has predominantly finer hair, while the frontal zone has more terminal type hair. Most of the frontal zone and nearly all of the hair line was the effect of grafting. The purpose of this posting is to demonstrate that combining medical and surgical treatment is better than either alone. He is one of those patients where the response to treatment was excellent in every aspect. Wish I could get this result on everyone. But it will be critical for him to stay on the meds. As of now he still has plenty of donor area left, but doubt it could cover well all of the areas of his natural genetic baldness. Plan to use his donor only when and where it is needed.