Dr Cam Simmons – 2304 follicular unit grafts in a “middle first” approach.

[Louise]

This 37 year-old man has average-fine, brown, straight hair and a Norwood 3V-5V thinning pattern with an s-whorl. He had average donor density and flexibility.

 

While many men would be most concerned about the front, he was not bothered much by his receded hairline and was most disturbed by his bald mid-scalp. He preferred to start with his mid-scalp then to return to transplant his front later.

 

We aimed for lighter coverage so that his mid-scalp would not overpower the front and so we would not use up too many grafts. That way we would be able to get enough grafts in the next session to finish the front.

 

We transplanted 2304 FUG’s to his midscalp at 36 fug’s/cm2 extending into his anterior crown. His donor strip was 23.1 cm long by 10-11 mm wide and the closure was flexible. Dr Simmons performed a trichophytic 2-layer closure with routine undermining of both edges (but we now usually do 2-layer closures without undermining.) The right donor area was not used but a photo is included for comparison to the scar on the left.

 

These photos were taken 10 months after his hair transplant. He has good donor flexibility and should be able to transplant 3000 grafts in front whenever he is ready.

[aaron1234]

That's very fine work. A lot of area to cover with just 2300 grafts.