Dr Gabel Patient - 3129 grafts - Central Scalp

[Steven Gabel, MD, FACS]

This patient is a 69 year old gentleman who two years ago underwent a 3129 graft hair transplant to the central aspect of his scalp. Interestingly, he had a nice central forelock/tuft of hair, but the lateral frontal aspect of the hairline was sparse at best. He had a decent amount of hair in the lateral aspect of the scalp (above his ears), which he used the hair in that area to cover and comb over the central thinning.

 

His hair characteristics were thinner for his age. His hair color was a mix of brown to grey, which added to a contrast differential to his skin. He did have a nice wave to his natural hair in the donor area. His skin laxity was average as well.

 

His main goal was to cover the central balding areas adding a natural layer of fullness and hair to the central scalp. Our plan was to transplant into all the areas in the central scalp that were devoid of hair and blend into the thinning areas this way there would not be a demarcation between his natural hair and the transplanted hair.

 

The strip size was 25.5 x 1.5 cm with a trichophytic skin excision and double-layered closure technique.

The final graft count was the following:

1 hair grafts: 550

2 hair grafts: 1951

3 hair grafts: 529

4 hair grafts: 99

 

He is now 2 years following surgery and very happy with the results. Unfortunately, the preoperative photos were not standardized as I do now with all photos, but they give a nice representation of his initial hair loss. I choose the postop photos that were closely matched to the preoperative photos to give the best comparison. He filled in the central scalp very well, and the wavy structure to his hair gives adds to the density of the hair (which helps make up for the thin hair he has).

 

[Steven Gabel, MD, FACS]

Thanks Spex.

[RCWest]

Another amazing job, Dr. Gabel. One thing, it looks like his scalp may still be red after the transplant. Is that just a glitch in the photo?

[waveskier]

Another amazing job, Dr. Gabel. One thing, it looks like his scalp may still be red after the transplant. Is that just a glitch in the photo?

 

 

Isn't that normal?

[Steven Gabel, MD, FACS]

Another amazing job, Dr. Gabel. One thing, it looks like his scalp may still be red after the transplant. Is that just a glitch in the photo?

 

RCWest

 

Thanks for you positive comments.

 

In person, he did not have an intense red hue, but his skin did have some demarcations of white and red. If you look closely at his preoperative photos, he did have a “blotchiness” appearance to his skin. Certainly after surgery, the scalp does have a more intense red hue, but this fades over time. Actually for him, a little color actually helps the appearance and gives his scalp a fuller look with the contrast difference between his skin and hair color.

[bullitnut]

awesome work doc well done!!

[Mick from Farjo]

Dr Gabel,

 

After spending some extended time with you in Boston, i can completely understand how you are able to reproduce such excellent results on an ongoing basis.

 

Mick

[RCWest]

Thanks for clearing that up Doc!