Dr. Nakatsui, 5 yrs out

[Dr. Thomas Nakatsui]

Just wanted to show a patient who came in yesterday 5 years after his transplant to the frontal hairline. The hair transplant is holding up very well but the rest of his hair is continuing to slowly thin behind it. At this point, it is not very noticeable unless viewed from the top under harsh lighting as in my office but if it progresses further, he will return for another surgery. Interestingly, the photo makes the hair loss behind the transplant look worse than it appears to the naked eye. He has not been on finasteride but has now decided to start it.

 

I have included photos from 8 months post op for comparison as well. You can see in the top view that even at that time, there is some thinning behind the hairline under harsh lighting conditions.

 

This case shows that the transplanted hair continues to grow well several years after the transplant but that continuing hair loss can mean another surgery down the road.

 

Dr N

 

 

 

PRE-OP

 

 

IMMEDIATE POST OP

 

 

 

8 MONTHS POST OP

 

 

5 YEARS POST OP

[C]

How many grafts were done? Client seems to have a nice donor area. I would say a second pass would serve him well.

[Dr. Thomas Nakatsui]

C,

 

Sorry for the late reply. I did not realize I had not listed the graft numbers. Sorry. In 2005, he received 348 single grafts, 718 double grafts, and 623 big grafts.

 

All the best,

Dr N

 

 

[hairthere]

How many grafts did you recommend him for another procedure?

[Dr. Thomas Nakatsui]

The number of grafts depends upon how much of the area he wants covered and how dense he would like his results to be. I recommended 2400-2600 grafts to fill in the rest.

 

Thanks for the question,

Dr N