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This 24-year-old male had lost confidence due to his marked hair thinning. His family history revealed a Norwood Type VI pattern and his physical exam was consistent with this distribution. Rather than advancing his hairline (as he initially requested), we designed an age-appropriate hairline pattern using 2263 FU that would continue to look natural into his 60's and 70's. Addressing areas of future loss lateral to the thin areas atop his head also will prove critical as he continues to thin laterally. As he desires a short-length haircut, a trichophytic closure was most appropriate for this patient and allows him to continue to clip his hair with a #2. After photos depict growth at 6 months and again at 12 months, when the patient returned for a subsequent session to cover the midscalp.

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