15 year old Male Class: Congenital Temporal Triangular Alopecia (476 Grafts)

[Parsa Mohebi, MD]

Dr. Mohebi--476 Total FUT grafts on Patchy hair loss or Congential Temporal Triangular Alopecia (CTTA) --10 Months Elapsed

 

On 11/4/2009, Dr. Parsa Mohebi performed a FUT Hair Restoration procedure on a 15 year old male with:

• Hair loss pattern -- Patchy

• Hair color -- Brown

• Hair character -- Wavy

• Hair thickness – Thick

 

Treatment Plan as of 09/22/2009 (date of consultation):

• planned for a hair transplant procedure with follicular unit grafts to restore

 

FUT PROCEDURE PERFORMED:

FUT procedure performed on 07/29/2010

A Follicular Unit Strip Transplantation with 476 total FU:

• 75 – for frontal temple hairline

• 401 - balding patch

[Blake Bloxham]

Dr. Mohebi,

 

Thank you for sharing this interesting case. To be honest, I hadn't heard of congenital temporal triangular alopecia until today, but a quick pubmed review explained the condition and indicated that hair transplantation works well in these patients. I'm sure this young man greatly appreciates your skilled work. Nicely done!

[aaron1234]

Woah, interesting case. A job well done too doc.

[Parsa Mohebi, MD]

Thanks for your comments. Patients with CTTA (Congenital Temporal Triangular Alopecia) are generally our youngest patients.

 

You are right Future_HT_Doc,

 

CTTA is a very rare skin disorder in which patients don't have active hair follicles in temporal areas. Unlike other patchy hair losses (Alopecia Areata and Alopecia Cicatricial) the scalp does not have any inflammation that may affect the transplanted hair follicles.

 

These patients should expect full restoration from a hair transplant surgery.

[Al - Moderator]

The kid is 15. What's going to happen in a few years when he starts getting normal temple recession and maturing hairline? He'll have the recession on the other side and the side worked on will still be growing. Isn't it just going to be uneven again at that time? I had more hairloss than that when I was 15.

[Parsa Mohebi, MD]

Good point,

 

Temple recession is not seen in everyone who have male patterned baldness. If this patient develop a recession on the other side of his temple we can always restore it with a small number of graft.

 

Temple recession is not always part of the male patterned baldness and in those at more advanced stages of hair loss who have recession in temples, I recommend restoring the area. That makes a great change by keeping a youthful frame for the face.

Edited September 8, 2011 by Dr. Mohebi

[Sean]

Awesome work Dr. Mohebi. The kid looks happy. I don't know if this is a factor to look out for, but since the kid is 15, his head will still grow in size right? So, will the temple areas look the same in density later, or will he need any touchup in that same area? The work looks good though. Very nice.

[Parsa Mohebi, MD]

Thanks for the comment Sean,

 

Growing head should not affect the thickness of templ hair. The hair in temple areas is generally less dense in comparison on the rest of scalp in nonbaldign people. As we discussed before, if patient ends up with high stages of hair loss with recession of hairline in temple areas, he might need to restore the opposite side becuase the right temple is now permanent and keeps that youthful look for the rest of the patient's life.