Hairline Restoration - 2500 FUE Head and Nape Grafts – Dr. Sanusi Umar

[Dr. Sanusi Umar]

Before Surgery:

NW 3 MPB

No previous surgery

Used comb-overs to disguise thinning

 

Surgery:

2500 grafts from nape and head donors

 

Surgery Results:

Results shown in photos and video at 1 year after surgery

 

 

Edited February 22, 2013 by Dr Umar

[Sean]

Looks very natural. Great work!

[TomCruise]

Thank you Dr. Umar. I enjoy seeing your work. Do you have any photos of the nape area, both post-op and healed?

[Blake Bloxham]

Dr. Umar,

 

Thank you for continuing to share your work with the community. Again, this is an impressive case. A few questions:

 

1. What proportion of the grafts (roughly) came from nape hair versus scalp hair?

2. What are your thoughts on the longevity of nape hair grafts? Do you believe they are more DHT resistant than scalp hair in the non-donor region (i.e. hairs from the midscalp and hairline)?

[mars]

really good result!

[aaron1234]

Big improvement. The video does the result far more justice than the photos.

[Dr. Sanusi Umar]

Hello Future HT Doc,

For most individuals, nape hair* is more DHT resistant than the hair in the area of baldness. In other words, nape hair is not necessarily lost in all cases of MPB. What more? The safe donor area (SDA) is functionally the area bordering the fringe of hair that would be left in a terminally bald person. (NW7+). yet we know that the majority of individuals do not experience this degree of baldness.

The role of nape hair has hitherto been defined by

1. The notion that it is generally DHT susceptible

2. It is not typically an area subject to harvest given the limitations of the strip harvesting methods available.

The second factor has been cancelled by the advent of FUE. Since then nape and temple hair (donor areas outside the SDA) have been widely used in successful repairs of strip-donor- depleted patients. These would be patients whose capacity for further strip surgeries has been exhausted. It is the extension of these experiences with repairs that opened the prospect of using nape hair as the vanguard hair of transplanted hairlines. Obviously, patient selection is key. Using criteria such as the degree of baldness relative to age, visual evidence etc. nape hair can play an important role in hair transplantation.

* For the purpose of this discussion, nape hair use in hairline and temple creation refers to hair in the area below the SDA including areas around the ears.

[Blake Bloxham]

Dr. Umar,

 

Good to hear from you. Thank you for the very thorough explanation!

[Spanker]

what s the age of the paitent? That is quite a large area for the grats used compared to most surgeries I see today.

 

I like the hairline design.

 

I can't see the video, but the pictures look a little thin, yet natural.

 

This is the result I would expect for any top surgeoun based on the grafts used.

 

As long as the patient had these espectations, I would consider it a sucessful HT.

[Shadow of the EMpire State]

what s the age of the paitent? That is quite a large area for the grats used compared to most surgeries I see today.

 

I like the hairline design.

 

I can't see the video, but the pictures look a little thin, yet natural.

 

If you saw the video, you wouldn't feel that way.

[hairthere]

Very nice result Dr. Umar.