Dr. Cam Simmons – 4037 grafts in front and temporal points

[Cam Simmons MD ABHRS]

This 44-year-old man had a Norwood 5A pattern but also had receded temporal points. His facial frame was very important to him so he wanted to address the front and temporal points first and to leave the midscalp for later. (Others may have chosen to transplant the front and midscalp first then to return for the temporal points later.)

He had fine, wavy, brown, salt-and-pepper hair. He had a large head and therefore a large area to cover but he had good donor density and good flexibility.

We transplanted 4037 grafts with about 1000 in his temporal hairlines and points and about 3000 in front. We used score-blunt dissection and a 2-layer trichophytic closure. His donor strip was 34.5 cm long and well within the safe donor zone. The was narrowest at 12 mm wide in the mastoids and widest at 15 mm in the occiput. He had about 18% 1s, 46% 2s, 22% 3s, and 14% 4s with an average of 2.3 hairs per graft.

At 8 months he is very happy with his early results. The transplanted hairs will still get a bit longer and stronger. He plans to transplant his midscalp in a second session and may slightly lower his frontal hairline at the same time. He still has good flexibility and good donor hair to work with.

Edited April 21, 2012 by Dr. Cam Simmons
Cropped photos removed at patient's request

[Blake Bloxham]

Dr. Simmons,

 

Excellent transformation! Thank you for sharing this case with the community.

[NEWHAIRPLEASE]

Dr Simmons

That is a big transformation! Nice work.

[Mick from Farjo]

Dr Simmons,

 

This is a great outcome for your patient.

 

Mick

[Cam Simmons MD ABHRS]

Thanks. He is happy.

[hairthere]

That's a great transformation. Great job!