793 FUEs on black male bald patch by Dr. Lindsey McLean VA

[Dr. William Lindsey]

This executive has been coming to see me for several years about a thin patch on his right scalp. I often use the analogy of a “fight” regarding surgery….meaning I want to take a fight that I think that I can win. In the past he still had some hair in this area and I didn’t think we could really win a fight unless he lost more hair…and given his potential genetically to lose more hair, I suggested he conservatively spend his donor hair. Finally he had lost enough that I thought it was worth doing so we agreed to a medium sized FUE case, which would avoid a linear scar (as he keeps his hair quite short) and still preserve hair for the future, as I believe his left side is about 3 years “behind” his right area that we did. Plus he has a thin crown that I don’t believe will be able to be dealt with due to its size, and our goal of keeping donor hair for the front….which may yet go.

Shown are intraop and 1 week pics of 793 FUE’s. He lives an hour away and I expect to see him for a checkup this summer.

You know on one hand, a black FUE is really quite difficult as its like “coring out a cork screw” as compared to a straight haired patient. But on the other, that curly hair covers so well. Both he and I are hoping for a nice change by the holidays.

Dr. Lindsey McLean VA

[RCWest]

That's an odd hair loss pattern for sure. Is he on medication?

[Dr. William Lindsey]

Yes he is. If you look at him in person over the past couple of years his crown is essentially gone...mpb. The front hairline is still ok, likely due to his curly hair characteristics camouflaging mpb.... And he has an area on the left side, pretty symmetric to what we just worked on, that is starting to thin, looks about 2 years behind the right chronologically.

 

He initially came for botox to his frown to help him appear less "angry" at work. So I've seen him about every 4 months now for 3 years. He retired early and got his golden parachute and now has lots of time on his hands and that coincided with his hair loss being worth addressing.

 

Dr. Lindsey McLean VA