Dr. Cam Simmons – hairline restoration for a man with old plugs & depleted donor hair

[Cam Simmons MD ABHRS]

This man in his early 60s would have had a Norwood 6 pattern but for his scalp reduction and 4 sessions of punch grafting in the 1980s. He initially hoped to both improve his hairline and fill in his crown but his available scalp donor hair was limited.

 

He had multiple narrow scars in his donor area but had thinning around the scars. A strong fringe of hair above the top scar hid everything. I felt we had to leave that fringe alone to ensure that the donor area would remain concealed. FUE was an option but he preferred to remove one of the old scars and simultaneously transplant about 600 grafts.

 

600 grafts would be a drop in the ocean in his midscalp and crown but could allow us to refine his hairline. As he was committed to a left part, we concentrated on his left hairline and the left gutter (lateral hump). We removed a 31.3 cm by 5 mm donor strip that contained a 1 mm wide scar and obtained 607 grafts. We also extracted 18 FUE grafts as a little test. We know that FUE can be an option for the future. With his grey hair, we did not need to reduce his old plugs but could fill in around them. If he had black hair, we would have needed to reduce them first. We purposely used the single-hairs and whiter hairs from the sides of his head in the leading edge of his hairline to create a softer transition.

 

12 months later, he is happy with his new hairline and that the gap has been filled. By leaving his strong fringe at the top of his donor area alone, he can hide all of his past work. He still has some hair available for the future, which he likely won’t need. Finally, sometimes going grey can be a good thing!

[NEWHAIRPLEASE]

Nice work Dr Simmons...yea, they grey hair really helps!!

[orlhair1]

That is an amazing difference for him with a really small number of grafts.....very nice!

[Mp96]

Doc, u could of dense packed 3300 in that area couldn't u?? Hahah j.k

[RCWest]

This gentleman seems to have had a fair result from the old plug method. You did great in refining it with such little hair.

[sc64]

This gentleman seems to have had a fair result from the old plug method. You did great in refining it with such little hair.

 

That what I was thinking,must have been with a top doc for that time.

[harmeeksinghk]

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[Cam Simmons MD ABHRS]

This gentleman seems to have had a fair result from the old plug method. You did great in refining it with such little hair.

 

That what I was thinking,must have been with a top doc for that time.

 

Thanks Everyone

 

I agree that his previous doctor did high quality work, considering it was done in the 1980s. His old punch grafts were not compressed and there was good hair growth within the grafts. He had some smaller grafts in his hairline as well.

 

The punch grafts would have been more noticeable when his hair was still black but his grey hair helped make them look more natural.

 

His past results allowed us to just refine his hairline and fill in the gap without having to reduce the old grafts and reuse the hair.

[M1A1]

Dr. Simmons,

I'm curious, did you use custom cut blades or needles for this procedure?

Thank you,

[KiwiGuy500]

I agree this patient had a 'fair' result for the old method. Only in the hands of someone very very skilled, could plugs look 'okay'. I received kindof 'okay' looking plug surgery in the late 90's early 2000's (in repair now tho). But it wasn't until the popularity of the internet that I saw what had been done to others with this technique to destroy many lives.

 

Great to see Dr Simmons being so thoughtful in the improvement of a patients life, really working with the patient technically, aesthetically, and personally. Grey hair obviously gives more variation and tricks the eye but clearly 600 plugs have made an excellent improvement in this case. Its a shame people still think of modern HT's as plug surgery.

[Mick from Farjo]

Dr Simmons,

 

A good out come for the patient in dfffficult circumstances,well done.

 

Mick