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Posted

This 57 y/o man came to our clinic for his first procedure 9 years ago. He has had 3 HT sessions over that time totalling 3834 grafts (12,856 hairs). He has extremely fine hair, which over that time period went from a reddish-brown to an almost whitish-blond color. His 3 sessions were comprised of 1163, 1242, and 1287 grafts at each session, with MFU grafts of 4-6 hairs making up 330 of the grafts at the first session, 146 at the second, and 150 at the third. These grafts were placed primarily in the front-center area.

Note on the one face-forward photo taken 5 years ago after 2 sessions, that he had a "flat-top" style of haircut at that time, which doesn't offer any shingling of the hair over each other. Most of the photos show the final results of the three sessions. He recently had an additional session of 996 FU's added, which was the limit we could harvest due to a tight donor scalp and our wish not to create a wide scar.

Patients with hair this fine, in my experience, require an additional session than most patients do, in order to achieve cosmetic density. It also helps greatly if they let their hair grow a little longer in order to take advantage of the shingling effect of overlap visual fullness. At the time of the consultation with these fine-haired patients, we try to mainly show them results of other patients with similar hair, rather than show them those of patients with coarse hair, which would create an expectation we couldn't achieve.

 

Mike Beehner, M.D.

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