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Dr. Cam Simmons – 3297 grafts with coarse, black hair


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This 40 year-old man had a Norwood 5 to 6 thinning pattern of hair loss with high lateral fringes but a balding crown. He had coarse, straight, black hair with high contrast against his light skin. His donor density was low but he had good scalp laxity.

 

He was most concerned about the front and said he might need to wait a few years before addressing his midscalp or crown. We therefore planned to transplant his front but to fade out as we worked back from his hairline.

 

We had estimated that he would have 2900 grafts available but his laxity allowed us to transplant 3297 grafts. The donor strip was in the safest zone and was 35 cm long and averaged 1.3 cm wide. Donor density averaged only 73 grafts per sq. cm. We performed scoring-blunt donor dissection and a 2-layer trichophytic closure.

 

About 52% of his grafts were 2s, 30 % were 3s, and 18% were 1s. This is a better ratio than usual for someone with coarser hair.

 

13 months later he is happy with his hair in front and that his donor scar is easy to hide. We may transplant his midscalp and crown later but is not in a hurry to do so.

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Cam Simmons MD ABHRS

Seager Medical Group,

Toronto, Ontario, Canada

 

Dr. Cam Simmons is a member of the Coalition of Independent Hair Restoration Physicians

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