Dr. Keller/Chicago/5V plus hair loss pattern

[Dr. Richard Keller]

40 year old with 5 V plus hair loss pattern who had hair restoration with 2,835 grafts. Photos shown are pre-op., 10 months post-op. , immediate post-op. and 2 layer tricophytic closure. The patient has excellent donor density.

[Blake Bloxham]

Wow! Excellent result. Thank you for sharing.

[Bill - Seemiller]

Dr. Keller,

 

Being a former Norwood 5A/6 who needed 9600 grafts to achieve a look similar to this, I'm amazed that this patient only needed 2800 grafts to achieve a full look on such a large balding area.

 

I'd like your input on how you were able to practically transform what appears to be closer to a Norwood 7 to 3V. I know that patients with exceptional hair characterisitics (thicker hair diamater) can achieve more with less. But since I didn't see an explanation, I think the community would like to know.

 

Also, do you have any immediately post-op pics showing the top of the scalp and not just the hairline?

 

Thanks,

 

Bill

[amanmehra11]

Really amazed to see the results. Is it possible with such a low number of grafts?

[Spanker]

I agree with Bill. I would like to know more about this case. He must have been like all 3's and 4's for such a result.

[Cant decide]

I will throw my hat in.

 

What gives?

[StaggerLee123]

I concur with the previous posts. Amazing coverage for the number of grafts. I think the "shingling effect" definitely helps this achieve a simply amazing illusion of density. He probably has very high caliber hairs also.

 

Outstanding result.

[GNX1]

looks great for so few grafts. but thats quite a comb over. nonetheless, amazing results with so few grafts. especially since he is much closer to a NW6 or maybe even NW7.

[Blake Bloxham]

I think the "shingling effect" definitely helps this achieve a simply amazing illusion of density.

 

I've discussed this method with hair transplant surgeons before, and it seems to be very useful in cases like this.

[Dr. Richard Keller]

Thank you for your interest in this patient. A few lucky people can obtain this transformation with surgical and medical therapy. As you can tell from this patient's donor region, as seen in the trichophytic scar photo, his hair is like rope. This patient has the best hair quality for hair restoration. Most of his hair groupings were bulky four hair follicular units. I maximized the appearance of density by utilizing dense packing in the front hairline and used less density in the mid-scalp with careful shingling and then utilizing a staggered group array towards the back, giving the image of coverage. This patient experienced thickening of hairs in the mid-scalp with medical therapy. The patient was supposed to have a second procedure to add density in the mid-scalp and crown, but has been satisfied with one procedure so far.

Sincerely,

Dr. Keller

[GNX1]

 

Most of his hair groupings were bulky four hair follicular units.

well that explains his great results then.

[Bill - Seemiller]

Dr. Keller,

 

Thanks for providing a detailed explanation. All patients would kill to have such exceptional donor characteristics. Nice work in strategically placing his follicles to provide him with such a full look with so few grafts.

 

Best wishes,

 

Bill

[StaggerLee123]

Considering the average hair count per graft on mere mortals is usually around two hairs, consider this: If most, (say 75% of his 2835 grafts which is 2126) as Dr. Keller states, of his grafts were 4 hair grafts that would yield 8504 hairs. Let's say the remaining 709 grafts were single hair grafts. His surgery yielded a total of 9213 hairs which for most folks would equate to around 4606 grafts.

 

Lucky dog.

[orlhair1]

Really amazing transformation!

[Cant decide]

Thanks for the explaination. Very impressive!!