Focused Hairline: Dr. Carlos K. Wesley (1365 grafts)

[Billena]

While not every patient is a candidate for this approach, this 46-year-old patient received a smaller, focused session to reinforce his temporal recessions. Using only 1365 grafts to add density specifically to these areas (and partially into surrounding areas of future loss), this patient, and others like him, may save not only donor hair for the future but also the financial cost of a larger session.

 

Specific criteria should be met to make this focused approach a viable option: adequate donor density, ample density in the areas not being treated, and a prognosis of only moderate MPB (that can be effectively treated in the future, based on donor availability). This focused approach, in which the area of greatest cosmetic importance is addressed, is much more commonly used in female patients (with FPHL) who may not have subsequent thinning to the same degree as some young men.

[Slickers]

Sweet result. Lucky guy to have that much hair and to be as thick as it is in his forties!

[Blake Bloxham]

Excellent transformation! Thank you for sharing.

[Dr. Carlos Wesley]

Thanks for the comments. The density of transplantation in this case was still about 35-40 grafts/cm2.

[zenmunk]

Excellent result! Very natural. No doubt the patient's thicker caliber hairs contribute greatly to making 35-40 grafts/cm2 look like higher numbers.

[hairthere]

Looks great!

[Shyguy]

Very nice doc.

Would you recommend saving scalp donor hair and using some body hair away from the hairline to achieve this same type of result?

[Dr. Carlos Wesley]

Thanks for all of your comments.

 

@Shyguy, because this patient has such great donor reserve for his age (almost 50), his donor-to-recipient ratio (the number of scalp donor follicles he'll have to treat the anticipated areas of hair loss in the future) probably won't require more than what he has "in the bank", so to speak (what's available in his scalp safe donor).

 

However, I do think that the use of body hair is a reasonable option in patients with a more limited scalp donor hair follicle reserve. Ideally, the initial recipient pattern creation would account for how many 'permanent' donor hair follicles the patient is destined to have over his or her lifetime. Perhaps this has earned me the label of "conservative", but it is certainly important to not use all of your lifetime available follicles in one area of your scalp without accounting for what you'll likely want in the future.

[orlhair1]

Looks really good!

[Spanker]

Thanks for all of your comments.

 

@Shyguy, because this patient has such great donor reserve for his age (almost 50), his donor-to-recipient ratio (the number of scalp donor follicles he'll have to treat the anticipated areas of hair loss in the future) probably won't require more than what he has "in the bank", so to speak (what's available in his scalp safe donor).

 

However, I do think that the use of body hair is a reasonable option in patients with a more limited scalp donor hair follicle reserve. Ideally, the initial recipient pattern creation would account for how many 'permanent' donor hair follicles the patient is destined to have over his or her lifetime. Perhaps this has earned me the label of "conservative", but it is certainly important to not use all of your lifetime available follicles in one area of your scalp without accounting for what you'll likely want in the future.

 

 

I think the density planted is conservative, but the area planted was pretty aggressive. That said, he is in his mid to late 40's is in pretty good shape. I don't think he will run out either.

 

Looks good.

[GBU]

His native hair is great and the transplant suits him well .