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This patient is a gentleman in his fifties with gradual loss over the last 2 1/2 decades, with androgenic alopecia affecting the frontal hairline, midscalp and crown. Our plan is to recreate a conservative hairline while increasing the frontal forelock and midscalp density. CIn the preop photos he camouflagesthe midscalp by a comb-over of sorts, and as such is not able to style his hair shorter, as he would prefer. The posted results show the very early stages of regrowth which began at around month three, and are posted here to answer a frequent concern by patients regarding the naturalness of the regrowth phase. At this early phase, only about 25% of the final growth is observed, yet it is enough to allow him to style his hair with a shorter cut already. The hair grows in as very fine initially, and will appear quite natural, as long as the design is not overaggressive for his age, bone structure, and the pattern of loss in his crown. Our preference in any reconstructive case is to add a subtle yet definable change to the preexisting condition. Total FU grafts: 2424; Ones- 683; Two's- 1506; Three's 133; DFU's- 102. Tricophytic closure.

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Timothy Carman, MD ABHRS

Chairman, Ethics Committee (ABHRS)
ABHRS Board of Directors

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Great design and early days. At 34, I sometimes struggle with actually wishing my natural hairline was higher just for this purpose. It's important to understand that what you plant at 30, you will have at 60, you just might not have the hair behind it. I did keep my corners conservative however which will aid in the natural looks when the time comes.


I am an online representative for Dr. Raymond Konior who is an elite member of the Coalition of Independent Hair Restoration Physicians.

View Dr. Konior's Website

View Spanker's Website

I am not a medical professional and my opinions should not be taken as medical advice.

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