transplanted hairlines don't change...

[Guest Brad Limmer, MD]

The case presented is that of a young man who came in at age 25. During his original consult it was noted that he was already committed to a regiment of propecia/rogaine since age 14. Being so young is always a concern. But his commitment to medical management and his understanding the implications of moving forward with transplantation has, we were able to devise a plan/design a hairline that would work well for him now and look appropriate as he aged. He also understood that if he lost hair behind his newly transplanted hairline he would have to come back and at least transplant the frontal/mid scalp.

On the day of his surgery we mapped out our plan. We harvested 18 sq cm of donor at a fu density of 86, producing just over 1500 grafts and planted at a density of just over 50 grafts/ sq cm. His case proceeded very easily without any bleeding and no popping of grafts. Shortly after lunch we opted to harvest an additional 300 grafts so we could maintain our tight packing, but also plant a little further back creating a nice transition.

While we kept in touch, he finally was able to be seen in follow up this past Friday. He has excellent results which are only helped by his good hair color-skin match. He remains committed to medical therapy and desires to slightly thicken his hairline while he uses the majority of his planned upcoming procedure to reinforce his frontal 1/3 of scalp behind his new hairline.

Presented are his before and after photos. He has excellent density from his single pass grafting session and a hairline design that works well now and for his lifetime. Something young men always need to understand??¦years will come and go, but a transplanted hairline never changes. So be cognizant of that and design something that looks appropriate for your entire life.

Brad Limmer, MD/jac

[Megatron]

That hairline looks freakin' awesome. I'd be interested to see some immediate post-op pics too if you got 'em. The only danger is the patient will now have to maintain that density behind their transplanted hairs.

 

I think guys that go for the teenager hairline need to be talked out of it by their docs. That said, I really do feel for you docs in that it presents a conflict of interest. You want to make the patient happy, yet you know what they're asking for is unnatural and will cause them and you trouble down the road.

[Mp96]

Nice result!! It's nice to hear that all the patients options were clearly discussed with him. I am a fan of your work and your ethics. Hopefully more docs can learn from your approach!!