Carlos K. Wesley, M.D. (NYC): Focused Mid Scalp on Young Male

[Billena]

This 34-year-old doctor wanted to add density to his thinning mid scalp. While he was bothered by the thinning on top of his head, the crown region (in back) didn't bother his as much.

 

A 2579 FU session of FUT with Dr. Wesley focused on his mid scalp. By creating a feathered "arc" along the back border of the pattern of transplantation and leaving a portion of his crown untreated, young patients continue to have a natural appearance even when the thinning portion of their crown expands over time.

 

The patient returned 12 months later for follow-up images and video of his new hairstyle.

 

 

 

 

[Spanker]

Very nice. Looks like he has some nice donor and will have an option to do further restoration. Looks good, especially for the small amount of grafts.

[Blake Bloxham]

Nice work! Thank you for sharing.

[irishsailor]

Lovely result for grafts used. Is the patient planning round 2 for the crown area?

Nice presentation as always doc.

[Dr. Carlos Wesley]

Thanks for your comments.

 

@irishsailor, this patient certainly has the option of coming back down the road to treat his crown and even add to the previously-untreated frontal portion if he wishes. The advantage is that he won't be obligated to do this in order to maintain a natural appearance as his inevitable course of MPB continues over time. This transplant design can serve as both a conservative eventual hairline as well as being consistent with the arc of a thinning crown.

 

As you well know, focusing on the crown exclusively in a young patient may ultimately result in an unnatural "island" of hair over time as his MPB takes its course and the surrounding hair thins.

[azura]

Nice job. Thanks for sharing

[abcd0000]

Ingenious, thanks for sharing.

[Dr. Carlos Wesley]

Thank you for your comments. It is also worth mentioning that during his hair transplant procedure this patient had injections of platelet-rich plasma (PRP) and ACell into both his mid scalp and the frontal third of his scalp.

 

While magnified images and hair mass measurements of the areas of his scalp not surgically treated revealed that there was very little change in hair mass from injections, the patient reported that his surgically-treated area began its post-op recovery and growth within a few weeks of the procedure (significantly earlier than the standard recovery time).