Dr Carman 3458 Ultra Refined Follicular Unit Transplant to repair full hairline deficit as a result of facelift procedure. 7 Day post Op.

[Dr. Timothy Carman]

I thought this would be a good case to illustrate the use of hair restoration as a corrective procedure following facelift surgery in a female patient, something less encountered here on the forum.

Pt is a 66 YO female with the following deficits:

Preoperative Diagnosis: Alopecia and scarring secondary to previous surgical procedures (facelifts), which have resulted in:

1)Receded frontal and bitemporal hairline;

2)Elevation and recession of temporal points bilaterally;

3)Recession of bilateral sideburn areas.

4)Scarring/thinning in areas posterior to sideburn areas.

Our goal therefore, is to create the frontal and temporal hairlines, as well as the bilateral temporal points, taking care to utilize a large number of single hair grafts to recreate a softer appearing hairline, especially important in the temporal point and sideburn areas.

A total of 3458 grafts were used in the case as follows;

1's = 1129; 2's=2166; 3's=163.