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This patient has the vertex pattern of MPB where the frontal hairline is generally preserved over time. Thinning starts at the top and spreads outward over time. He had started finasteride a year previously with stablization of the loss. We performed FUT 3,342 grafts. He is shown 11 months post op, with overall great improvement. Depending on lighting, there is still some scalp showing through, but under most conditions its not really noticeable.

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Edited by Jerry Cooley MD
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Thanks for the feedback. The patient is 90% happy with it and plans to let some time go by. The crown can be a black hole for grafts so I recommended he wait another 6 months and see how he feels about it then. Some camouflaging fibers like Toppik can make a big difference here.

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