follicular unit density of 96 grafts/cm?? and we excised ~13 cm?? of donor to generate just over 1200 grafts

[Hairy Godmother]

As with many out of town patients, getting good quality follow up photos of your work can be difficult. Last week this case happened to be in San Antonio, allowing us to get a follow up 2 years post op.

Originally this patient presented for repair of his frontal hairline/temporal recessions. He was a Norwood pattern 3, not on medications for hairloss and had seen 3 other surgeons in consultation.

After extensive consultation (patient was 25 years old), he was started on Propecia/Rogaine and opted for thickening of his existing mid-frontal hairline and conservative reconstruction of his temporal recessions. He had a follicular unit density of 96 grafts/cm?? and we excised ~13 cm?? of donor to generate just over 1200 grafts.

These grafts were then utilized to augment his mid-frontal hairline, lower and blunt his temporal recessions. Average follicular unit placement density of ~45 grafts/cm??.

While some would plant at higher densities, you increase the risk of permanent redness (neovascularization) and dermal fibrosis causing a palpable ridge at the hairline. His new hairline as noted by patient and photos provides an excellent cosmetic outcome. Patient plans to continue medical therapy, is very pleased with his results and plans no additional grafting at this time.

Brad Limmer, MD/jac

 

[rpachigo]

Very nice result, photos and explanation.