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This 49-year-old gentleman had a hair loss pattern similar to a class 4v on the Hamilton Norwood hair loss scale. His hair is a very fine, light brown, but starting to turn slightly grey. His donor area was above average, which allowed me to get a good amount of grafts. His goal was to be able rebuild his hairline and add density to the frontal 1/3-1/2 of his scalp. In addition, he wanted to have a conservative hairline that would be age appropriate. Taking his age and hair loss into consideration we came upon an agreement for what would suite his expectations. After establishing his medical history and understanding the progression of his hair loss, I diagnosed his condition as Androgenetic Alopecia (male pattern baldness), ruling out any other possible dermatological or medical conditions which can cause hair loss. The patient’s goal was well suited to his needs and therefore I planned the surgery accordingly. I wanted to reconstruct a hairline that would be suitable for his age. A total of 3,383 grafts were used. The break down was as follows: 1,692 single hair grafts, 1,494 two hair grafts and 197 three hair grafts. I used a significant amount of single hair follicular units which allowed me to create a very natural hairline. This action will allow him to comb his hair without anyone detecting that he has had anything done. These are his results 2 years post-op after his first procedure. The patient is extremely happy with his result and is taking finasteride 1mg to control further hair loss. He does understand that he might need an addition procedure if he would like more density or does have any further hair loss down the road.
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