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These 3 fellows have significant hairloss but each had a tuft of reasonably good hair right at the front. When folks have this, as I discussed in another thread last week, I'll offer to either do a "U" shaped case or just include the tuft area with the planned case.
There are arguments for and against that we lay out for the patient to consider. For the U is that the frontal tuft may not ever go away, and why "waste" precious donor hair in a reasonably good patch; preserving a tuft if long enough, can allow a bit more camouflage of the procedure, and if that tuft were addressed, it would take significant grafts that could help extend the recipient region further back on the crown. Also, if the tuft were to go, a pretty small strip or FUE can be done to address it. Arguments for doing the entire front focus mainly on dealing with the entire front in one surgery and then not having to come back for future loss up there anymore.
Last month we had a cluster of folks with similar loss patterns. Shown are 2 "U's" and one "entire front" cases, all of 2800 to 3200 grafts. I personally agreed with each fellow's choice based on their desires, ages, and donor recipient characteristics. I have put up a couple of grown out U's before, and it'll be interesting to see how these 3 grow over the next year.
Dr. Lindsey McLean VA
There are arguments for and against that we lay out for the patient to consider. For the U is that the frontal tuft may not ever go away, and why "waste" precious donor hair in a reasonably good patch; preserving a tuft if long enough, can allow a bit more camouflage of the procedure, and if that tuft were addressed, it would take significant grafts that could help extend the recipient region further back on the crown. Also, if the tuft were to go, a pretty small strip or FUE can be done to address it. Arguments for doing the entire front focus mainly on dealing with the entire front in one surgery and then not having to come back for future loss up there anymore.
Last month we had a cluster of folks with similar loss patterns. Shown are 2 "U's" and one "entire front" cases, all of 2800 to 3200 grafts. I personally agreed with each fellow's choice based on their desires, ages, and donor recipient characteristics. I have put up a couple of grown out U's before, and it'll be interesting to see how these 3 grow over the next year.
Dr. Lindsey McLean VA
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