(a) Before HT-1 (2534 FU at 30 FU/cm2) in 2009. (b) 3 years after HT-1. (c) Close-up 2012 – 3 years after HT-1. (d) Different view, before HT-1. (e) Different view before HT-1. (f) Three years after HT-1; Before HT-2 (2012) further back on head. Note in Figure 12a: the recipient area included an area that still had persisting hair that I thought would eventually be lost (an “evolving” area). By including that area, one attempts to avoid the need to have to do another session at a later date in that “evolving area” (in order to avoid being left with a bald “alley” lateral to the previously transplanted area – or put differently, avoiding a never ending chase after an enlarging bald area. I have strongly encouraged that approach to hair transplanting; especially in younger patients.
(a) Before HT-1; wet with antiseptic solution just before surgery, which clarifies the extensiveness of his hair loss, and dry in (b). (c & d) 7 months after HT-1 (2282 FU at 30 FU/cm2). Full growth of transplanted hair typically takes 12 to 18 months from the time of surgery, so these are not full results.
(a,b and c) “Before” and (d,e and f) “after” at 30 FU/cm2. The patient was an actor and because he did not wait until the treated areas were very sparse or bald, nobody noticed the substantial, but gradual increase in his hair density in the treated areas.
(a) A young man with severe (for his age) hair loss in the frontal area before transplanting. (b) One year after a single session to the frontal area consisting of 2246 FU transplanted at an average density of approximately 30 FU/cm². The hair has been parted in the same area as it was in the before photo for critical evaluation. (c) The same patient shown in Fig. 24(a) before his first session but with the hair wet with an antiseptic solution prior to the surgery. The photo demonstrates considerable hair loss in the mid-scalp area as well as in the frontal area. The mid-scalp was treated with 1998 FU at an average density of approximately 30 FU/cm² six months after the frontal area had been transplanted. (d) 19 months after the second session of FUT. This individual had very dense hair in his donor area. Primarily because of his age, the average number of hairs/FU was greater than the typical 2.3/FU, hence the denser than average results. As he gets older and the number of hairs/FU in the original donor tissue decreases, the recipient area hair density will also decrease. Younger patients should proceed with transplanting with more caution because of the greater uncertainty of the ultimate extent of hair loss in both recipient and original donor tissues. However, emotional factors must also be taken into account when a physician decides how long one should wait before starting transplanting in a young man.