(a) Before HT-1. (b) one year after transplant, demonstrating the substantial cosmetic effect of adding transplanted hair to existing hair (2037 FU at 30/cm2). This patient’s result will eventually look similar to that shown in Figure 11 or 12 when all or most of the original hair is lost, but offers the advantage of thicker hair until then.
(a) Male patient before transplanting – hair dry. (b) Male patient before transplanting – hair wet to clarify extensiveness of hair loss. (c) 10 months after HT1 (2367 FU at 30 FU/cm2).
(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 52-year-old female patient before hair transplanting to a frontal midline area. (b) 7 years after a hair transplant consisting of 843 FU and 113 double FU (a total of 1069 FU). The patient was being seen for possible transplanting further back from the first recipient area. (c) A photo taken at the same time as (b), with the hair combed back for critical evaluation. A little hair placed properly and with good hair survival can go a long way cosmetically—especially because hair is nearly always being added to some persisting original hair in women. The fear of relatively soon loss of transplanted hair is also misplaced if the donor area has been appropriately chosen.
(a) A young man before transplanting. Note that the supra-temporal areas have been outlined and will be treated at the same time as the more obvious areas of thinning medial to it. (b) Nine months after treatment with 2137 FU at an average density of 30 FU/cm².
(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.
(a) A patient with apparently very limited hair loss in the fronto-temporal corners of his hairline. (b) The same patient as shown in Fig. 25(a) nine months after his first transplant. (c) The same patient as shown in Fig. 25(a), and at the same time, which demonstrates that he had diffuse thinning through the entire frontal area and that the hair loss was not limited to only the hairline zone, as might at first have seemed to be the case. (d) The same patient as shown in Fig.25(a) nine months after a session of 2211 FU. One does not have to wait until an area has experienced the loss of the majority of its hair before the area can actually be treated. However, the hair density shown above will not persist for the patient’s lifetime because it is a combination of the transplanted hair and the original hair in the recipient area at the time the surgery was carried out. As the patient loses his original hair, the hair density in the transplanted area will become more like that shown in the “after” photos in Fig 11.
Adding hair to hair: Left Side: Various views before 1st hair transplant. Right side: 12 months after 1st hair transplant at 30 FU/cm2.
Adding hair to hair: Left side: Various views before 1st hair transplant. Right side: 12 months after 1st hair transplant at 30 FU/cm2.