(a) This 56-year old gentleman had undergone hair transplanting 15 years prior to seeing me in 2002. He had fine-textured, reddish-to-blonde colored hair. The transplanted area was moderately pluggy-looking and would have appeared much worse had his hair not been so fine and relatively light-colored. The density in the transplanted area was also relatively low. In addition to the preceding, his MPB was obviously extending further laterally and he had lost all of the hair behind the transplanted zone. He was basically left with a pluggy-looking, unsatisfactory “isolated frontal forelock”, as is shown in the photo. I designed lateral “humps” for completion of the frontal-third of the area of MPB and a new hairline zone in front of the old one. The black crayon line delineates these objectives (b) The same patient shown nine months after first repair session that consisted of 1270 follicular units, 105 double follicular units, and twenty-one 2 mm2 grafts. While I rarely used grafts other than FU, after 2005, in this individual the preceding mixture of grafts best solved his problem in a single session.
a and b) This young man was likely to become a Type VII MPB eventually but wanted at least some hair in his midscalp to “break-up” the large bald expanse at the top of his head that would evolve. A midscalp + “bump” hair transplant was designed for him into which I transplanted 2260 FU at 20 – 30 FU/cm2 in a single session. (35c and d) Show the results 21 months later while (e and f) show the results in his donor area.
(a) Old donor scars before repair. (b) After scar revision.