A grease pencil was used to outline two hairline options. The lower option was what the patient wanted and had seen on web sites. After an explanation as to the number of FU with likely permanent hair in them, and the likely eventual severity/extent of MPB he should be expecting to develop over his lifetime, he wisely chose the higher hairline and a density of only 30 FU/cm2. The lower intraoperative photos clarify what was treated with the 2568 grafts that were transplanted. That number of grafts, used at the same FU density, would have been necessary to transplant only the area between the two proposed hairlines, if the lower hairline had been chosen.
Schematic drawing of various recipient regions and their approximate sizes in square centimeters. The total frontal region (approximately 70cm2) is broken down into smaller subzones. The most frontal portion of the frontal region is approximately 30cm2 and consists of the hairline zone and the frontal tuft. The rest of the recipient area in a man destined to develop Type VI MPB is 200 cm2 or more (nearly 7x as large), IF a conservative, non-juvenile frontal hairline is chosen. (Photo courtesy of Dr. Ron Shapiro)