Dr. Nakatsui, frontal hairline, temple points, 2268 grafts

Procedure detail

This is a 11 month follow-up from a FUT surgery where the patient wanted to lower his hairline and fill in some of the balded area behind the mid scalp. We decided to lower his hairline and fill in his temple points slightly to make it look balanced. He also had some balding in the lateral humps behind the mid scalp where he had maintained hair. If we left this and only did his hairline, this would have started to leave the pattern unbalanced. We therefore filled the lateral humps with with single hairs to give him coverage in this area to make it blend with the surrounding hair. There is also a photo of the stripline scar. While not invisible, it is still thin and for a patient who does not plan to ever cut his hair short, this works very well.
We transplanted 942 single grafts, 1107 double grafts, and 219 three hair grafts, for a total count of 2268 grafts. He naturally had a lot of single hair follicular units, which is not usually ideal as it provides less density per follicular unit. In this case, it worked well for us as we didn't need high density in the lateral humps. He may eventually want to thicken the hair that he has between the areas we transplanted but this works very well for him and he is very happy with the results so far.

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Bald class

Bald class 5A

Norwood stage 5A

In stage 5A, the hairline continues to progress toward the back of the head.

Front - before and after

Front view, before, immediate post op and 11 months after surgery.

Top view of patient

Top view, before, immediate post op and 11 months after surgery.

Left view

Left view, before after and immediate post op.