Below are pre-op and post-op photo comparisons depicting 24 month results of a class 4 potential class 5 patient who desired an overall thicker front via CIT (Cole Isolation Technique), a non-strip hair transplant method. The patient has medium fine, wavy hair and slightly above average donor density of about 200 hairs per square centimeter with 180 hairs/cm2 being about the average. Dr. Cole’s treatment plan was to strategically transfer about 2500 CIT grafts to the front in order to minimize shock loss. Shock loss is usually a temporary condition that occurs when pre-existing hair is shed due to trauma from newly transplanted follicles. For many patients, shock loss is catastrophic and can cause significant inconvenience for at least a couple of months after a hair restoration procedure.
We prefer to perform CIT on all patients as it provides them with an average of 2.9 hairs per graft and a transection rate of 0% to 2%. More hair per graft can exponentially benefit patients who have higher degrees of hair loss. The process effectively utilizes scalp donor resources by allowing harvested grafts to be transplanted intact without being fractionated. The procedure affords the physician the ability to selectively choose every donor follicular unit to ensure the best follicles are harvested to successfully complete the restoration procedure. Patients seeking strip should understand that they could be paying multiple times for a significant number of their donor follicular units. The coverage value of each follicular unit affects the end result.
If a photo is worth a thousand words, these photos say it all. Finally, the patient’s self-conscience behavior has turned into self-confidence and the new appearance is remarkable. Here is another successfully treated patient who has also avoided the linear scar of strip method.