» » I think you need better quality “after” pics.
» I agree and disagree about the pictures. They are good enough to tell
» that there is a huge improvement. But, with better after pictures we could
» see the detailing of the hairline design, etc.
» It is a good result, to be sure, and the hairs per graft transplanted is a
» very nice bonus for the patient.
» I can’t help but wonder, what is the plan for this patient’s future? He
» will likely loose the hair in the midscalp and much of the crown. The
» lateral humps will probably disappear over time. With 4100 already
» harvested to create the thick frontal third, how will this patient deal
» with the future? Will he be able to match the same density as he maintains
» a natural appearance? Will the crown be an option, or will he only focus
» on the front and middle for future transplant? What are your thoughts?
Agreed the pictures could have better definition and this is being rectified, updates on the way.
You raise an important point concerning hair restoration, future planning and donor management. This patient was well “hair educated” he has been on meds for some time and obviously knows the importance to continue. He had his own ideas as to what he wanted to achieve with his first procedure, knowing he would be looking at others in the future. His first priority was to recreate his hair line along with the frontal third with good density. This was achieved as we can see, a slightly conservative hair line and placing hair into the lateral humps where there were signs of miniaturisation and potential loss in the future, so your concerns where actually addressed as the area was shaved down to assess the miniaturisation exactly for this reason.
He was not only blessed with slightly higher than average groups but also higher than average density in the donor,a great HT candidate, so we are not suggesting he is an average patient. He was diffused NW5 prior and in his mid 30’s, with a strong defined patterning around the peripheral already, that had been constant for some years. As for future loss, he is in no hurry for more and ready to see any progression of loss, he is not expecting full restoration in respect of consistent density throughout and aware over time, if need be, he reaches the crown the density and infact coverage may have to be sacrificed, as good as his characteristics are and the hair line design being made appropriate for his age and indeed the future as well as preserving the donor whilst reaching his goals. He has options in terms of techniques for the future, it would be prudent when he decides to go Strip again and then later FUE to open the donor area further, but step by step with planning.