This patient had his surgery 12 months ago. He was a class 7 with broad head, and his donor density was average. With advanced hair loss and very limited donor reserved, he was classified as “not an ideal candidate”. There is no way to cover his entire scalp without a combo of BHT and scalp.
So we began by treating his frontal zone and midscalp with only scalp hairs: 3500 grafts. Then we placed 1200 grafts BHT in the crown as a test to see how he will respond to it. The main goal was to cover the front and top, matching the density of the sides. This has been accomplished.
Great care must be taken when creating sites and placing grafts in areas of diffuse thinning. Any damage to surrounding hairs can cause shock loss in the area.
Preservation of the donor is of great importance especially for patients with advanced loss. The patient had only average density in the donor to begin with and also prefers to wear his hair short in the back.
Now that the 12 month results have grown in, the goal is to treat the crown. Recently we transplanted the crown with scalp, and used body hairs to reinforce the middle scalp. If we want to harvest more, FIT Farming will be required. We used only leg hairs because this is the patient’s only BHT with good caliber. Below is the result of the 1200 BHT test session in the crown.