The original transplant was very unnatural looking and would have been made worse by growingthe hair any longer. It was simply pluggy with widely spaced multihaired follicles dominating the hairline and frontal scalp. Not much coverage resulted from that transplant as the shorter hair cut indeed gives the illusion of less baldness(albeit at the expense of exposing the massive strip scars). Attempts to remedy the situation of poor density and strip scarring by tattooing (see pictures) were obviously futile. The fuzzy hair in between the plugs were all of little benefit coverage wise and were destined to fall in due course…a fate that did indeed befall the said follicles later on. While cycling may be something to consider in BHT, it is more the loss of pre-existing DHT sensitive vellous hair that was at play in this instance. The redness is something that would resolve over time. We can always medicate to hasten the process if it bothers the patient.
The aforementioned notwithstanding, his crown was empty and the massive scars needed to be addressed.
Although the hairline was selected by the patient, it suits him well and the large departure from the original design he came with helped to further enhance and consolidate the repair process. The trick was in actually designing an unconventionally larger widow’s peak and making it appear natural. The use of finer leg and nape hair in concert with other factors help make this possible, and the patient’s expectations were indeed met.
Finally outside of beard, nape and dwindling head donor, the only other donor resource of note was confined to finer caliber hair in his thighs and legs.
In the first work done, over 80% of the work done utilized the leg/thigh hair for donor. The entire hairline redesign was done exclusively with leg hair. Subsequent refinement was done with nape hair and subsequent surgery utilized beard hair to add more body to the overall coverage.
The yield in this patients is good. A lot of leg hair was used to replace the vellous hair that was destined to be lost, but this is hair that imparts a toppik-like effect which is more likely to remain by comparison.
The patient is exceedingly happy with the change to his life and has received many compliments from an unforgiving crowd as a result of this surgery. he plans for another procedure of about 3000 grafts to boost overall density and further cover the scar…He has indeed come a long way from needing to resort to tattoing and such.
For videos of SFET results click: http://www.youtube.com/user/DrSUmar
S. Umar, M.D., FAAD
DermHair Clinic
Redondo Beach, California
+1-310-318-1500
1-877-DERMHAIR (US residents)
info@dermhairclinic.com
WEBSITE www.dermhairclinic.com
Single Follicle Extraction & Transfer (SFET)
Using Head and Body
For a free online consultation: Free Hair Restoration Online Consultation - DermHair Clinic Los Angeles