Grade 5 / 5A baldness | 1+ Years Hair Transplant Results | Hair Free and Hair Grow Clinic India

Hair Transplant
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Before transplant
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hair line marking
hair line marking1500×1000 82 KB

after transplant immediate photo
after transplant immediate photo1500×1000 83.5 KB

after 1 month shedding phase
after 1 month shedding phase1500×1000 99 KB

after 1 year and 6 month result
after 1 year and 6 month result1500×1000 93.1 KB

This case study provides an in-depth account of Mr. Shubham Khalasi’s complete hair transplant experience, a 35-year-old patient from Surat, India. It includes his diagnosis, treatment plan, surgical steps, and final results.

Patient Profile

Hair Loss History

  • Hair fall for 6–7 years

  • Noticeable baldness for 2–3 years

  • Diagnosed with Grade 5 / 5A baldness

  • Full loss of the hairline and severe thinning in the mid-scalp

Symptoms

  • Mild itching on the scalp

  • Occasional small pimples

  • No active hair falls at the time of consultation.

Family and Medical Background

  • Strong maternal history of baldness

  • No medical conditions such as diabetes, hypertension, or asthma

  • No past surgeries

  • No allergies

  • No keloid history

Previous Treatments

  • Used minoxidil and multivitamins

  • Mild early benefit, but no long-term improvement

Consultation at Hairfree Hairgrow Clinic

Mr. Shubham visited Dr. Jinkal Kunjadiya, a dermatologist at the Surat branch.
A detailed scalp examination and trichoscopy were performed. His donor area was healthy, and he was a suitable candidate for a transplant.

After counseling, he agreed to proceed with surgery.

Treatment Summary

  • Surgery Date

  • 30 June 2023

  • Technique

  • I-FUE (Isolated Follicular Unit Extraction)

Additional Treatments

  • 5 PRP sessions over one year

  • Supplements, DHT blockers, and minoxidil after the transplant to protect existing hair and boost new growth

Step-by-Step Hair Transplant Procedure

1. Planning and Design

  • A natural, age-appropriate hairline was designed.

  • Frontal and temple areas were marked.

  • Mid-scalp thinning was outlined to improve density.

  • Trichoscopy was done to analyze the donor and recipient areas.

  • Anesthesia patch test completed, no reaction

  • Hair trimming and full scalp sterilization were done before entering the OT.

2. Local Anesthesia

A modified, pain-controlled block anesthesia was administered to ensure comfort during the entire procedure.

3. Slit Creation (Recipient Area)

  • Slits made using metal blades

    • 1.2 mm for the hairline

    • 1.4 mm for other areas

  • Angles and direction were planned carefully to guarantee a natural look.

4. Graft Extraction (Donor Area)

  • Extraction performed with a 0.8 mm sharp serrated titanium punch

  • Total time: 90–100 minutes

  • Grafts stored immediately in chilled trays containing RL solution

Graft Characteristics

  • Hair type: Thin, dark black

  • Root type:

    • 10% single-root grafts

    • 90% multiple-root grafts

  • Total grafts harvested: 2500

5. Implantation

  • Grafts implanted using the K.E.E.P. implanter

  • Total implantation time: About 2 hours

6. Post-Procedure Care

  • Dressing applied

  • Medications and instructions provided

  • Doctor’s contact number shared for follow-up support

Post-Surgery Progress

A) Shedding Phase (0–2.5 Months)

  • 60–80% of transplanted hairs shed gradually a normal phase after FUE.

  • Two PRP sessions were completed during this time

  • Existing hairs in the mid-scalp and crown showed better density.

  • Donor skin healed by 30 days

  • Donor density looked normal by 2–3 months

B) Baby Hair Phase (3–4 Months)

  • New soft hairs began emerging.

  • The third PRP session boosted growth

  • Existing trimmed hairs reached near-full density by month 5

C) Active Growth Phase (6–7 Months)

  • Around 80% of transplanted hairs became visible.

  • Length varied, but density improved significantly

  • A booster PRP session was done at month 9.

  • The patient could get a regular haircut and was pleased with the progress.

D) Final Result (10 Months)

  • Full results achieved

  • The hairline looked natural and dense.

  • The patient had 2–3 haircuts of both the donor and transplanted areas.

  • Ongoing care: Minoxidil and optional future PRP sessions

  • Shubham was fully satisfied and confident with his new look.

Conclusion

This successful Grade 5 baldness restoration shows how I-FUE, expert planning, PRP support, and proper follow-up can deliver a natural and lasting result.

If you are facing hair loss, the Hairfree Hairgrow team is ready to provide a detailed scalp analysis and personalized guidance.