Patient LHI is Norwood Class 4 with straight, medium weight hair, a donor density of 1.8 hairs/cm2 and a slightly tight scalp. He had two large-graft hair transplants in the 1980s that left him with a pluggy hairline and a thin appearance in the front part of his scalp. The first phase of the repair consisted of removing 82 of the largest grafts and re-implanting them as individual follicular units. In the second phase, 3,466 follicular unit grafts were harvested from the donor area and used to soften the frontal hairline and add fullness to the front part of the scalp over three sessions. Three smaller FUT sessions were performed (instead of one larger session) to insure maximum growth in the scar tissue.
Slideshow of Hair Restoration
Detail of Hairline
Note the two rows of plugs and the hair pointing to the side – a very unnatural direction.
Top view of repair and subsequent hair transplants.