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FIT is as good a surgery as any for diffuse areas. But remember that shockloss is a risk in these areas (although a remote one with our staff).
There are probably 3 reasons that this patient may have avoided grafting his thinning area on top. These are:
1) He was not self conscious/concerned about the thinning areas.
2) He was giving himself time to evaluate the results with medical therapy
3) The risk of shockloss was discussed and he felt uncomfortable with the risk.
Shock loss of cosmetically significant hair usually grows back. The more hair that is grafted into a disffuse area, the greater the risk of hair shock. Sometimes patients will benefit from breaking their surgery up into 2 sessions thereby getting the same number of grafts while minimizing the risk of hair shock. Others are ok with the potential of temporarily having less hair if the final result can be obtained in a single session. But if the risk is simply too high, we will advise the patients to wait until the loss progresses before treating the particular area.
In many cases 1 step forward and 0 steps back it better than the alternative of 2 steps forward and 1 or 2 steps back.
Patients with thinning in the male pattern area can be treated and treat well. There are alot of ways to "skin the cat" though.  |
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