This is a nice result for a currently 38 year old male, who began as a classic Norwood III-Vertex, potential V. At age 35, he wanted to fill in the recessions, redefine the frontal hairline, and give some light coverage to the thinning crown. He suffered progressive hair loss during this period of time, which, in retrospect, would probably have him at about a class V had he not undergone HT surgery. It is a good teaching case for demonstrating different philosophies about HT surgery.
Between early 2004 and late 2005, he had three smaller procedures, which together accounted for 4800 grafts, all via FIT technique. Each time he was seen, we noticed progression of the hair loss, mostly manifesting as loss behind the frontal forelock (the "C"-shaped pattern so common with class III's as the recessions move back and centrally), and also widening of the crown loss. Eventually, the middle third on top was beginning to go, too.
This gentleman is a good example of a pattern which is not uncommon. The hair loss is not aggressive early on (teens and twenties) and may not manifest at all until later in life (30's or even 40's), but may progress relatively rapidly to a class V. I know, it happened to me. Fortunately, we were able to keep up with this man's loss with smaller procedures and the end result is quite good.












