HAIR TRANSPLANT FORUM

We met this patient in a follow up at the recent New-York Consultations.
I had the old camera and the lightining easn't good. The after photos are not very clear but you can clearly see the results of this FIT procedure.
This patient is a repair case who desired additional coverage in the crown. He had numerous procedures in the 1980s including plugs and scalp reductions. This left him with a pluggy hair line and pluggy tear drop shaped crown. Tear drop shaped crowns result from midline scalp reductions that lower the crown into the donor area and elevate it toward the front. He did not want to soften the hairline. He simply wanted more hair in the crown. His donor area was extremely tight and diffusely scarred with a low donor density. We attempted one strip procedure on him, but this yielded only 400 grafts due to the low follicular density, excessive scarring, and extremely tight donor area. The initial photograph shows his result 18 months after these 400 grafts. Subsequent to this we developed the process of FIT or FUE. We were able to remove 2000 grafts with this technique and the after photographs show the result 7 months after his procedure. It is important to recognize that it is very difficult to achieve the appearance of full density through hair transplantation due to the numerous changes in hair growth angles and due to the high density required to achieve this illusion of fullness due to the multiple changes in hair growth angle that reduce the shingling effect of hair.