Grafts and an Insufficient Donor Supply For A Class 7 Patient
This week I saw a man who had a transplant of 3000 grafts… and did not look normal. His examination showed a very low donor density and very fine hair, yet the doctor who did the surgery had placed these 3000 grafts uniformly around his entire, very large Class 7 balding area. The patient regretted his decision to do this surgery. Unfortunately, his options were limited and his doctor should have given him the information to avoid this terrible mistake.
Had I seen him before his surgery, I wouldn’t have been able to help him; however; today because of Scalp MicroPigmentation (SMP) there is an obvious solution. To help him make his decision, we decided to first address his large wide scar with SMP. Then with his scar taken care of, he can shave his head very closely and see what he would look like if he decided to have SMP all over his head. This would be an incremental decision for him, giving him the time to judge this last step.
What failed him was his previous doctor who never told him that he did not have enough hair to reconstruct his extreme balding pattern, nor was he told about scarring risks. The doctor painted a good picture and like most patients who believe in their doctors, he wanted to believe that his doctor was addressing his best interests. As there is no going back now, the solution of SMP to the entire head would give him the look of a buzz cut (see scalpmicropigmentation.com)
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