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    Hairline Restoration After Over 4500 Grafts (with Photos)

    Aug 26, 2011/by William Rassman, M.D./9 /Hair Loss Causes

    From time to time we treat patients that will then refer other family members. Both the man below and his brother had hair transplants, and they’ve both been just delightful. Jokes and humor abound during the surgeries and the follow-up visits. Such a good natured, fun person to be around. It took 4 surgeries spaced over a few years, but he met his hair restoration goals and is excited about the results. I am too!

    Click photos to enlarge.

    After a total of 4539 grafts:

     

    Before:

     

    Update:
    I should’ve explained the case better in the initial post, so I’ll attempt to do that here.

    The before photos that are posted above actually reflect far less hair than the pictures indicated. The patient’s hair is fine, so each hair shaft has less bulk than an average person with medium weight hair. The hair thinning went back some 5 inches beyond the leading forelock shown in the picture, but I originally decided that just advancing the hairline would suffice without going back to the thinning area. The entire forelock disappeared after the first procedure and he had more hair loss behind the area that was originally transplanted, so the second procedure was done to thicken up much of the forelock area which was lost.

    The original plan that was created brought the hairline down considerably. It took two procedures (3288 grafts total) to get him what he wanted and to fill the area behind the site of the original transplant. For the patient that is taking the drug finasteride, rarely some additional hair loss may occur after the first transplant, as was the case here.

    He is a bit of a perfectionist and the two other smaller procedures (553 grafts and 698 grafts over a year apart) were done to deal with some more hair loss behind the transplanted hair. He also wanted to put some more grafts in areas where he thought additional hair would help.

    Tags: hair transplant, hairline, hairloss, hair loss

    Reader Comments9

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    1. Tona
      Tona says:
      Aug 27, 2011 at 2:59 pm

      still looks very thin in the front considering this person had 4500 grafts. I don’t know why a person would want to go get a HT and spend all that money if it doesn’t even have a “full” appearance.

      Reply
    2. Ryan C.
      Ryan C. says:
      Aug 27, 2011 at 10:25 pm

      I agree Tona. It’s certainly much better than what it was but definitely doesn’t have a full appearance.

      Reply
    3. Matz
      Matz says:
      Aug 28, 2011 at 8:37 am

      wow this is the result after 4 surgeries? very discouraging

      Reply
    4. Anthony
      Anthony says:
      Aug 28, 2011 at 2:04 pm

      Initially when I saw the pictures I thought it was after only one procedure and I was thinking to myself, that is pretty decent for one procedure and he can go in for a couple more and get a more fuller appearance. But after reading the description and finding out it was after his fourth one, I think this person made a big mistake. I agree with Ryan, it does look better then what it was but it still looks very see thru and still looks like this individual is balding heavily. I’m guessing its because of his hair characteristics. He has very fine, straight hair with what it looks like to be very thing hair shafts. I am guessing on a person with lets say wavy or curly hair with thicker hair shafts 4500 grafts would do wonders and give more of a fuller appearance. If I were going in for 4 surgeries in total and thousands of dollars spent I would want much better results.

      Reply
    5. Mike
      Mike says:
      Aug 28, 2011 at 4:14 pm

      It looks like if the hair was held back in the after pics they would look just like the before ones. Is it because of his skin tone and hair color that there isn’t a fuller appearance? I would think that 4500 grafts would be somewhere around 5000 hairs and cover a lot more.

      Reply
    6. Nagol
      Nagol says:
      Aug 28, 2011 at 7:01 pm

      Agree with other posters…also, you should have pulled the hair back in the post-op pics the same way as the pre-op pics, thatd give a better gauge of how well the hairline looks.

      Reply
    7. Samuel
      Samuel says:
      Aug 30, 2011 at 9:11 am

      You can definately tell the frontal hairline has been restored. If patient styled the hair back or to the side and used hair product, it would look thicker. Much Improvement from before photos.

      Reply
    8. William Rassman, MD
      William Rassman, MD says:
      Aug 31, 2011 at 11:40 am

      I should’ve explained the case better in the initial post, so I’ll attempt to do that here.

      The before photos that are posted above actually reflect far less hair than the pictures indicated. The patient’s hair is fine, so each hair shaft has less bulk than an average person with medium weight hair. The hair thinning went back some 5 inches beyond the leading forelock shown in the picture, but I originally decided that just advancing the hairline would suffice without going back to the thinning area. The entire forelock disappeared after the first procedure and he had more hair loss behind the area that was originally transplanted, so the second procedure was done to thicken up much of the forelock area which was lost.

      The original plan that was created brought the hairline down considerably. It took two procedures (3288 grafts total) to get him what he wanted and to fill the area behind the site of the original transplant. For the patient that is taking the drug finasteride, rarely some additional hair loss may occur after the first transplant, as was the case here.

      He is a bit of a perfectionist and the two other smaller procedures (553 grafts and 698 grafts over a year apart) were done to deal with some more hair loss behind the transplanted hair. He also wanted to put some more grafts in areas where he thought additional hair would help.

      Reply
    9. Tona
      Tona says:
      Sep 1, 2011 at 1:28 pm

      thank you for clearing that up Dr.Rassman. All i know, if I had fine hair like this person does I would not go for a transplant because this is how it would turn out most likely. This does go to show you not everybody is meant to get a procedure done.

      Reply

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