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Click on photo for LARGER SIZE

Click on photo for LARGER SIZE

This patient is not going bald. He may be classified as a Norwood 2 or as having a mature hair line. He had the surgery because he did not like his raised corner hair line. He wanted a lower, relatively straight juvenile hair line (he once had). He was old enough (over 30 years old) where chances of him losing more hair or shock hair loss was minimal. He understood this is a cosmetic procedure and was made aware he may need more than one surgery to achieve the density he was looking for.

He chose the FUE method of graft harvesting since he wanted the flexibility to keep his hair buzzed or kept short.

The total number of grafts he received was 1600 grafts. He had two separate FUE procedures of 800 grafts with each surgery spaced out about 1 year apart. The final result you see is after 2 years. If you click on the photos for a close up ZOOM you can see that the density achieved was close to normal (non-balding) hair density. The reason he needed TWO (2) separate surgeries was because you cannot fit 1600 grafts in such a tight space. Each graft can be about the size of a rice grain. After the hairs have grown out, you can fit another graft in between the spaces.

He occasionally attends our monthly Open House events if anyone would like to meet him in person.

Oral Minoxidil does not always work. It has been reported to cause shedding, but genetics can also be the cause of your hair loss. You should speak with your doctor to discuss a short and long-term Master Plan for your hair loss.

In reference to this question about donor healing after FUE: https://baldingblog.com/2007/05/09/1-year-post-op-photo-of-fue-donor-area/

How often do you see patients who don’t have white spots from the FUE? I recently got a procedure done by a doctor that promised me no white scar formation, but all I’ve read online since then is that its inevitable to get white scars. Seeing this picture of your patient gave me hope. I have fair skin and coarse hair (I’m Asian). I’m hoping to hear good news.

Scarring is the result of two things: (1) the size of the instrument used and (2) the healing properties of your scalp. Clearly, the surgeon only has control of #1.

I started taking Gabapentin at 600mg a day seven months ago and noticed my hair has been coming out bad. At first I thought it was Keppra I was on but I stopped that in November and it just continued. It never occurred to me that it might be the Gabapentin because I was assured this was an incredibly safe drug. Used to have gorgeous hair. Now it’s thin where the bangs would be and all over really. Can see my scalp in areas. I have no male pattern baldness in my family. If anything we all have too much hair!

Gabapentin is an anti-seizure medication. Hair loss is a rare side effect.

We have known for years that there is a connection between crown (vertex) balding and heart disease but this article seems to extend the relationship with all forms of balding, worse in men with crown balding.

https://www.capillus.com/blog/connection-between-hair-loss-and-heart-disease/

I had drug induced TE from Depakote. I stopped the medication almost 2 years ago. My hair has grown back and I don’t have MPB. But my hair is miniaturized all over. Is it normal and permanent? Thanks.

If you are saying that the hair, when it came back, was of a smaller caliber, then this may be a permanent effect. I would have to see you and examine you with a trichoscope to understand the problem you pose

This young man had a hair transplant by someone that didn’t understand the art and science of hair transplantation. There is no hairline design and large 2-5 hair grafts in the front of the hairline which looks pluggy. The repair for this should be relatively easy for me, but first I would have to see him and then make a plan with him.