This middle aged patient has type VI hair loss. He has fine, straight hair and an above average donor area. He wanted as much coverage as possible. We opted to cut a portion of the grafts as double follicular units, ie two follicular units in one graft (average 4 hair/graft). Given that he has always worn his hair this long and was planning to continue doing so, this method was chosen. It would not be a good choice for someone with coarse hair or who wears a shorter hair style. Essentially, this allowed the patient to get an extra 1,000 grafts for the same fee. We did 4,236 grafts containing 5,305 follicular units: 1-708, 2-1444, 3-856, 4-151, 5-8, doubles- 1069 (avg 4 hair/graft) = over 11,000 hairs. We covered the entire scalp except for the very back crown. He is shown 2.5 years later.