2238 FUE / NW VI, 1st session

Procedure detail

48 years old male, NW VI, losing his hair since his 30s, with a hair loss history in his family (maternal grandfather).
No medications.
Medium calibre hair.
Strong follicular units.
High % of hair in telogen phase.
RECOMMENDED TREATMENT
I'm glad to present another nice hair restoration outcome by means of the FUE technique.
In this gentleman's case, we initially decided to adopt a three-steps approach to treat his advanced baldness, classifiable as grade VI in the Norwood scale.
The first surgery (subject of this post) took place in August 2019, when we implanted 2238 grafts FUE to restore the patient's hairline, frontal and midscalp areas. As you can observe, the surface treated would have usually required a bigger amount of grafts (around 3000); however, taking into account the patient's limited donor area, we decide to err on the side of caution by limiting the number of grafts to the minimum necessary during this first session.
The results the patient achieved are excellent, as you can appreciate in the photos published below - especially considering the amount of grafts used and the surface covered. This case shows exceptionally well the fundamental importance of a well-planned and strategic grafts placement.
As usual, we will not hesitate to update this thread when the patient will undergo his second session.
SURGERIES DETAILS
2238 grafts 
Technique : FUE 
Donor area : Scalp
FUE scoring and extractions executed with my WAW system, now widely used in the sphere of FUE. It consists of a very precise pedal that enables to control the movement of the punch, that I also designed myself. The main advantage is to reduce substantially the number of damaged and transected hair, thus to raise the quality of the procedure. The system is now used worldwide and several dozens of surgeons or centres are already using it.
Grafts Breakdown :
331 Single FUE grafts
947 Double FUE grafts
890 Triple FUE grafts
70 Quadruple FUE grafts
Total number of Hair : 5175
Average Hair/Graft : 2.31

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Bald class

Bald class 6

Norwood stage 6

The balding areas at the temples join with the balding area at the vertex. The band of hair across the top of the head is gone or sparse.

Front - before and after

Front of patient, before and 1 year and 10 months after FUE hair transplant surgery

Top view of patient

Top view of patient

Left view before and after hair transplant surgery

Left view before and after hair transplant surgery

Right view of patient before and after

Right view of patient before and after

Frontal area planning and immediate post op

Frontal area planning and immediate post op

Top - planning and immediate post-op

Top - planning and immediate post-op