Hair Transplant Surgeon: Raymond Konior, MD.

Hair Transplant Sessions: 2
Grafts Implanted: 3220
Baldness Class: 3V
Hair Transplant Repair Work
Surgical Procedure: Follicular Unit Transplant (FUT/Strip)

This patient had a history of undergoing old fashioned "plug" hair transplantation years ago. Progressive thinning over time resulted in exposure of the plugs thereby revealing a very unnatural "corn-row" hairline. His hairline deformity became a major burden and adversely affected his life for many years. He began a long quest for surgical correction. He was concerned that the pluggy hair line was already too low and believed that simply placing single hair grafts in front of the plugs as a means of camouflage would lower his hairline significantly below his comfort level. He was also bothered by the "shotgun" scarring present throughout the donor region which resulted from harvesting of the plugs. The surgical plan that was recommended and accepted was as follows:

1) A pretricheal browlift was performed first. An incision was made immediately in front of the plugs and the normal forehead skin was advanced upward. The leading three rows of plugs were excised, thereby elevating the hairline to a more favorable, higher location. The excised plugs were microscopically dissected into follicular units and grafted into the back portion of the thinning frontal scalp.

2) Two follicular unit graft sessions were subsequently performed. The first session was performed three months following the hairline elevation to allow for reestablishment of local vascularity. Two staged graft sessions, separated by nine months, was performed rather than a single stage, dense pack procedure because of the higher risk of shock and necrosis associated with a reduced vascular supply in the frontal scalp region. A total of 3220 grafts were utilized for the frontal hairline repair (session one: 1891 grafts / session two: 1329 grafts). The donor strips were taken through the old donor regions in order to help reduce the appearance of the shotgun scars.