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.


Front - some time after hair restoration surgery by Raymond Konior, MD.
Postop hairline frontal view - nine months following 2nd session - 3220 total grafts

After Hair Transplant frontal view by Raymond Konior, MD.
Postop hairline frontal view - hair combed back

Before hair transplant top view by Raymond Konior, MD.
Top view - Before hair transplant surgery

Top view after hair restoration surgery by Raymond Konior, MD.
Postop hairline top view - nine months following 2nd session - 3220 total grafts

Before hair transplant - left view by Raymond Konior, MD.
Left view - Before hair transplant surgery

Left - intermediate hair transplant growth stage by Raymond Konior, MD.
Postop left hairline - nine months following 2nd session - 3220 total grafts

Transplanted hair on the left side by Raymond Konior, MD.
Postop close-up of left hairline and recession

Before Hair Transplant - right view by Raymond Konior, MD.
Right view - Before hair transplant surgery

Right - intermediate hair transplant growth stage by Raymond Konior, MD.
Postop right hairline - nine months following 2nd session - 3220 total grafts

Right - after a hair transplant procedure by Raymond Konior, MD.
Postop close-up of right hairline and recession