Woman's hair transplant 1300 grafts

Today’s case shows the preop and 10 month post op photos from a single pass ultra refined follicular unit micrografting session of  ~ 1300 grafts in June of 2011. The patient is a post menopausal female who developed deep temporal recessions and localized thinning in her frontal tuft. While medical therapy will help, the areas of concern can only be addressed by transplantation. Approximately 400-450 ultra refined follicular unit micrografts were placed in each temporal recession and the frontal tuft taking her from a male like Norwood Pattern 2–3 back to a more natural female hairline…..Ludwig’s pattern I. The patient is very happy as she can now wear her hair pulled back and no longer expose her once deeply receded temporal recessions along with her additional frontal tuft density.

                                                                                              Dr. Brad Limmer

Central frontal circular spot of hairloss

This case shows both the preop and one year post op photos of a gentleman who underwent a single pass of ultra-refined follicular unit micrografts. Just over 1500 grafts were produced from a 17 sq cm donor harvest followed by trichophytic closure. In addition, patient is using low dose finasteride & rogaine to combat future loss.
While a very straight forward case with excellent results one of the more interesting things to be seen in his pre op photos. He represents a Norwood pattern 3A who has retained a bilateral frontal forelock. I enjoy these cases as that central frontal circular spot of hairloss is for many the most important cosmetic location to have hair.
Brad Limmer, MD/jac

You DON'T need thousands of grafts to implement meaningful change

I wanted to present a case that made a dramatic improvement in a man’s life even though his hair loss was minimal and the grafts required small. The case presented is one of a Norwood pattern II-III with asymmetric (R>L) temporal recessions. He underwent 750 ultra-refined follicular unit micrografts, placed 60-65% of these in the right temporal recession and the remaining 35-40% in to the left. He was finally able to make it into the office for follow up photos showing his final results from one pass of micrografts. He has done quite well and shows zero loss behind the grafted zone and is extremely pleased by the change made. So while many would feel his loss to be minor, to him it was very disconcerting and the results achieved improved his quality of life.

Brad Limmer, MD/jac

3500 graft procedure....

Today’s case originally presented for transplant 15 months ago. On initial presentation he was a Norwood pattern 3 and not on any medical management (his pre op shown above). Following extensive consultation we agreed upon a dual prolonged approach combining full medical management with transplantation focusing on recreating a new frontal hairline as well as some work to be done on the vertex. Ultra refined follicular unit micrografting was performed using standard elliptical harvesting of 36 sq. cm. of donor scalp with an f.u. density of 96-98 grafts per sq. cm. Of the nearly 3500 grafts produced, nearly 2000 grafts were used to restore the frontal 1/3 of his balding scalp with ~1500 grafts used on his crown. Shown are both his initial pre op photos as well as follow up photos 15 months post op. He has done quite well and is very pleased with his results. Brad Limmer, MD/jac

Patient had 2 large procedures

After 1 procedure

6000 grafts and MEDICAL THERAPY

Today’s case first presented 3 years ago at age 27 with fairly dramatic loss and fairly fine/miniaturizing hair across a Norwood pattern 4-5. Being from outside the US extensive consultation was performed using Email/phone calls.

While a candidate for transplantation, I informed him I would suggest against it unless he would utilize full medical management…starting on it prior to the hair transplantation to ensure he had no adverse side effects and could remain consistent with the medical program.

In early 2007 we performed his first transplant, harvesting 32 sq. cm. of donor at an f.u. density of 96 grafts/ sq. cm. generating just over 3000 grafts. It was allowed to grow in and then in the fall of 2008 an additional 36 sq. cm. of donor was harvested producing just over 3000 grafts.

Today’s photos show his initial pre operative as well as his fully grown in post operative photos taken last week when he was back in the US. He has done quite well and I think his great results are from a combination of both surgery and full medical management.

Brad Limmer, MD/jac