This is a gentleman who came to us at only age 29 for a hair transplant. His hair loss began in his early 20s and in only a few short years progressed to at least a Norwood Stage 5, or maybe beyond. He had never tried any evidence-based treatments to slow or reverse his hair loss. Despite his young age, he had complete obliteration of his hairline and front scalp, with near complete loss in the midscalp through to the crown. The result was disproportionate features, the loss of the frame to his face, and the appearance of being much older than his 29 years.
Fortunately, he had an excellent donor area. Prior to surgery, we discussed the importance of supplementary non-surgical therapies like finasteride and minoxidil to help him preserve the hair he still had. In this way, we could use a hair transplant to replace what he’s lost, knowing that he’d be highly unlikely to lose additional hair in other areas.
As a result of his large and dense donor area, we were able to perform a 3146 graft FUE surgery. This is one of the largest single session FUE surgeries ever performed at Toronto Hair Transplant Centre and is a larger graft amount for this type of surgery than average.
You can see from our surgical drawings that his goal was not to achieve an overly aggressive hairline, but rather to have a natural hairline that preserved enough donor grafts to add some density in the midscalp and crown, while still giving him a frame to his face and good coverage upfront. He wanted the kind of hairline that would continue to look natural into his 30s, 40s, 50s and beyond. The majority of the grafts were distributed to the frontal scalp to rebuild the density there, while a few were added to the midscalp and crown. We knew this would not add overly thick density to those areas, but it would still make a significant difference.
This patient returned to see us 13 months after his surgery. His results are absolutely amazing! He looks like, well, just a guy with hair! His forehead is much less prominent and he looks much more youthful and in line with his age. You can see in the detailed photo of his hairline that it looks completely natural and no one could ever tell he’s had a hair transplant. His donor area continues to look dense without any noticeable evidence of even a large FUE harvest. He continues to use finasteride and minoxidil regularly, without any problems, and hasn’t lost any additional hair. He looks great!