Case study

Hair transplant case study: Achieving full, natural crown coverage for 60-year old

Grafts

1,858 grafts

Technique

FUE - single session

Result

Full result at 12 months

Patient profile and the challenge

A 60-year-old patient unsure if FUE could still work for him

The patient, a 60-year-old male, reached out to our clinic with questions about the success rate of FUE transplants for individuals in his age group. Concerned about whether the procedure would be effective for someone in their 60s, he sought reassurance regarding its viability.

One of the patient’s main concerns was the issue of shaving his entire head, as he was very apprehensive about the impact it might have on his professional demeanor and recovery time. The challenge was to perform the procedure in a manner that would ensure high hair density and blend seamlessly with his existing hair.

Hair Transplant Strategy and combined approach

Dr Bonaros's approach

To address his concerns, we proposed a discreet approach, opting for a partial shave that involved only the sides and back of his head. The procedure was planned to ensure that the newly transplanted hair would align naturally with the surrounding high-density areas.

End Results

The result at 12 months

The procedure was conducted over the course of a single day, lasting approximately six hours. In total, 1,858 grafts were transplanted, equating to 4,335 hairs, with an extraction ratio of 2.33. The operation was executed smoothly, and the patient experienced a quick recovery.

Dr Epameinondas Bonaros in scrubs with his arms folded at the Glasgow clinic

From Dr Bonaros

Doctor’s Note: Navigating the "Black Hole" of Crown Restoration

In the field of hair restoration, the crown is notoriously referred to as the "black hole." Because of its expanding circular shape and the unique, radiating angles of hair growth, it can easily consume an almost infinite number of grafts if not approached carefully.

However, this case proves that a balding crown doesn't have to be an insurmountable challenge. The secret to success in this area isn't simply throwing thousands of grafts at the problem - it relies entirely on proper strategy. By meticulously planning the angle, direction, and placement of the transplanted hair to recreate the natural whorl, we maximise the visual impact of every single follicle.

When we combine this precise strategic placement with good native donor characteristics, we can achieve the kind of exceptionally high-density coverage seen in this 60-year-old patient. It is a perfect example of how intelligent planning and technique can conquer the most challenging areas of hair loss.

Warmly,
Dr Epameinondas Bonaros
Hair Transplant Surgeon

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