A Concentric Method for Mini-Micrografting Extensively Bald Patients

In 1995, Dominic A. Brandy, MD, introduced a concentric method for mini-micrografting aimed at treating patients with extensive baldness. This technique focused on creating a natural hairline first and then working towards the center of the bald area in a concentric pattern. The method involved placing minigrafts along horizontal reference lines in a staggered pattern, with additional grafts added in subsequent sessions. Four key reasons for the method's success were highlighted: the aesthetic normalcy it provided, the predictability of hair growth due to the staggered pattern, the efficient use of donor strips, and the natural appearance achieved by the anterior-posterior angulation at the cowlick. The technique also allowed for a single scar after multiple sessions and could be adapted for different hair restoration preferences. It was particularly recommended for patients with limited donor areas to treat only the frontal two-thirds, especially if they had light hair. The study did not specify the number of patients involved.