Hair Transplantation for Men with Advanced Degrees of Hair Loss

January 2003 in “ Plastic and Reconstructive Surgery ”

John H. Epstein

hair transplantation male pattern baldness follicular unit grafting frontal forelock design donor hair aesthetic design hairline design hair transplant baldness hair grafting hairline

TLDR Hair transplants using follicular unit grafting and a strategic design can give great results even for men with severe hair loss.

The study, conducted over a 22-month period, involved 322 hair transplant procedures, with 61 (approximately 20 percent) performed on men with advanced male pattern baldness or at high risk for it. The use of follicular unit grafting and a strategic frontal forelock design resulted in excellent outcomes and high patient satisfaction. This technique, which minimizes follicle damage and conserves donor hair, along with a conservative hairline design, provided undetectable results in challenging cases. The study underscored the necessity of maximizing donor hair use and minimizing demand through aesthetic design, especially for patients with limited donor hair. The success of the transplants was attributed to careful planning and execution, with the frontal forelock technique being a key design principle. The study concluded that while designed for men with advanced hair loss, these principles are applicable to all hair transplants, and a conservative approach allows for future adjustments if hair loss progression is unpredictable.

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Research cited in this study

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