Patient particulars
TH is a NW 6 patient of Maori descent.
He has had no other hair restortion surgeries ever.
His 5 month update can be read at
http://hairtransplantcentre.blogspot.com/2007/10/dear-forum-readers-patient-th-sent-his.html
Graft details of 1st HT -
4683 FUSE grafts (of which only 2099 are from the scalp) - 44%.
719 chest, 1533 leg, 206 armpit and 126 abdomen grafts make the rest - 56%.
We shall present the detailed pre operative, intra operative and 9 month post operative pictorial history.
Thereafter, we shall discuss the 2nd time FUSE (scalp + BHT) performed recently.
But first, a quick before and after picture comparison.
Before
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiobFHqP_uAwce08jiL-fNOLf1mH1FgfmrZpQ6oWcSsjMlykgseSFgCzXOEzmrKSlkN7TPnM8gorjY70oGzAJD42qefUnKGOb9OCkDGrPT4SUDMJ-J-ptPHSrG4kXeiQMMKCI_AEws_wXs0/s320/12_image93.gif)
After 9 months (we expect further improvement in the first HT's density in the next 3 months).
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgsqf9_l8nsLJD3X6pn4JLZw5UbxBpZCcbJw2FD9mRkfLrT_NQV3dPJn2L1W8248E8_CxYtykHqrYoAyMgBQSZL99GUy-1la8l4y9uiAbyWuitcDrUsAYNogQWkuB_ZXsI9lGAF2DDT0nH7/s320/12_image94.gif)
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgpIJlUnE6zTO00HKQ41YrClW6ZDvPV4u8W0vjtNeZ-xDZi27-D638gFyJkH9-kNvL94Meph7blCQamTf5gzGqjJ2Mv4LGTfxsuYTMnUfmw1iZMCzYXwAakULqknHBK861mr1NIihMA84lO/s320/12_image95.gif)
Pre op Pictures and surgical plan
TH being a Norwood 6 had an extensive area to cover.In the first stage, the options were to go for a low hairline (almost Norwood 1) or to remain conservatively high.
As the pictures below show
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgkTd8zuLeY39rbhCqqY5OyEdNCV0AMcu-umtzqFaC5ksaQMhnAsloKBdKGp-bO31hyphenhyphenTbxoxjzrXCLFO0KA2KiuhCo5K58odC3BT6XwRcPcLtcMjC3m5H7USxWMxPVmfbonSWBHy76LzBIV/s320/12_image96.gif)
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEipBW7gTqJREm5JI9uMgggpvGZORMf1CZLhEQimFko-UPgnWTaJxvjxL4xV1lMqsxW2yNitgcWys8ayYixuq_D4VUAwbnqj73xRiMhbpxBYEFDULV3QCHjT7DIJ9Zumz6GWoDb9KQwOgy9O/s320/12_image97.gif)
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjWV-1pZdscN-c4PAQw3ca7xJYd3l8kgGnktlRr84IDKzKtpOPrEM5WycfSkZWicdpI7wsuiUly3usxf2DfoXe4buH4JWs1XZfxcSO-muNrv9L-luR6EeMbbQG89f0iKwQxPY8Nhcbb7O0P/s320/12_image98.gif)
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhuATQI4jmZJwvzFdHK3YDyvHP6s1aRr3QnhsHu2mGAbQ-jCOKfRRfo14Y6k1SNnei0yg8H_xZv-J-JPMTZfFRN7twK5bRqDHBKXavBF22urAuA-fIdNuHZn7ktEwM00nvRDjmWpxPKDmzy/s320/12_image100.gif)
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhKm9v1buYRvj9fE87rMZk9QH_l-xLeGzyzprG0bhF8OQQHTKQhuOexl3Hx3Lr3k2qyQVDp6p73GZAnzwrhzfVY_RnWImufPSrVsE0kq1YRpW9nwzqPpvSGKajiU7EBj4VCuCf30uvbW7ws/s320/12_image101.gif)
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjdK1U86cPqNhuwmTMmGM3xB4gqd5QxH49jsrHA9AC13cXXWTTsgW-0Zx598qHyZMQlB5L8sQazRP9SBk96gmbM6PNKW-zUh-FH4yoWvk9QSyf5BTsiyQqOdTqMeb1Pi2UzctzpgzZXgYkS/s320/12_image103.gif)
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgPYK3DCqv-nBlAoZgx3HfD9VKrSYiPeNK9sJUbekGhNEHjgatfoNXx4WUVNtm0CooEuSkdctA4VA2uGKJSPKQYdJP665D-zMw96-O25-Fo8zI-hsGse1yJ6VqceKqzow0pkPh7gqxzDQe5/s320/12_image104.gif)
![](file:///C:/DOCUME%7E1/MAIN/LOCALS%7E1/Temp/moz-screenshot.jpg)
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhFWmcMF82z83gQasMddXOTEt1LNNaumpLhyIH0_AOLreJBlci8mB5qT88j6rSeOmk0ch2ew7veVD4VYLGX1fzRnHrnUOJLhdJOW03gH276wnElc3GHmd12Hbz78Ar6V5HbFDJJYuBLR78F/s320/12_image117.gif)
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjHm8b7i0-qyAlixtP6wuHxZpk27yHWTMdsDhsLGOTkCRgl1np-4PJecnjOwTmYW8p7nVKWG5-UwKATzgKk9GCmTr7fHBiN9lmYRWjBvPGkShjK1iNCu6i8I6xTOuaO73TiA3FL-ysuB0FR/s320/12_image118.gif)
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgwTYvtcbnMvOesuO7LkH8zPbWXilKvazk8oLYearzwnuqdIj8jyE9c3A6PSuR8x5D62sB7azyozAW5X-8VNrfmcY4agspcy3FwYCGDWzWKgnIhVDpX9Mtp-6FCqzm3X4hpiCLohjzPvn9F/s320/12_image119.gif)
9 months after (buzzed donor area pictures)
TH keeps his scalp donor area buzz cut. Something that is possible following the FUSE extractions.In TH's first HT, 2099 grafts were extracted.
The following pictures show the scalp donor area after 9 months.
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjyc_Ah7mjQlThd1B9rOvZqhMtShfzwW1tWUKG3neKGlk1jKOxuNJgAQTEmSedrN8JunWVIWBuQx3PQSASKpfzAX_mWoa4EPVeu4nxad1HP4uqbEDnb2JQJANOd9m1rJA9tdz0dylDZRZ6i/s320/12_image123.gif)
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj36UpwtqDRiXAr9sfhl4TreICS9F-5K5sdSK0CuzT9zyw4FHnFuCKSPa2aPHK9nM4jtPrAD7pK4RF0A0tn8a9Z2xghlDpu1iwzW4e2DN-NqD64sdaKxICAuK40YhZVmuJZFjOXJEhBfsBd/s320/12_image122.gif)
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjrwPw6lnbvJZQQUlPAO55DsfNTXNQkNJSQTG8fw47ueq6cpPE1uEwv0AenANmlvfZ0aIQZnhW0qndBO1krZ8mOZcSNSs4LRGAm0sXZoy0Bj5CDkAU-UUTCMrO58o7f8IYJy0jmg7z79GnQ/s320/12_image121.gif)
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhIPGaHKPjqNFdm_RSi0W7IvRJEnw4OJq0rhz6a0WWknuZtgEGTiJ4S0mgRXGPzPnL1MzBGxGvshl77YkYLF8llZQ2nnkQMPuV7VD5aJCcWqxrDgsHg1BI0X7f_0RXrGzIsT0SJlxw2fxBa/s320/12_image120.gif)
2nd HT (Jan 2008) - the plan
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgvH-dZ8U6pwtJMdEsa70yCjdFJcLzgFUHQ6UD9DT_IjyO3UdIBd-pBELW-54z_W6EecI3Ojq8sJWF2mA0orGE9-Bw3q8gFnvH7VCBgJ11_DQPuzxsk8pva2aNPjfyli3hhHuGYI8CohbYu/s320/12_image124.gif)
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhQPdg0LejTBhz7alz2I1ZIfvRXWnJtivV0O5mHdxEUMYHpWQn-Z93WbmBGWVoXF7Kgv15Nn9z7BhnEElT3gRXxc5tbKJpcprHco_Qds11vQ69d7PvHjIZ-yNYaDlJlagICwZFVI2WyjJ0e/s320/12_image125.gif)
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj1td9Tos2fDT0ZnSWUfPxrYoO_j2cZj5JoSkTQ4QQHSpwjzMdnpAeEsxqq6LPCJJ9xY8oJL_1b_hRIlNTXzQXvZ03kvbdoKuCZySsxZDVhEBreojXkTGlIgFRSoO10gpp1JLXkUMv7Fr-D/s320/12_image126.gif)
The plan -
The crown will be filled using some scalp hair grafts mixed with grafts from the armpit, pubic, chest and beard areas.
The aim being to focus on the more robust hair, rather than on sheer numbers to provide coverage. That is to say, better coverage value per graft.
2nd HT - hairline design
TH has opted for temple closure and a three peaked feathered hairline.The following pictures explain the hairline design.
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEheRwNvpCb1-xFu18CjjNXFllLgxbdvu8J1pvJYwJPk3rRbSDJmk5p9WdH2Vk5xINiDiMY5uWhLx3zIzOPPz9W1OYQn5HlZU13UCRJ2sRO4l9mKRX1nj-71g-wu5AS9P3JpHm5ZwSVj2hZ6/s320/12_image133.gif)
![](file:///C:/DOCUME%7E1/MAIN/LOCALS%7E1/Temp/moz-screenshot-2.jpg)
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhfhbLuEgO2xI69SWky0xRW3tVb_TAXqSB7tTGAOWwDU5mmNIO6FM_1ajGLaMOxlLagSMo5rmCtsGWtJ2mQTNF2M9J0WERg9ucMAkrAUDkhWd4kWSDW8dygNBPD06awHwJwJ76QcunjtWnk/s320/12_image134.gif)
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEip4T7ax8ccOF-2-PY3WSYlV4z-XboxcxfP9qVYhXikgIDUHI8FWMDb37fulqyizPev1zTXrDfadQJXSBxMHP1402mfKCOiKxmATgYR61b2O7Apn7pmh_3wQ4jY1MOoHsbFSd6QKMgsoVoa/s320/12_image135.gif)
Video - donor shaved - for those concerned about donor scarring is shown below.
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