We would like to present below a case of a patient with a Norwood Va stage. You can find below the details of the surgery
Case 6
Patient Details
Norwood: Norwood Va-VI
Surgical Plan: Surgical Plan for the 1st surgery: Hairline reconstruction, density increase in the frontal, fronto-temporal area and mid scalp.. The surgery was performed in two consecutive days with 4 sessions of extraction and implantation. Overall, 3597 grafts were implanted, 2408 in the frontal area and 1189 in the mid scalp and crown.
Surgical Plan for the 2nd surgery: density increase in the frontal and mid scalp and crown area. The surgery was performed in 1 day with 3 sessions of extraction and implantation. Overall, 2599 grafts were implanted, 497 in the frontal area and 2102 in the mid scalp and crown.
Patient´s age: 51 years old.
The patient was only using minoxidil sporadically before the first surgery. Afterwards, he started using Finasteride and minoxidil daily.
Hair Thickness: 54 microns in the parietal areas and 58 microns in the occipital area.
Number of Grafts Implanted: 6.196
0.8mm micromotor and manual punch were used for the extraction in both surgeries.
Grafts Breakdown
1st surgery
1s: 456
2s: 1908
3s: 1065
4s: 168
Overall hair/graft ratio: 2.26
2nd surgery
1s: 829
2s: 1433
3s: 337
Overall hair/graft ratio: 1.81