4,200 grafts Front and Hairline-First procedure
3,800 grafts Top and Crown-Second procedure

This patient had an excellent donor area with excellent hair characteristics. We decided to take a two prong approach to reclaiming his hair. The first was to fill in the frontal area, the second was to address the top and most of the crown.

In the before photos you will see some very fine hair that looks far better in the photo than it does in real life. We filled between the fine hairs and recreated the hairline while attaching the front back to the sides.

Here are photos from both his first and second surgeries performed 10 months apart. We will of course update the photos as he continues to grow out.

Very nice. Wow: 8,000 grafts with those characteristics... might get back to looking like he almost has a full head of hair, minus some in the crown. It's interesting to note how the perspective from which crown pictures are taken influences how large/small the area looks; pic 30 reveals the vastness of the crown region, but 3,800 grafts with that thick hair will take him farther than many. This will be most impressive.

Dr. Feller,
this case in particular interests me as you opted for a "two prong approach;"
the first being to solely address the frontal region, and the second to solely address the vertex/crown.
Did you opt for this approach vs. spreading out the grafts in his first procedure over a *much* wider region; due to concerns of:

(i) scar tissue:
it appears to me, by my lights, that having opted to spread out the initial procedure of 4,200 grafts over the *entirity* of his balding area would result in scar tissue in his vertex and crown which would have compromised the second procedure; whereas the approach you *did* take leaves him one and done in that specific zone, allowing for you to transplant in the new area w/ absolutely no scar tissue in the subsequent procedure in his untouched vertex/crown.
(ii) shock loss:
it also seems to be a reasonable sentiment that if you *had* opted to spread out the grafts in the first procedure to cover a MUCH greater area, then concerns of BOTH temporary and permanent shock loss would rear their ugly heads, as you would be forced to transplant within and around transplanted hairs...

If none of the afore mentioned applies to your reasoning for this case, then WHY this approach; as it would give him a greater down time w/only one area addressed? By that I mean a significant amount of hair in his frontal THIRD w/nothing behind it.
Obviously I believe it to be for the two justifications given above, but I would love to hear your input as these are merely my speculations...

so even 8000s graphs can't give you full coverage? and not talking thick coverage, but coverage.

Nice result so far mate - grow fast!!

Spex