Surgery by: Dr. Hasson
Surgery Type: FUE
Norwood Scale: 3A
Number of Grafts: 2,583

Traction alopecia is a cause of hair loss which mostly affects the hairline and frontal zone. In some cases even the follicles on the sides and the back can be affected. Traction results from prolonged repetitive tension on the follicle when hair is pulled in the same way for a long period of time. Eventually, the follicle becomes damaged and scarred to the point that it can no longer produce a new hair. This is more common in some communities and could be due to dreadlocks, braiding or tying the hair into a top knot/bun. Oftentimes in these cases there is no male pattern balding. This suggests that the hair loss had nothing to do with genetics and once the prolonged traction is eliminated no further hair loss is expected. This patient in his late 20s seeking a more shorter modern haircut as opposed to the traditional longer hair felt a hair restoration procedure would be necessary to achieve this new look as the deteriorated frontal zone as a result of the traction was something he was not happy with. A few years of extensive research after an initial consultation with Dr Hasson reinforced his belief that Hasson and Wong was his best option to restore his hairline and frontal zone back to an acceptable level. The initial recommendation was to restore the hairline and frontal zone requiring something in the 2500 to 3000 graft range. FUE was the preferred method of extraction. In the end, 2583 grafts were harvested and transplanted to achieve the desired result. 200 were single hair grafts, 2248 where double hair grafts and 135 we 3-4 hair grafts.

This case is also an illustration that there is no cookie cutter approach when to comes to hairline design and the overall plan can vary greatly from patient to patient. When evaluating this case, Dr. Hasson determined that since the hair loss was a result of the traction and not male pattern hair loss he did not need to be as concerned with what affect future hair loss would have on the result. With above average donor hair and no potential future hair loss, he could be more aggressive as donor supply would most likely always greatly exceed future demand. Therefore in the case of this patient, Dr Hasson was able to design lower more aggressive hairline than most cases would normally allow. When designing a hairline there is a relationship between the temples and the hairline. The farther forward the temples are advanced, the lower the hairline can be placed. The more receded the temples, the higher the hairline should be. When the temples are advanced as far as this patient which are actually past the end of the eyebrow, a lower hairline is most favorable. This is especially true when it will not place the patient at risk of having something less than ideal cosmetically as a result of further hair loss. Anything substantially higher as far as hair line placement in a case such as this can result in a higher forehead and the overall cosmetic Impact will be less favorable as the relationship between the hairline and temples is out of balance.

These results we’re only six months post-op with more improvement in density and maturity to come. The patient was very pleased and his expectations were exceeded. He was a bit surprised at how much had grown in at this stage and did not expect this much density at six months. Very appreciative of the effort and achievement by Dr Hasson and staff, he was happy to share his result in the hopes it would help other similar patients who may be in the same position he was in a few years back when he was deciding on which clinic would best suit him.