This is our patient “W,” not William, can’t tell you his real name. We are going to go ahead and show you how we are working on him. We are going to do a rather large procedure on him. We plan on anywhere from 3,400 to as much as 3,700 grafts. He has a really, really nice donor supply so I think we are going to be able to get at least 3,300 or 3,400 grafts. The goal is going to be basically to fill in this entire area of thinning.
You are welcome to ask questions “W.” It’s not George Bush.
I am going to show how I like to mark out patients. Chin up for me. We had talked about doing a little bit of conservative lowering along the sides and I will go ahead and mark that out for you. You are 37, so we want to go conservatively. I like to first start out by marking the midpoint, come around like that and what I like on the profile is to have a slightly up-sloped hairline. We will go ahead and check that.
I don’t have any hard and fast rules for how I do the hairline but I like to do things that sort of look good to me. I will let you know when I get to that point and then I will show you what I think. Okay, that is better. It was just a tad too low on the side. There are some guys that use like stencils and things like that, I just don’t think it looks as natural. I just get a better result when I do it this way, a more esthetic result.
The line that you are going to see is actually going to look like a solid line but of course it is going to be very irregular. I like what we have done for you.
What I like to do is by looking at the mirror it also gives me a different perspective. It gives me your view and I think overall we are pretty good. I have it slightly receded but I really want to go ahead and fill in all through here, all through here and go back to around here.
We have the ability to do a little bit of lowering as you desire it. This area on the side, these hairs grow sort of like this so I go ahead and make this separate. These hairs are going to grow like that and these hairs are going to grow like that. The same thing on this side. Once again, these go down like that and these are more like this so I follow that natural transition. As far as how far back we go, I don’t want to compromise density. I want to really make sure we get this frontal area really taken care of.
How does that look to you all together overall. It looks totally natural to me and I think that is the key thing. I am going to let you see it during the procedure. You have a very, very subtle natural widow’s peak so I am going to ahead and just restore that just a tad. I like my widow’s peak to be a little off to the side so I will play with that a little bit.
