This is my patient Bob (not his real name) who right now is undergoing a hair transplant procedure. We are doing a procedure of around 3,200 grafts to bring forward and advance his hairline as well as restore density to the entire frontal region. You can see on his pre-operative photograph what his pre-existing hair loss pattern was with pretty significant frontal thinning. Candy right now is planting on the right side. I have already made quite a few recipient sites on this right side. If you want to come in you can see a little bit about what is being done, the areas that have been filled in. This area at one point had no hair, so this area is already being filled in. Candy right now is working and filling in on this side while I am on this side making more recipient sites and you can see that what I use for my recipient sites is 0.7 mm. Carmen here is standing by me. She hands me the blades. I use recipient site 0.6, 0.7 and 0.8 mm in size. The result of those small recipient sites is less risk of damage to the existing hair so I am able to work between the existing hairs, I am able to closely pack the grafts and lastly healing is going to be quicker.
What I am doing right now is making these 0.7 mm recipient sites into which the 2-hair grafts are going to go. If you notice I pay attention to the angle at which the recipient sites are made so that the hairs grow in the most forward direction.
When I am doing hairline design, I have had a lot of doctors actually said that I should film how I make hairlines and at the last International Society of Hair Restoration meeting, I co-taught at the hairline design workshop.
The way I like to make my hairlines is I make these little zones, these little triangles of 0.6 mm recipient sites and you can see these little triangles, which are here, here, here, here, here and here. These are all single-hair grafts and once they are filled, which we have already started doing along here, it creates a really irregular pattern and that is what is going to give my patient Bob here the most natural result. Bob actually is watching a video use his video eyeglasses so while he hears us he does not seem to mind and of course he does not feel anything.
Posted by Jeffrey Epstein, MD, FACS