FUE – SFET Using Only Nape and Head Hair for African American Patient

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Hair Loss Level: The patient is with a NW5 area of thinning with a prior history of a small FUE surgery at another facility before presenting to me. He wanted only very few grafts for his level of hair loss. He wanted only 1200 grafts used. Surgery: I transplanted 1200 grafts derived from the nape and head donor to his frontals scalp and hairline with a deliberate purpose of creating a NW3 type thinning top with emphasis placed on looking natural. Lessons: 1. Sometimes the patients cannot afford large numbers of grafts and / or repeated hair transplantation surgeries. It may also be that the patient lacks the donor hair supply because of physiology or previous surgeries. Low number of follicles can be used to restore significant level of baldness. A skilled hair restoration surgeon would know how to create a natural look in this situation. 2. FUE – SFET and BHT can be safely and efficiently performed on all racial groups including Asians (Koreans, Chinese, Japanese, etc) as well as African American and all people of color. This patient's hair was successfully removed by SFET despite his extremely curly hair. However, I determined that the difficulty in the performance of FUE in some African Americans of some patients of African descent is not due to the tightness curl, but rather from the consistency of the tissue surrounding the hair follicles as well as the nature of the attachment of these tissues to the hair follicle. I successfully performed linear scar free FUE – SFET surgery on numerous patients of African descent and Asians.

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