BHT – SFET Using Only Body Hair
First in history: Reversal of graying following transplantation of gray chest hair to the head. Hair Loss Level: A 61 years old who would be NW 6 but with a history of transplants that were done in 1987 and 1989, he requested for body to head hair transplantation. His previous hair... transplants consisted of several minigrafts and plugs that covered his frontal and mid scalp. His crown was empty except for a few isolated plugs. I transplanted 3,000 gray and dark body hair and observed darkening of the transplanted area at 7 months. Next I selected all gray hair from a defined area of the chest and transplanted 1354 of these to the bald crown. At 20 months we observed predominantly dark hair growth in transplanted area of the crown. Hair Loss History: The patient had a previous history of old fashioned pluggy hair transplants. Apart from the pluggy appearance, he needed more coverage and requested the use of body hair for filler effect, as well as the coverage of the crown and refinement of his hairline by softening it. He did not want any head or beard hair used. Surgery: The patient had 6000 body hair transplanted from the thighs, chest, abdomen to his hairline, and the remaining NW 6 area. The result of his body hair transplantation – BHT is shown at over 1 year after his last surgery. Lessons: Body hair is an excellent filler for use in between naturally thinning hair as well as transplanted hair. Back in 2005, I first observed the toppik like filler effect of BHT. Body hair has also served to refine the hairline. Conclusion: Changing the milieu of follicles by hair transplantation could result in the reversal of senescent canities. This occurrence suggests a relationship between the hair follicle (donor) and its skin microenvironment (recipient). This may be a reflection of a contribution by the recipient in the signal pathways that determine pigment dilution in hair.