Norwood 7 Hair Transplant With Goal of Diffuse Full Coverage + SMP Buzzcut Look. Advice? (photos)

Question

Wanted to know if any Dr's have done transplants on Norwood 7's with the goal being full coverage but with low density. Basically bringing it to an N3-4 with emphasis on correct hairline/temples. Then having SMP done before/after so that it's not just 2D ink on scalp but has the texture of hair all over that can be worn 1/8 - 1/4 inch long. Thinking Scalp/beard/body hair to maximize graft count. Could enough density be achieved with 7-8000 grafts to achieve something close to these pics?

Jason Emer, MD · Answer

you need FUE and then SMP we do both. I find that its important to start PRP/acell injections now and then theradome at least 3 times a week really helps the transplant take.

You need a formal evaluation to see what type of hair loss you may have. when you have hairless its best to do a full hormonal workup for internal optimization plus scalp biopsies or scrapings to rule out any stress related, inflammatory, autoimmune or infectious causes of hair loss. In general most people with early hair loss have telogen (stress related) and/or androgenetic (normal aging) and both can be treated with in office treatments like steroid injections, PRP/acell, Exosomes and at home treatments like oral medications, oral vitamins like Viviscal, topical exfoliating sprays like Restorsea, and weekly growth factors like anteagemd.  See an expert for an evaluation. If hair loss is significant it may requires hair transplant (follicular unit translation).

Kinyas Dusunmez, MD · Answer

Theoretically, what you want is achievable. But, it not possible to say anything confirmative without seeing your donor area first as it is the most essential part of your hair transplant. Getting hair from beard and body is not recommended as the structure of the hair is different and it may be very visible when implanted to the scalp. 
Keeping that in mind, if your donor area is strong to extract enough grafts, you can get the results you want with SMP on top. It is recommended to wait a year between the hair transplant and the SMP.

Ilhan Serdaroglu, MD · Answer

When I look to your donor site that is poor and has a limited area that we are not able to get enough number of follicles to cover all bald spot and restore preexisting hair. so  we may  plan a body  FUE  together  with scalp  donor ..  We may  harvest  approx.  3000  grafts  from scalp  and  1200-1500 grafts from beard and 1000-1500 grafts from chest with  body  FUE technique. So  total 5000-6000  grafts  would  do  a  good  job  to  cover norwood  7  but cant  say  an enough  density  all  over  the  scalp .

Norwood 7 Hair Transplant With Goal of Diffuse Full Coverage + SMP Buzzcut Look. Advice? (photos)

Answers (3)