Journal of Cutaneous and Aesthetic Surgery
Print this page
Email this page
Small font size
Default font size
Increase font size
Home About us Current issue Archives Instructions Submission Subscribe Editorial Board Partners Contact e-Alerts Login 
Year : 2019  |  Volume : 12  |  Issue : 4  |  Page : 215-222

Approach to hair transplantation in advanced grade baldness by follicular unit extraction: A retrospective analysis of 820 cases

Department of Dermatology, DermaClinix–The Complete Skin and Hair Solution Center, New Delhi, India

Correspondence Address:
Kavish Chouhan
DermaClinix–The Complete Skin and Hair Solution Center, E13 Defense Colony, New Delhi 110024.
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/JCAS.JCAS_173_18

Rights and Permissions

Background: In advanced grade baldness (Norwood 5–7), hair restoration has been considered difficult due to the donor recipient area mismatch. In this article, we have given a comprehensive methodical approach to manage these cases. Objective: To assess the outcome and challenges faced with follicular unit extraction (FUE) and to plan a successful management in advanced grade baldness in 820 cases of androgenic alopecia. Materials and Methods: A retrospective analysis of 820 male patients with advanced grade of baldness (grade 5–7) treated by FUE. The patients were divided into five groups based on the extent of scalp coverage, for example, frontal coverage, frontal + mid-front coverage, vertex, full coverage, and frontal forelock only. The results were analyzed at 6, 9, 12, and 24 months. Results: At 12 months, 94% patients were satisfied with the results, whereas 62% wanted another sitting for increasing the coverage area/density. Conclusion: Hair transplantation can give natural and aesthetic results even in advanced baldness. Beard and body hairs can be used to augment results in cases with limited donor supply. A mature hairline with an adequate density in a gradient, from front to back helps in achieving a satisfactory response even in extensive cases of advanced baldness.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded285    
    Comments [Add]    
    Cited by others 4    

Recommend this journal