This 59-year-old male has had multiple hair transplants with me as he progressively lost his hair over many years. The last transplant was in 2019. He would have had a Full Norwood Class 6 balding pattern, but he kept the hair on his head with diligent medications and strategic transplants following a Personalized Master Plan he and I set up at the onset of his balding. When I did the last transplant a few years ago, I suggested that he get Scalp Micropigmentation (SMP) for his hair rather than get another transplant. He worked outside the United States for an oil company, so scheduling was difficult. Finally, one month ago, he came in to see me specifically to get SMP done. His hair is straight, as you can see in the frontal view, so straight hair draws the eye to the scalp, making it hard to use various styling techniques to cover the see-through nature of his straight hair. He could have grown the hair longer, but he didn’t want to do that. Now, with the SMP, I believe that he is finished with his reconstruction. He maintains himself on finasteride daily without side effects. The after photos are in the second row. I always talk about the value of SMP in men or women with see-through hair transplants or thinning hair as a great adjunct to their reconstruction, as shown nicely in this man. I would like to call your attention to his frontal hairline. It is not as straight as a line, as I built a transition zone between the thick hair and the forehead using 400 single hair grafts in a random placement when I reconstructed his hairline.
AFTER SMP Photos below: