Class 4 Hair Transplant
4,273 hairs transplanted
The hair on the patient was significantly thinner in the front and mid-scalp areas. His special request was that his scalp not be visible through his reduced hair.
The density of his donor site was 170 hairs cm2. We transplanted 100 hairs/cm2 to increase his hair density on an area of about 20 cm2. Around the hairline we covered an area of 15 cm2 with a transplant density of 150 hairs/cm2.
Since the patient has thick and dark hair, the transplant makes it appear as though he had never had any hair loss around the hairline.
Stages of male hair loss progression – the Hamilton-Norwood scale:
Class 1 Hairline of young male with a full head of hair. There are no visible signs of balding.
Class 2 Minimum early-stage hair loss. There are visible signs of symmetrical hair loss around both temples. With a one-day intervention, by transplanting about 1,500 to 2,000 hairs, the original hairline can be fully restored.
Class 2A The hairline has moved slightly backwards along its full length. About 2,000 to 2,500 hairs need to be transplanted to restore the original state. Normally this can be done in one day.
Class 3 Deeper, triangular baldness around the temples. The bald spots can be eliminated by transplanting 2,500 to 3,000 hairs. This amount of hair may be transplanted in one or two days depending on the individual patient.
Class 3 Vertex Hair loss appears both at the temples and at the crown of the head. This problem can be resolved by transplanting 3,000 to 4,000 hairs. In this case, two surgery days will probably be necessary to complete the process.
Class 3A The hairline has moved backwards significantly along the full length of the forehead. A transplant of 3,500 to 4.500 hairs is necessary. This hair transplant process would take a minimum of 2 days.
Class 4 Significant hair loss along the full length of the forehead, plus visible hair loss on the crown of the head. The bald areas on the forehead and the crown of the head are still separated by a relatively broad and dense strip of hair. Number of hairs necessary for restoration: 4,000-6,000. A minimum of 2 or 3 days are required, depending on the hair characteristics of the patient.
Class 4A There is minor hair loss on the crown of the head and significant hair loss along the line of the forehead. Number of hairs necessary for hair transplant: 4,000-6,000. This amount definitely requires an intervention of 2 or 3 days.
Class 5 Substantial hair loss in the frontal area and on the crown. The hairy strip separating the bald area on the crown of the head from the forehead has significantly decreased in size and density. To eliminate the visible hair loss, a transplant of 6,000 to 8,000 hairs is recommended. This amount requires a minimum of 3 hair transplant surgery days.
Class 5A The hairy strip between the crown of the head and the frontal area is gone; the two bald areas have merged. A transplant of 6,500 to 8,000 hairs is necessary. This intervention will take a minimum of 3 days.
Class 6 This is a very advanced stage of baldness. However, it can be treated reasonably well in most cases by a hair transplant. A transplant of as many as 10,000 hairs could be necessary to remedy this stage of baldness. This will take 4-5 hair transplant surgery days.
Class 7 There is only a minimum of hair left above the nape of the neck. When the balding is this advanced, there is only a limited amount of hair left to perform the hair transplant.
Classification of female baldness – the Ludwig scale:
Type I-1 a I-2 These are the least serious stages of female hair loss.
Type I-3 a I-4 In these stages it becomes reasonable to perform a hair transplant. The original condition can be restored by transplanting 1,000 to 1,500 hairs.
Type II-1 The hair loss is becoming significant and difficult to cover. Depending on the condition of the patient, the bald area can be eliminated in one hair transplant surgery day, by transplanting 1,500 to 2,500 hairs.
Type II-2 There is a clearly visible bald area on the crown of the head. 2,000 to 4,000 hairs need to be transplanted to achieve satisfactory results.
Type III. Female baldness rarely evolves to this advanced stage. Effective treatment by hair transplant is only possible if the size and quality of the donor site is sufficient. Over 5,000 hairs need to be transplanted, which will take a minimum of 3 surgery days.