Rhinoplasty
Dorsal hump and a drooping tip, six months on
A 27-year-old who wanted the hump gone without ending up with a nose that belonged to someone else. Photographed at six months, before the final settling.
3,200 grafts, Norwood 4, twelve months on
A 34-year-old who waited two years longer than he needed to
Grafts
3,200
Starting stage
Norwood 4
Technique
FUE
Sessions
1
Photographed at
12
Age
34
He came in at 34 with a Norwood 4 pattern that had been stable for about three years, and a donor area measured at 78 follicular units per cm². Stable loss and a strong donor is the easiest version of this operation, and it is why the plan was a single session rather than two.
What was planned
3,200 grafts across the frontal third and mid-scalp, with the crown deliberately left alone. Covering the crown as well would have used another 1,500 grafts from a donor area that needs to last another thirty years. He agreed to leave it, which is the decision that makes this result still look right in a decade.
The hairline
Drawn two centimetres above the original adolescent line, with an irregular front row of single hairs. A lower line would have photographed better at six months and worse at sixty.
Twelve months
Density at the front is where we expected. The crown has thinned slightly further, as predicted, and he started finasteride at month three to slow that. He is scheduled for a review at two years to decide whether a small crown session is worth it.
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