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Clinical case of hair transplantation using 1,600 grafts for androgenetic alopecia of the scalp

Year: 2026
Type: article
Study design: Case Report
Abstract: Androgenetic alopecia is a common dermatological and surgical issue that can lead to a reduced quality of life and impaired psychological well-being and therefore requires a comprehensive approach to hair restoration. Despite the widespread use of follicular unit extraction, optimising perioperative management and selecting a graft implantation technique that ensures graft survival remain relevant issues. This study aimed to describe the clinical course and outcomes of hair transplantation using the direct hair implantation technique in a patient with stage IV androgenetic alopecia, as defined by the Hamilton-Norwood classification. The study was conducted as a clinical case report. It had a 12-month follow-up period. The study included preoperative assessment. It also included a two-stage surgical procedure. The study included photographic documentation. This was done at scheduled follow-up intervals. The patient received support before, during, and after the operation. This included autologous platelet-rich plasma therapy, treatment for a lack of vitamin D and medicine. A total of 1,600 follicular units were extracted, predominantly two-hair (44%) and three-hair (29%) grafts, with an implantation density of 35-40 grafts per square centimetre. Shock loss was observed at one month. New growth began at three months in 25-30% of the follicles. It reached 60-65% by six months. At 12 months graft survival was 85-88%, with uniform hair coverage formed and the natural direction of growth preserved; no complications were recorded. These results confirm the effectiveness of a combined treatment approach involving surgery, autologous platelet-rich plasma therapy, vitamin D deficiency correction, and pharmacological therapy. The donor reserve is preserved for subsequent surgical procedures in accordance with disease progression by conservative graft implantation
DOI: 10.37321/ami.2026.3-62-73
Language: English
Subfield: Urology
Field: Medicine
Open Access status: diamond
OpenAlex ID: W7211915583
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