previously received 5 large punch graft hair transplants.
The first session was 17 years ago and the last was
7 years ago. He also underwent approximately 6000 artificial
fiber insertions over an 8-year period. This fiber had
since fallen out. The back of his head, that is the
donor site, was severely scarred and depleted. Strip
excision surgery was not possible due to the area being
severely thinned out, inelastic and scarred.
Woods and Campbell operated on the 60 year old patient
in December 2000. According to Dr Woods his frontal
hairline was sparse and rimmed by a deep, white uneven
scar from previous hair transplant surgery and artificial
fiber insertion (Nido), which had created severe infections
and scalp damage. The rest of his scalp was either bald
or had a scattering of large punch grafts which gave
a very sparse, uneven and unnatural appearance.