This patient was a Ludwig III and had hair loss for years, which was associated with itching. Before coming to see me, she was treating folliculitis with clobetasol shampoo.
Itching can be a symptom of scarring alopecia, so I did a biopsy to rule this out. The results came back as androgenetic alopecia, which opened up treatment options, and she wanted to move forward with a transplant. A FUT transplant with 4500 grafts was planned, and as with all my transplants, hair follicle regeneration was included.
You can see in the frontal view that her hairline was very thin before the transplant, and in fact, four months post-op, she said she was "not sure how much hair would grow." But, the transplant did restore her hairline. She returned 11 months after surgery and, as you can see, has tremendous growth and coverage. (She also continued treatment for symptoms of folliculitis after her transplant.)
This patient is another example that in women with Ludwig III and advanced Ludwig, it takes many grafts to achieve coverage. She is thrilled with her results.