Hair Transplant Case Study: 28-Year-Old Male, Norwood 4, 3,310 Grafts
A Bio-FUE procedure with Direct Hair Implantation, documented from the first consultation through surgery and recovery to the result at six months.
- Norwood Grade 4
- 3,310 grafts
- 6 hours in theatre
Patient's First Visit
- Age: 28 years
- Gender: Male
- Problem: Hair loss
The patient presented with hair loss across the front and mid-scalp. Baseline photographs were taken at fixed angles on the first visit, so every later review could be measured against the same starting point.
Doctor Examination & Planning
- Donor area quality: Very good — density +++, hair thickness +++
- Planned area: Front and middle
- Planned maximum density: 35–40 grafts/cm²
- Technique: Bio-FUE with Direct Hair Implantation
- Supportive Rx plan: Topical medication + 3 PRP sessions, once a month
With donor density and hair thickness both rated at their best, this patient had the reserve needed to cover the front and middle of the scalp at full planned density.
Hairline Design
- Total grafts: 3,310
- Hairline single grafts (transition zone): 320 grafts — 100% of the hairline built from single grafts
- Hair loss grade: Norwood Grade 4
- Total time taken: 6 hours OT time
In DHI the graft is placed into the scalp in a single action rather than into a pre-made slit. Fewer steps per follicle means less handling, and less handling means better survival.
Surgery Day
3,310 grafts extracted and implanted across six hours of theatre time, with the entire hairline transition zone built from single grafts.
Technique
Bio-FUE with Direct Hair Implantation, placing each follicle in one action to reduce handling.
Donor Management
Extraction spread evenly across the donor zone rather than concentrated, so density stays uniform once the hair grows back.
Hairline
320 single grafts across the transition zone — 100% of the front row built from individual follicles.
Recovery and the First Months
Post-Operative Complications
No complications noticed. Swelling for two to three days, which is expected, and not much pain.
Patient's Hair Care
Excellent. Regular with follow-up appointments and with the prescribed medication.
Supportive Treatment
Topical medication alongside three PRP sessions, one per month, to protect the existing non-transplanted hair.
Transplanted hair sheds within the first few weeks. That is the normal cycle before new growth begins, not a sign the procedure has failed.
Final Result
The result at six months, with roughly 60% of the final outcome visible. Growth continues to thicken for several months beyond this point.
Hair Transplant Results On Video
A patient result seen on camera rather than in a still photograph.
Doctor's Note
“A classical case of grade 4 hair loss. Small round face, easy to execute. Good hair quality again gives a good result. The hairline was made age-appropriate and looked good on the face. Growth is satisfactory — I hope it will improve further with time over the next three to four months.”
— Dr. Jangid, MD Dermatology, Ex-Senior Resident AIIMS
About Dr. Jangid
Case Details
| Age | 28 years |
|---|---|
| Gender | Male |
| Problem | Hair loss |
| Hair loss grade | Norwood Grade 4 |
| Donor area quality | Very good — density +++, hair thickness +++ |
| Area treated | Front and middle |
| Technique | Bio-FUE with Direct Hair Implantation |
| Total grafts | 3,310 |
| Hairline single grafts | 320 (100% of the transition zone) |
| Planned density | 35–40 grafts/cm² |
| Time taken | 6 hours OT time |
| Supportive treatment | Topical medication + 3 PRP sessions, monthly |
| Complications | None. Swelling for 2–3 days, little pain |
| Result shown at | 6 months (approximately 60% of the final result) |
Hair Transplant Results
Before-and-after photos of individual cases treated by Dr. Jangid at SkinQure, Delhi, shown for educational purposes.
Disclaimer: These images feature actual patients of SkinQure and are shared with their informed consent for educational and awareness purposes. Individual results may vary depending on hair loss patterns, donor area, and overall health. Similar outcomes cannot be guaranteed.
Questions About This Case
How many grafts were used in this Norwood 4 hair transplant?
3,310 grafts in total, of which 320 single grafts built the entire hairline transition zone.
What is Bio-FUE with Direct Hair Implantation?
Follicles are extracted individually as in standard FUE, then implanted directly into the scalp in a single action rather than into a pre-made slit. Fewer steps per follicle means less handling and better graft survival.
How long did the surgery take?
Six hours of theatre time, completed in a single session.
Were there any complications?
No complications were noticed. The patient had swelling for two to three days, which is expected, and reported little pain.
What supportive treatment was given?
Topical medication alongside three PRP sessions, one per month, to support healing and protect the existing hair.
Why is the result only 60% complete at six months?
Transplanted follicles do not all grow at the same rate. At six months most have started producing hair but it is still fine and short. Thickness and coverage continue improving for several months more.
What density was planned?
A maximum of 35 to 40 grafts per square centimetre across the front and middle of the scalp.
Is this result permanent?
The transplanted follicles come from the back and sides of the scalp, which resist the hormone that causes pattern baldness, so they keep growing. Untransplanted hair can still thin over time, which is why medical support is advised.
Want a result like this?
Dr. Jangid will examine your donor area and tell you honestly what is achievable in your case.
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