The picture on the left is before surgery with Dr. Cole, and the picture on the right is 16 days after an FIT scar repair procedure.
The scars have much improved. Now this patient can wear his hair just about as short as he would like. Dr. Cole grafted into the donor area scars, the Y-shaped scalp reduction scars in the crown area, and also the areas of the crown that were lacking in density. Not only do the hairs grafted into the scar provide coverage, but the graft tissue helps to normalize the hypo-pigmentation. The donor area used is between the strip scars and the crown. You can see that the donor area has also healed well.
Treating this crown is interesting because the crown, either naturally or as a result of past scalp reduction surgeries, has the hair growing in a double whorl. The blue circles represent the center of each whorl, and the blue arrows show the direction that the hairs are growing. Both whorls are clockwise.
When treating the crown, the double whorl has to be taken into consideration. Dr. Cole can add more coverage with less hair by adding density where it is going to make the most difference. It is crucial to understand how all the variances of the angles of hair growth lend themselves to cover the crown in order to make the most of each graft placed.
Dr. Cole can also help reduce the risk of shock loss by creating the sites for recipient hair following the mixed directional growth. Let's say you are going to make a site between two follicular units with parallel growth directions. If you make the site in the same direction of growth, you are not going to damage those two existing follicular units. If the angle of your site is off even just a microscopic amount, you can damage the existing hair, resulting in shock loss. Luckily, shock loss is usually temporary. The damaged tissues will probably heal themselves, but there would be the temporary loss to deal with for a while.
Here is an article about double whorls: http://www.forhair.com/Articles/Graftin ... _Whorl.htm