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As its name suggests, this condition is due to the male hormones, the androgens, and to hereditary factors. It frequently starts between the ages of 20 and 30 and becomes progressively more pronounced. It may be restricted to a receding hairline or a bald spot, or it may spread until only a «monk tonsure» remains (also known as Hippocratic baldness).

How can it be treated?

Surgery is the only way to achieve an effective result that will last for the rest of the patient’s life.

What techniques are used?

A receding hairline is treated by transplanting hairs to thinning or bald areas. These hairs are genetically resistant to baldness and last a lifetime. They are taken from the back of the head and transplanted to the bald area.

For larger bald areas, the Frechet extender® will be used. This is a technique for obtaining more skin by increasing the surface of the hair-bearing scalp; the bald area is subsequently removed and covered by the hairy scalp. The aesthetic result is perfected by using a Frechet flap, to produce an attractive rounded shape on top of the head and allow the hair to grow naturally towards the nape of the neck.

For a quicker result grafts and scalp extension can be performed during the same session

Does hair restoration surgery produce lasting results?

Yes, the treated areas will retain their hair throughout the patient’s lifetime.

How long does it take for results to become visible?

They are immediate when using the the Frechet extender or the Frechet Flap technique.
With implants, the transplanted hair begins to grow 3 months after the operation.

What can the patient expect aesthetically speaking?

Today, hair restoration surgery performed by an experienced and competent physician, with an aesthetic eye, can produce highly effective and natural appearing results by recreating for example a natural hairline to reframe the face or create the temporal peaks which may have receded or completely disappeared.
It is important that a hair specialist masters all the techniques available so that he may offer the technique which most suits each one of his patients.

What about the scars?

If the correct techniques are followed scars may be minimized or even made invisible to the naked eye. This is through Dr Frechet’s newly-invented procedure called «the invisible scar» for scalp surgery published in France (Revue Française de chirurgie esthétique) and in the USA (Dermatologic surgery, 2007).

How many procedures are necessary?

For frontal area baldness, 2 or 3 transplant sessions are necessary which represent grafting 6 to 9000 hairs.
For relatively small to moderate areas of crown baldness, 2 procedures and for larger areas of crown baldness, 3 procedures combining « scalp extension » and « Frechet Flap » which represent approximately 15000 hairs covering the eliminated bald area.

For a quicker result grafts and scalp extension can be performed during the same session.

What can patients expects from modern surgery carried out by a highly experienced surgeon versed in the technique?

Totally natural and undetectable results with hair that last a lifetime. Treatment under local anaesthesia eliminates the risks associated with surgery and reduces pain to a minimum. Patients of all ages can be treated.

Before and after Hair Transplantation

Before and after : Hair transplantation using exclusively « microstrip grafts » for a good density and natural look.

Treatment in 4 sessions over a period of 4 months combining scalp extension, the « Frechet Flap » and transplants.

Result after 5 years.

Treatment combining scalp extension, the Frechet Flap and transplants

Treatment combining scalp extension, the Frechet Flap and transplants.
The only way to judge a result is to be able to observe the head from the front, the side, and the back. The association of the Extender and the Frechet flap is the only way to treat effectively the crown area ( Top and back of the head ). No grafting technique could offer such a result.

Result after 5 years.

Above : photos before and after treatment.
Below : same patient 25 years later.

To reframe the face in a harmonious way the frontal hairline must be restored as well as the temporal peaks.

Restoring the frontal peak.

Restoration of temporal peaks with hair one by one.

Restoration of temporal peaks with hair one by one.

© Dr. Patrick Fréchet 2008