Before treatment
After treatment
Before After

Restoring Balance in Advanced Hair Loss

A surgeon-led DHI transformation for Norwood Class V hair loss

See If You’re a Candidate for Surgeon-Led DHI
Step 1 — The Struggle Before

When Hair Loss Becomes Multi-Zone

Advanced recession affecting the hairline, mid-scalp, and crown

Tuan presented with advanced androgenetic alopecia marked by significant frontal recession, mid-scalp thinning, and visible crown involvement. As the hair loss progressed, the separation between the frontal region and crown widened, creating an aged appearance and limiting styling options from all angles.

Pre-procedure assessment, highlighting frontal and mid-scalp thinning

Step 2 — The Decision

Addressing Advanced Hair Loss the Right Way

Planning for today while protecting the future

Understanding the complexity of Norwood Class V hair loss, the patient chose a conservative yet comprehensive surgical approach. His priority was a natural appearance and long-term sustainability rather than aggressive overcorrection, making surgeon planning and donor preservation essential to the decision.

Pre-operative hairline design and measurement, where the surgeon carefully maps the new hairline proportions to ensure a natural, balanced hair transplant result.

Step 3 — The Procedure

Surgeon-Led DHI Multi-Zone Restoration

Strategic distribution across frontal, mid-scalp, and crown zones

A 3,200-graft DHI procedure was performed to rebuild the frontal hairline, re-establish the mid-scalp bridge, and reinforce the crown. Each graft was implanted by the surgeon with precise control over depth, angle, and direction, ensuring natural flow and optimal coverage across all zones.

Pre-operative hairline design

Step 4 — The Recovery

Structured Healing After a Large Session

Expected shedding followed by gradual regrowth

Recovery progressed as expected for a high-graft, multi-zone procedure. Temporary redness and shedding occurred within the first weeks, followed by a resting phase. The donor area healed evenly, while the recipient zones prepared for new growth over the coming months.

One week post-procedure.

Step 5 — The Results

Reconnected Density, Natural Progression

A balanced scalp without the “island” effect

As growth matures, the restored hairline blends seamlessly into the mid-scalp and crown, eliminating the appearance of isolated zones. The result is a cohesive, age-appropriate density pattern that restores confidence while maintaining a natural look from every angle.

Final results: 14 months post-procedure.

Real Hair Growth Timeline

Follow the patient's progress from surgery to full maturation

Donor 7 Days
Transplant Area 7 Days
Month 3
Month 5
Month 7
Month 10
Month 11
Month 12
Month 13
Month 14

Non-styled. Natural lighting. No fibers or concealers.

Background & Patient History

Age
35
Treatment Date
February 2024
Medical History

The patient presented with advanced male-pattern hair loss consistent with Norwood Class V. Donor evaluation revealed sufficient density and hair caliber to support a large-session DHI procedure. His goals centered on natural coverage, balanced density, and a result that would age well over time.


No visible contraindications identified during pre-operative assessment. Final medical clearance and scalp analysis were completed during in-person consultation prior to surgery.

Treatment Plan

  • Surgeon-designed, age-appropriate hairline
  • 3,200 grafts strategically distributed across three zones
  • DHI implantation for maximum precision and graft survival
  • Conservative extraction to protect donor integrity for the future

Expected Outcome

  • Reconstructed frontal hairline with improved facial framing
  • Restored mid-scalp bridge to prevent future separation
  • Noticeably fuller crown with reduced scalp visibility
  • Natural, sustainable density tailored for long-term hair loss progression

After-Care Plan

  • Gentle scalp cleansing and protection during early healing
  • Education on shedding and growth timelines
  • Nutritional support with Nourkrin
  • LED red-light therapy to support healing and follicle health

Scheduled follow-ups to monitor growth milestones and density development