Documented Clinical Case

Repair Hair Transplant — 4,100 Grafts Combined Sapphire FUE + DHI

12-Month Follow-Up Combined Sapphire FUE + DHI Dr. Timur Aksu

This documented record presents the assessed treatment plan, recorded procedure information and individual follow-up for this clinical case at Henesis Clinic.

Before-treatment and 12-month follow-up photographs from documented case HNS-0070
Before Treatment 12-Month Follow-Up

Case record

Case at a Glance

Case ID
HNS-0070
Procedure
Combined Sapphire FUE + DHI Hair Transplant
Graft Count
4,100 grafts
Treatment Area
Frontal Hairline, Bitemporal Recessions, Anterior Mid-Scalp And Crown
Hair Type
Caucasian / Dark Brown Wavy
Hair-Loss Pattern
Previous hair transplantation at an external clinic with unsatisfactory visible density and irregular hair direction + together with ongoing thinning across the frontal and mid-scalp regions documented in a Norwood 4 pattern
Donor Characteristics
Occipital donor area
Procedure Date
28 August 2025
Follow-Up
12 months
Medical Doctor
Dr. Timur Aksu, MD
Clinic Location
Henesis Clinic · Istanbul, Türkiye

Documented case sequence

Case Timeline

  1. 01
    Pre-treatment top view from documented case HNS-0070

    Pre-Treatment Assessment

    Frontal Hairline, Bitemporal Recessions, Anterior Mid-Scalp And Crown planning

  2. 02
    Procedure front view from documented case HNS-0070

    Procedure

    28 August 2025

    Combined Sapphire FUE + DHI · 4,100 grafts

  3. 03
    12-month front-view follow-up from documented case HNS-0070

    12-Month Follow-Up

    Primary documented follow-up

    Follow-up photographs record the treated frontal hairline, temporal corners, mid-scalp and crown.

  4. FINAL
    Before-treatment and 12-month follow-up photographs from documented case HNS-0070

    Before & After Comparison

    Baseline vs 12-Month Follow-Up

Documented clinical journey

Patient presentation and recorded decisions

Assessment & Treatment Planning

Patient goal: Improve the appearance of the previously transplanted frontal region, redesign the hairline and increase visible coverage across the frontal, temporal and mid-scalp areas while working within the available donor capacity.

Assessment context: Previous hair transplantation at an external clinic with unsatisfactory visible density and irregular hair direction, together with ongoing thinning across the frontal and mid-scalp regions documented in a Norwood 4 pattern.

Planning rationale: A combined Sapphire FUE and DHI approach was selected because the repair plan involved both broader recipient-area coverage and detailed placement within previously transplanted frontal zones. FUE-based extraction was used for graft harvesting, Sapphire recipient-site creation was used across selected broader treatment areas, and DHI implantation was used where controlled placement between existing and previously transplanted hairs was required.

Design notes: The frontal hairline was redesigned according to the patient's facial proportions, existing transplanted hair and repair goals. The plan focused on improving irregularities from the previous procedure while creating a masculine contour with subtle variation. Single-hair follicular units were prioritized along the leading edge.

Recorded treatment details

Procedure Details

Technique
Combined Sapphire FUE + DHI
Donor Area
Occipital donor area
Recipient Areas
Frontal Hairline, Bitemporal Recessions, Anterior Mid-Scalp And Crown
Implantation Workflow
Recorded implantation workflow

Recorded Procedure

Follicular units were harvested from the previously used occipital donor area using FUE-based extraction with conservative donor planning. Sapphire recipient sites were created across selected frontal, mid-scalp and crown zones, while a DHI implantation workflow was used for planned placement within the frontal hairline and areas containing existing hair. Graft angle, direction and distribution were adapted to the repair design and existing hair pattern.

Recorded follow-up context

Clinical Interpretation

Documented Observation

The pre-treatment scalp record describes previous hair transplantation at an external clinic with unsatisfactory visible density and irregular hair direction, together with ongoing thinning across the frontal and mid-scalp regions documented in a Norwood 4 pattern. The recorded treatment field was the frontal hairline, temporal corners, mid-scalp and crown. The recorded procedure used 4,100 grafts. At 12 months, the clearest visual change is concentrated at the frontal hairline, with additional photographed change through the temporal corners and mid-scalp. The crown was included in the treated field; the photographs record that zone as treated and should be read zone by zone, without assuming the same visual change in every area. This is a documented repair record after previous work, not a first-time transplant sequence. In the follow-up views, the transplanted areas appear visually continuous with the patient's existing wavy hair pattern. This is the documented result of one patient and does not predict another patient's outcome.

Follow-Up
12 months
Complications
None documented.
Further Treatment
No further treatment currently documented.

Medical doctor

Dr. Timur Aksu, MD

Dr. Timur Aksu, MD is the physician recorded for this case. View the physician profile for clinical focus, responsibilities and physician information.

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