This man has a not-uncommon finding that shows the difference between scalp hair and neck hair. I always tell my patients that neck hair is not permanent, and even at 30 years old, this person’s neck hair is already disappearing. Too many surgeons use neck hair for a hair transplant with the idea that it is finer hair and makes for a better frontal hairline. But as you can see from the picture below, had neck hair been used for the front of his transplant, it would be falling out already. Even worse, neck incisions tend to produce wide scars. If this patient had recieved a hair transplant using his neck hair, he would have been deformed and would probably regret that he ever had done anything to begin with.
The key to good transplants is that every transplant stands on its own, and that no transplant can be seen as a person ages, loses more hair, or changes his hair style restricting his freedom. Please click the photo below to enlarge.