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Dr Arshad is a Facial Plastic & Hair Transplant Surgeon based out of Leeds (UK). We present the case of Lee who started losing his hair in his mid 20's. By his early 30's the frontal zone had pretty much gone with some generalised diffuse thinning in the vertex and crown. Lee's concern was that he always had very fine and light coloured hair. This he felt posed an issue in terms of getting the coverage required. Dr Arshad measured the hair density in the parietal and occipital zones as well as measuring the hair calibre in the various regions of the safe donor zone. Through careful donor area assessment and surgical planning Dr Arshad felt coverage could be achieved. Dr Arshad emphasised to Lee that an important aspect of any hair restoration journey is reducing the insult of DHT on the susceptible hairs through DHT blockers. Operative details Graft count - 2871 Ultra refined soft single FU's - 248 Standard Single FU's - 1709 Double FU's - 563 Triple/+ FU's - 351 Surgeon: Dr Arshad FRCS Surgical assistants/Technicians: Ms K Dobson/Ms L Wright/Ms L Bainbridge/Ms A Ainsley Excision device: 0.7mm sharp motorised punch (low RPM) Recipient site making: customised 0.9mm cold steel blade Maintenance therapy: Finasteride 1mg per day + topical minoxidil 5%