Aesthetic SurgeryHair Transplantation in Patients With Inadequate Head Donor Supply Using Nonhead Hair Report of 3 CasesUmar, Sanusi MD*†Author Information From the *Division of Dermatology, Department of Medicine, University of California, Los Angeles, CA; and †FineTouch Dermatology Inc., Redondo Beach, CA. Received October 15, 2010, and accepted for publication, after revision, December 2, 2010. Conflicts of interest and sources of funding: none declared. Reprints: Sanusi Umar, MD, FineTouch Dermatology Inc., 819 North Harbor Dr., Suite 400, Redondo Beach, CA 90277. E-mail: [email protected]. Annals of Plastic Surgery: October 2011 - Volume 67 - Issue 4 - p 332-335 doi: 10.1097/SAP.0b013e318209a61a Buy Metrics Abstract Follicular unit extraction is becoming an increasingly popular technique for hair transplantation, as it obviates the linear scarring associated with strip harvesting, and can provide highly presentable results. Using this technique, a few reports have described the small scale use of nonhead hair for head hair transplantation in men with inadequate head hair donor supply. In this report, 3 patients who were severely bald had hair transplanted from the chest, abdomen, legs, shoulders, or beard, as well as the head to achieve full coverage and excellent hairlines. Of the 3 cases, 2 had undergone previously unsuccessful hair transplant surgeries. Approximately 80% to 85% of the transplanted grafts survived. Although hair length and quality, surgery time, and the requirement for improved surgical skills remain challenges when using this technique, the sufficiently good outcomes from these selected candidates suggest that this technique may offer the possibility of restoring even severely bald states to normality in patients who would otherwise not be candidates for traditional hair transplantation surgery. © 2011 Lippincott Williams & Wilkins, Inc.