Clínica de Freitas

FUE Hair Transplant | Norwood IV

A 40-year-old male patient with Norwood IV androgenetic alopecia underwent an FUE hair transplant to restore the frontal receding hairline, and midscalp. The procedure was performed over two surgical days, with a total of 2,762 grafts and 6,703 hairs transplanted.

Patient & surgical details:

▪️ Age: 40 years
▪️ Hair: Brown, straight, medium thickness
▪️ Diagnosis: Norwood IV
▪️ Treatment areas: Receding hairline and midscalp

🔹 Total grafts: 2,762
🔹 Total hairs: 6,703

🔸 Average: 2.42 hairs/graft
🔸 Procedure: 2 surgical days

Graft distribution: 440 single-hair grafts, 1,061 double, 903 triple and 358 quadruple grafts.

Post-operative treatment includes Finasteride, Minoxidil and Ketoconazole shampoo as part of the patient’s medical follow-up.

A personalized surgical plan designed to restore the affected areas while achieving a natural distribution and density.

A 38-year-old male patient with Norwood III androgenetic alopecia, progressing toward a diffuse mixed Norwood III pattern. The surgical plan focused on restoring the frontal hairline, receding hairline and central area, with the procedure performed over two surgical days by Dr. Rafael de Freitas.

In the images, we follow the patient’s evolution through four key stages: hairline design, immediately after the transplant, 3 months and 12 months after surgery.

Patient & surgical details:

🔹 Age: 38 years
🔹 Hair: Dark blonde, medium thickness, straight
🔹 Norwood: III → diffuse mixed III
🔹 Procedure: 2 surgical days

🔸 Total grafts: 4,005
🔸 Total hairs: 10,413
🔸 Average: 2.60 hairs/graft

The distribution included 400 single-hair grafts, 1,202 double, 2,004 triple, 398 quadruple and 1 five-hair graft, allowing for precise hairline reconstruction while increasing density across the affected areas.

From surgical planning to the 12-month result: every stage is part of the process ✅

Qué tipo de alopecia es sugestivo a nivel macroscópico?

39 years old. Norwood grade II-III. Receding hairline and central area losing density.
He came to us ready to take the step — and this is what we achieved together.

👤 Patient profile:

Age: 39
Hair type: Brown, straight, medium thickness
Norwood: II-III

👨🏻‍⚕️ Surgical plan:

Receding hairline and midscalp restoration.
FUE - DHI technique.

✅ Results:

2,924 grafts implanted
8,096 hairs transplanted
Average hairs per graft: 2.77

Every graft placed by Dr. Rafael de Freitas with the precision and care that only years of expertise can deliver.

30-year-old male patient presenting with Norwood IV diffuse alopecia, characterized by generalized thinning affecting the frontal hairline, temporal recessions, mid-scalp, and crown area.

The surgical plan focused on restoring these regions while preserving harmony, natural density, and long-term donor area stability. The patient presented with straight, medium-caliber brown hair — characteristics that allowed for effective coverage and balanced distribution.

A total of 3,589 grafts (9,178 hairs) were transplanted:

• 329 single grafts = 329 hairs
• 1,220 double grafts = 2,440 hairs
• 1,751 triple grafts = 5,253 hairs
• 289 quadruple grafts = 1,156 hairs

Average: 2.56 hairs per graft

Diffuse alopecia cases require especially careful planning, as both the recipient and donor areas must be thoroughly evaluated before surgery. Strategic graft selection and distribution are essential to achieve natural density while preserving donor area integrity.

Post-operative management included an individualized pharmacological treatment plan tailored to the patient’s specific characteristics and long-term evolution.

Every hair transplant procedure must be adapted to the unique pattern, progression, and needs of each patient to achieve natural and stable long-term results.

Hair Transplant Case – FUE Technique | 3,066 Grafts (8,232 Hairs)

📌 35-year-old male patient presenting with Norwood II–III alopecia, characterized by a receding hairline and temple recession. The patient has straight, dark brown hair — a favorable characteristic for achieving natural density and coverage.
The surgical plan focused on restoring the frontal hairline, mid-scalp, and receding hairline, performed over two surgical days to ensure precision, controlled graft placement, and optimal donor area management.

The distribution of multi-hair grafts played a key role in achieving enhanced density in the central area, while single grafts were strategically placed in the frontal hairline to ensure a soft and natural transition. This combination is essential in modern FUE hair transplant surgery to create results that are both aesthetically natural and long-lasting.

💊 Post-operative management includes an individualized medical treatment plan, tailored to each patient, supporting graft survival and long-term stabilization of hair loss.

Every hair transplant procedure requires detailed planning based on the patient’s age, hair characteristics, degree of alopecia, and long-term evolution. At Clínica de Freitas, surgical design, donor area preservation, and personalized treatment protocols are fundamental to achieving natural and sustainable results in hair restoration surgery.

Hair Transplant – FUE Technique | 5,413 Grafts (12,982 Hairs)

🔹 Male patient, 49 years old, presenting with Norwood IV alopecia.

🔹 Hair characteristics: grey, medium caliber, straight texture.

The surgical plan focused on restoring the frontal and receding hairline, mid-scalp, and vertex, distributing the procedure in two separate surgical phases to achieve optimal coverage and long-term stability.

A total of 5,413 grafts (12,982 hairs) were transplanted using the FUE technique, with meticulous extraction and implantation to ensure natural angulation, density balance, and aesthetic harmony. Post-operative medical treatment included Finasteride 1 mg as part of the stabilization protocol.

In selected cases, dividing the treatment into two interventions offers significant advantages. It allows for better donor area management, ensuring a more strategic and conservative use of the available grafts. It also reduces surgical stress in a single session, enhances patient comfort, and facilitates recovery. Most importantly, staging the procedure enables long-term planning, preserving the donor area while achieving progressive, natural-looking density across larger regions of alopecia.

☑️ Every advanced case requires careful evaluation and a personalized surgical strategy. When planning extensive restorations, precision, timing, and donor preservation are just as important as the final aesthetic outcome.