BACKGROUND. Smaller hair transplant grafts in greater quantities are b
ecoming an unmistakable trend. As hairs grow in groups of one to four,
the process is mathematically and aesthetically logical. OBJECTIVE. T
o produce a natural appearing distribution of hair in the balding indi
vidual in an acceptable time frame. METHODS. Grafts reflecting natural
patterns are used. Four hundred one-hair grafts are densely packed in
to a frontal hairline 4-5 mm wide to create a transition zone between
the forehead and a new hairline. Two- to four-hair grafts are densely
packed behind the frontal zone in a graded fashion. Grafts containing
no more than four hairs are used. RESULTS. The results produce a sligh
tly less dense but better balance that looks like the natural veneer o
f a normal mature male. In women or men with thinning hair, surgically
increasing density satisfies many patient objectives. CONCLUSION. Tra
nsplantation with one- to four-hair grafts in extensive quantities pro
duces a natural ''hairy'' appearance without the artificial look typic
al of the large traditional grafts. By using this technique, many pati
ents can be completed in just one session.