Here below are pictures showing the “pre” and “post” of another tricopigmentation case.
Total alopecia and androgenetic alopecia
What characterizes this case the most and which makes it different from many others is the fact that, in addition to the 3 areas that are normally treated with tricopigmentation (front, mid and vertex), this time the parietals were also treated.
Usually, the technician decides to treat the parietals in cases when hair transplant scars are present and need to be covered or in cases of total alopecia that require a full reconstruction of the scalp drawing. In fact, total alopecia is a pathology causing the complete absence of hair on the scalp which differs from cases of androgenetic alpecia, more commonly known as common baldness, in that it presents an absence of hair only from the three areas that are normally treated with tricopigmentation: the three superior areas (front, mid, and vertex). Androgenetic alopecia in fact does not cause loss of hair in the parietal and occipital areas. The fact that some areas get thinned out with androgenetic alopecia while some others do not, depends on the follicles’ different sensitivity to DHT, the hormone behind hair loss. For the same reason, the occipital area is know as the “donor area” in the hair transplant world, specifically because in most cases hair is always present in that area and therefore can be extracted in order to go and cover other uncovered areas of the scalp.
Tricopigmentation and greying of the hair
However in this case, even if it was not a case of total alopecia but of classic androgenetic alopecia, the technician decided to treat the parietals as well. The reason behind this choice is that there was a high greying level of the hair in that area. Hair was present but it was too light to be homogeneously blended with the tricopigmentation deposits of pigment. The risk was to work on the upper area and create an effect which would have been too dark and thus would not have matched the rest of the head, even with a light tricopigmentation.
By choosing to treat the whole scalp instead, it was possible to create a chromatic balance between the different areas so that the result is perfectly homogeneous in all the areas and so that the difference between the bald areas and the lateral areas in which there was still hair is not visible anymore.