30-year old male from Middle East has extensive hair loss from front toward the crown with dense miniaturized hair at the bridge and good donor hairs at back. His hair is coarse, black, wavy. He wanted to transplant only the front part due to limited budget. He had hair transplant on July 21st, 2011 and had a total of 1971 grafts or 5133 hairs (1-hair= 200, 2-hairs=947, 3-hairs=446, 4-5 hairs=378 grafts). The insertion was difficult due to increased bleeding, popping, and slippery grafts. He returned after 12 months post-op with good growth and was happy with the results as shown.