51 yr. old with a history of gradula balding since age 25. He had three transplants indicative of older technology prior to coming to Dr. True. Examination revealed a Norwood 5A pattern with 75% of the hair on the top of his head having been transplanted. The donor area contained 3 separate scars. Given his relatively limited scalp elasticity and the need to include previous scars in the donor strip harvested, we set a goal of 2000 grafts. A single donor strip 1cm by 25 cms including prior donor scar for the majority of its length was dissected into 1257 singles and 756 doubles. His donor density was 70 FU/CM. Hair texture is fine. His previously transplanted hairline was advanced 2 cm and density was added throughout the front and top. 10 - 15% of the follicular units were allocated to the vertex.