ABHIJEET MARADE
Best Hair Transplant in Pune: Grade 4–5 Baldness Result with 4,679 BIG-FUE Grafts Best Hair Transplant in Pune: Grade 4–5 Baldness Result with 4,679 BIG-FUE Grafts Written by: Dr. Kiran Chotaliya Editorial Team · Reviewed by: Dr. Kiran Chotaliya, M.D. Dermatologist & Chief Hair transplant Surgeon · Hairfree & Hairgrow Clinics, India · Updated September 2026 A hair transplant for advanced baldness requires careful planning, especially when a large area of the scalp needs coverage. The number of grafts, donor hair quality, hairline design, and distribution of grafts all play an important role in creating a natural-looking result. This case study highlights the hair restoration journey of a 40-year-old patient who had been experiencing progressive hair loss for approximately 6 years. He was diagnosed with Grade 4–5 baldness and visited Hairfree & Hairgrow Clinic in Pune seeking a long-term solution for his hair loss. After detailed assessment and surgical planning, Dr. Kiran Chotaliya performed a BIG-FUE hair transplant using 4,679 grafts over a two-day surgical session to improve the frontal hairline, scalp coverage, and overall density. See the progressive BIG-FUE hair transplant result of a Grade 4–5 baldness patient treated with 4,679 grafts by Dr. Kiran Chotaliya at Hairfree & Hairgrow Clinic, Pune. Patient Consent Notice This case study has been published with the patient’s informed consent. Individual hair transplant outcomes may vary depending on the degree of baldness, donor hair quality, available grafts, scalp condition, healing response, progression of existing hair loss, and adherence to post-operative care. The results shown in this case study may not represent every patient’s outcome. Consultation with a qualified hair transplant surgeon is recommended before planning treatment. https://www.youtube.com/shorts/tbJpOdinQT0 Patient Profile & Diagnosis The patient, a 40-year-old male, had been experiencing progressive hair loss for approximately 6 years. Over time, the hair loss became more noticeable across the frontal and mid-scalp regions, resulting in significant scalp visibility and reduced overall hair density. During clinical examination, his hair loss pattern was assessed as Grade 4–5 baldness. He had no significant medical history reported, and after evaluating his scalp and donor area, he was considered suitable for hair transplantation. The patient visited Hairfree & Hairgrow Clinic looking for a long-term hair restoration solution that could improve his hairline and provide better overall scalp coverage. Case Overview Age, City 47 Years,Pune, India Hair Loss Duration 12–15 Years Baldness Grade NorwoodGrade 4–5 Areas Affected Hairline,Mid Scalp,Crown Thinning Techniques Big FUE Grafts 3220+ Primary Hair Loss Concerns & Expectations Considering the patient’s Grade 4–5 baldness, scalp coverage requirements, and donor availability, a customized hair restoration plan was prepared. Surgical Technique BIG-FUE Hair Transplant Treatment Strategy: Reconstruct the frontal hairline Improve frontal scalp density Increase mid-scalp coverage Reduce visible scalp appearance Maximize available donor graft utilization Maintain natural hair direction and angulation Preserve donor area aesthetics Plan for long-term preservation of existing hair Planned Procedure: BIG-FUE Technique 4000+ grafts depending on donor supply Two-day surgical session Long-term hair maintenance plan Clinical Assessment & Hairline Designing Dr. Kiran Chotaliya performed a detailed clinical examination to determine whether corrective surgery was feasible. The evaluation included: Complete medical and surgical history Scalp examination Donor area assessment Hair shaft thickness analysis Previous graft placement evaluation Hairline design planning Clinical Findings Previous graft placement lacked adequate density. Existing hairline appeared unnatural. Frontal and mid-scalp coverage was insufficient. Donor area still contained healthy follicular units suitable for corrective surgery. Hair quality was good, making the patient an ideal candidate for BIG-FUE. A customized surgical plan was developed to maximize available donor hair while creating a soft, age-appropriate, and natural-looking hairline. Personalized Treatment Plan Considering the patient’s Grade 4–5 baldness, scalp coverage requirements, and donor availability, a customized hair restoration plan was prepared. Surgical Technique BIG-FUE Hair Transplant Treatment Strategy: Reconstruct the frontal hairline Improve frontal scalp density Increase mid-scalp coverage Reduce visible scalp appearance Maximize available donor graft utilization Maintain natural hair direction and angulation Preserve donor area aesthetics Plan for long-term preservation of existing hair Planned Procedure: BIG-FUE Technique 4000+ grafts depending on donor supply Two-day surgical session Long-term hair maintenance plan Surgical Procedure The hair transplant procedure was performed by Dr. Kiran Chotaliya using the BIG-FUE technique. Individual follicular units were carefully harvested from the donor area and strategically implanted into the areas affected by hair loss. Procedure Highlights Technique: BIG-FUE Total Grafts Implanted: 4,679 Hair Quality: Good Duration: Two-day surgical session The grafts were distributed according to the patient’s individual pattern of baldness and available donor supply. Special attention was given to the frontal hairline, as this area plays an important role in framing the face and creating a natural appearance. Each graft was implanted while considering natural hair direction, angle, spacing, and density to achieve balanced coverage across the frontal and mid-scalp regions. Post-Operative Care The patient received detailed post-operative instructions designed to protect the newly implanted grafts and support proper scalp healing. The aftercare protocol included: Complete post-hair-transplant medications for approximately 5–7 days Gentle head washing from Day 7 using a mild or recommended shampoo Maintaining healthy sleeping and eating habits Avoiding strenuous exercise for approximately 10–15 days Protecting the scalp from excessive direct sunlight Wearing a loose cap outdoors when advised Avoiding rubbing or scratching the transplanted area Regular follow-up consultations Following the recommended post-operative care was important during the initial healing phase, when the transplanted follicles needed time to settle properly Detailed Graft Breakdown for NW3 Restoration Single Hair Grafts 530 For Natural Hairline Multi Hair Grafts 2480 Mid Scalp Coverage Total Grafts Done 3010 Total Grafts Transplanted: (add case specific number) Parameter No. of Grafts Details Single hair grafts 530 For natural hairline Multi hair grafts 2480 Mid scalp coverage Total grafts done 3010 Long-Term Hair Maintenance Plan Hair transplantation restores hair in areas where follicles have already been lost, but existing non-transplanted hair may continue to thin over time. For this reason, maintaining the patient’s existing hair was also included as part of the long-term treatment plan. The patient was advised to continue: Healthy hair-supportive diet Good







