This young man presented with a history of progressive miniaturization in the frontal region. He had been on Propecia for some time and felt that the thinning process had stabilized, but he was disappointed in not recovering any of his lost density. A 2152 graft session was performed to restore continuity of his recessed frontal hairline and to enhance density in the thinning frontal forelock region. This limited graft number was utilized to minimize the risk of shock loss and to accommodate the patientâ€™s request to avoid shaving the recipient area in order to provide postoperative camouflage of the procedure. A preoperative photo with lightly damp hair details the magnitude of his miniaturization and highlights the surgical treatment plan.