This is a 42 year old patient who presented for hairline repair from a prior transplant. The patient was concerned about the low density and unnaturalness which resulted from that prior procedure. He believed that his grafted area had a pluggy appearance and he was concerned that people had a tendency to stare at his hairline. He indicated that his primary goals were to enhance density and reduce unnaturalness in the hairline. Various options which included selective excision and debulking of large grafts were discussed. It was decided to proceed with a dense-pack strategy to fill the residual gaps and to camouflage the unsightly grafts within his hairline. A total of 2247 grafts were placed to produce a densely packed frontal hairline.