This is a 57 year old female with extensive thinning which extended from the frontal scalp to the crown region. Although the hair count in the thinning region was relatively high, the hairs were severely miniaturized and provided little cosmetic coverage. Her goal was to thicken the thinning scalp and improve her styling options. She was concerned about shock loss in the transplant zone and was not willing to shave for the procedure. She received a total of 2338 grafts over two sessions which were performed with an 11 month interval (1175 grafts in session one and 1163 grafts in session two). Staging was utilized in an attempt to minimize the risk of shock loss within the miniaturized hair zone. Preoperative and postoperative photos with wet hair demonstrate the density enhancement that was achieved. The patient did not experience any demonstrable shock loss following either procedure.