The obsession with Joe Biden scalp by some has often distracted people from taking a closer look at what the man has accomplished during his 35+ years in public service. In fact, one satirical comment made during the last presidential election made the stinging remark that the “writer” couldn’t decide whether to vote for the “McCain comb-over or Joe Biden hair plugs.”
While the Vice President’s initial hair plugs were most likely done using the original technique of implanting fifteen to thirty hairs lined up to form a “solid wall” of hair on the head, that tended to look “obvious,” newer procedures using tiny grafts to add as many as a thousand hairs per session have indeed done much to soften his hairline. The fact that his hair is now a lot whiter has probably helped with that as well.
“Pluggy” transplant methods went out of fashion in the late 1980’s. Today, specialists use methods including mini and even micro grafts, slit and punch grafts, or strip grafts to achieve more discrete changes in the fullness of their hair. On the other hand, techniques such as scalp-reduction, expanding the tissue and even the use of flaps can give someone a much more drastic change in appearance. Whatever the case, the primary goal for each surgeon is to find the best way to use the patient’s existing hair during the procedures.

Photo by ittybittiesforyouThis involves determining the health and texture of hair on the back and sides (the usual donor hair sites) before they take flaps and grafts for transplanting. They must also take into consideration of how the texture, waviness or curliness, as well as the actual color of the hair will look once the transplant is complete for an improved cosmetic appearance. In fact, they may even decide to combine more than one technique to get the best results.
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