This 55 year old male had a large blue naevus on his left temple region since birth and hair loss occurred in the naevus in his twenties. Blue Naevus (nevus) is a rather unusual and harmless mole. The mole is a dark blue color because the pigment cells (melanocytes) are deeper in the skin than in commoner brown moles and freckles. This defect became more noticeable as he began to experience male pattern hair loss in the frontal region in his fifties. We used 800 grafts in the hairline and 250 test grafts in the left frontal temporal region harvested by strip. The plan was to see if the grafts would grow in the nevus and close the gap between the hairline and left temple. The left temporal hair line was also advanced. The after photos were taken at 8 months post-op.