Bad Hair Transplants Repaired

Surgeon: Dr. Márcio Crisóstomo

Details: Norwood VI who had two previous Strip surgeries elsewhere, with limited donor area and limites elasticity. The patient was submitted to the Crisóstomo Combined Technique (FUE+FUT) to improve the number of grafts. Six months after 3,811 FUs – Strip: 2,785 + FUE 1,026 (increase of: 36.7%).

Surgeon: Dr. Christian Bisanga

Details: This patient had one previous strip surgery and was left with diffused and pluggy result, especially along the hair line. Dr. Bisanga removed the larger plugs with FUE along or on the new hair line and redistributed further back, designing a new line and increasing the density over the frontal 1/3 to mid section.

Surgeon: Dr. Christian Bisanga

Details: 2613 FUE, comprising of 2013 Scalp and 600 Beard
Scalp Hair 1. 649 2. 940 3. 340 4. 84
Beard Hair 1. 173 2. 427
PRP Therapy was used on both recipient and donor
Patient had two previous poor surgeries, Strip and 2mm Plugs, leaving poor regrowth and scarring in the recipient and donor area.

Surgeon: Dr. Samuel Lam
Patient: Age 32

Details: Patient age 32, Stage 4, One session, 1 year after hair transplant. Patient had prior hair transplant elsewhere that was not only painful with a bad recovery but also had no significant visual density. He is shown following a single corrective hair transplant session.

Surgeon: Dr. Samuel Lam
Patient: Age 49

Details: 49 year old male who had crown revision after having plugs placed in his crown in a previous procedure. He is shown one year following a crown revision using FUE/ARTAS.

Surgeon: Dr. Raghu Reddy
Grafts: 1307

Details: 33 year old Journo had 2 unsuccessful FUT’s in the past and was desperate for a natural looking hairline as he was fed up of using nano fibres. His skin was really scarred in the transplanted area. We managed to get a much more softer look with 1300 grafts. He has stopped using nano fibres.

Surgeon: Dr. Raghu Reddy
Grafts:
2718

Details: 52 year old fellow hair restoration doctor had an FUT in 2010. He was really disappointed with the outcome and started using a hair piece.
We consulted him and qualified for around 2500 grafts to restore the frontal area. We managed to extract 2700 grafts. After photos are 6 months post-op.

Revision Surgeon: Dr. Bessam Farjo
Patient Details: Age 38

Details: This patient was 38 when he first approached us about his hair. In 2001, he had one transplant with a commercial clinic that left him with very obvious rows of compressed and angry looking minigrafts. Worse still the hairs were in an unnatural direction and pointing too straight up. He resorted to shaving the grafts and wearing a hairpiece until his result with me. The photos show him after one repair FUT session of 2150 grafts which included 297 single hairs but only 117 3-4 haired grafts. He was delighted enough to let me take him to the live surgery viewing session at the ISHRS 2010 Annual Meeting in Boston.

Revision Surgeon: Dr. Bessam Farjo
Patient Details: Age 51

Details: This man had harsh large grafts put into his temples when he was much younger. Eventually he lost the remainder of his forelock leaving with the appearance of ‘hair’ horns at the front. My treatment consisted of excising (cutting out) the grafted rows and stitching the cut. This was done similar to a strip harvest due to the closeness of the plug grafts and their intensity. The removed old grafts were then micro dissected and redistributed into the middle. Additionally, fresh 1165 FU grafts were harvested from the back and used to fill the frontal forelock. He came back a second time a few months later for a small strip session to further feather the frontal hairline and cover the fine corrective scars.

Revision Surgeon: Dr. Patrick Mwamba
Patient Details: Age 52
Grafts: 950 and total plug removal

Details: This patient had two previous strip surgeries that left him with an unnatural hairline. The poor growth made the pluggy appearance much more noticeable. We decided to soften the hairline by removing the larger grafts from the hairline and repair the scars. Only the worst plugs were totally removed to maintain hair volume. The result was outstanding with a more natural hairline and less noticeable scarring in the donor area. The patient then wanted to add more density to the hairline and mid-scalp.

Revision Surgeon: Dr. Patrick Mwamba
Patient Details: Age 38
Grafts: 101

Details: Our patient had a previous strip surgery prior to contacting MYWHTC in Belgium.

During consultation, we noticed poor growth in recipient area with micro scarring and bad angles.
In the donor area, the patient had a thin linear scar of 3mm wide and 13 cm long.
The patient has coarse hair and good donor density. The goal was to fill in and recreate a new hairline because the patient prefers a shorter hairstyle to hide the donor scar. We recommended grafting both the frontal zone and the linear strip scar with FUE by FIT. Similar to FUE, FIT involves no linear scarring.

Our focus today is the results we get in the donor from scar grafting.
The scar surface was about 3.9 cm2 (13cm long/3mm wide). Knowing that grafting at low density (beneath 30 Fu/cm2) leads to better yield, we decided to graft at 25 Fu /cm2. The total number of grafts in the scar was 101 grafts.

What lesson does Dr. Patrick Mwamba want to share here?
1. A donor scar of 3mm is acceptable and an elevation in the likes of this particular scar is low. But the contrast with this patient’s skin color and the anatomy of the strip scar (linear) attracts our sight and further reveals it. At the end, the scar bothers the patient because it doesn’t look natural.
2. Grafting the scar improved the scar color and just with low hair density, we broke the contrast and it looks pretty much invisible.
3. We also noticed FIT /FUE scars also known as white dotting. They are present in this case. Their anatomy blends easily with the surrounding area and it doesn’t attract our sight. Therefore it looks natural and normal and no one will pay attention to them. They are present but not noticeable, so our patient can enjoy a short hairstyle.

Revision Surgeon: Dr. John Peter Cole
Grafts: 2,588 grafts and plug removal

Details: This patient underwent a two-day shaven-CIT (FUE) procedure. Dr. Cole transplanted 2,588 grafts and subsequently removed 25 pluggy grafts from the hairline that was caused by a strip (FUT) surgery with a different surgeon, redistributing them for a more natural look.

Revision Surgeon: Dr. Bijan Feriduni
Patient Details: Age 36
Grafts: 3950

Details: A combination treatment of FUT and FUE with 3950 FU has been performed in a single day session to restore the hairline, temples and temporal peaks and to add density to the central core; A scar revision in double layer suture technique to reduce the width of the existing linear scar.

Revision Surgeon: Dr. Bijan Feriduni
Patient Details: Age 49
Grafts: 2922

Details: A Follicular Unit Strip Transplantation with 2922 FU to attain an aesthetic reconstruction of the entire hairline, temporal recessions and temporal peaks; Extraction of ‘Minigrafts’ from the hairline through FUE and excision of wrong-placed ‘Punch grafts’ from the hairline.

Revision Surgeon: Dr. Tejinder Bhatti
Patient Details: Age 31, asian
Grafts: 2500

Details: This 29 year old Filipino was operated upon using the FUT procedure 2 years ago in Manila, Phillipines.

The doctor, an itinerant hair transplant surgeon, gave him a feminine hairline.

The patient who was previous to the transplant suffering from body dysmorphia due to depp recessions and effacement of the temple point and receded hairline was devastated. He was obsesses with the way the hair transplant had turned out and receded into a shell requiring psychotherapy. Eventually he was referred to Dr Bhatti in Chandigarh, India for a revision from one of the established hair loss forums prominent internationally.

The patient was counseled. he was extremely hesitant about the procedure going wrong yet again and needed to be treated with due care and composure.
The recesses were redefined to give a masculine hairline by removing the grafts bilaterally using FUE technique (Safe Scribe of Jim Harris with blunt 0.9 mm blunt punch). The low density hairline was given additional density with 1734 grafts. The extracted hairline grafts were also used in the recipient areas.

The patient after 9 months of the procedure is a confident happy young man who has returned to his profession as a male nurse in a geriatric hospital in his native country with great zest and vigor.

Revision Surgeon: Dr. Tejinder Bhatti
Patient Details Indian, Age 35

Details: This 35 years old patient was earlier treated by another local clinic.

The hair density and direction left much to be desired and when the hair grew after 6 months the patient (being a non-resident Indian) was aghast. The direction of hair esp. over the temples was abnormal and he became the butt of bawdy jokes. He came to me specially to have this corrected.

Implanted hair were extracted and replanted along with more scalp grafts to add density. It is to be noted that when you attempt to extract impanted hair through FUE, transection rates approach 35% and these hairs are completely extracted over 2-3 stages.

This patient has received a single revision and is due to come for the next stage after a month.However his density looks normal. A few hairs in the temples are still misdirected but will be corrected this year.

It is so true – A STITCH IN TIME SAVES NINE!