Hair transplant surgery has been a great hope for people suffering with alopecia (hair loss). Many males and females experiencing alopecia opt for hair restoration techniques. Hair restoration techniques prove to be a boon to the bald patients but then, this boon at times can turn into a nightmare when the hair transplant may not be fixed appropriately. The old hair transplant techniques occasionally resulted in pluggy, unnatural appearing hairlines, circular scars, poor hair growth or incoherent growth of hair. Such results can lead to cosmetic and psychological disasters for the patients. Bad hair transplant can affect a person’s quality of life.
In few cases, bad hair transplant results are not the outcome of older procedures but then they can be the resultant of lack of experience on the surgeon’s part. To repair a bad hair transplant, you must search for an experienced surgeon who is not only skilled in performing the hair restoration procedure but also has experience in repairing bad hair transplant.
Few of the reasons when a bad hair transplant needs to be fixed are:-
- Hairline issues such as hairline set too far forward; broad hairline; askew hairline or hairline set too high.
- Too large grafts.
- Grafts in unusual locations.
- Scarring in donor or recipient areas (site where the hair is implanted).
- Wastage of hair.
- Uneven coverage attempts.
- Hair placed in the wrong direction.
- Temples are not properly transplanted.
With the introduction of newer techniques, hair can not only be restored in a natural way but through these techniques bad outcome of older techniques can also be repaired and redesigned. Recent technologies help in enhancing the cosmetic appearance of even the most horrible hair restoration procedures. These new procedures effectively help in reversing the unnatural appearance of plugs and repair scars. The demand for hair transplant repair techniques shall advance as people gain awareness regarding the correction of older procedures.
The two main repair strategies used are removal with re-implantation of the grafts and camouflaging (a technique where small follicular units are situated in front of the larger grafts so as to hide them, or enhance their appearance by creating a softer and more irregular hairline). Removal and re-implantation may need additional procedures and shall delay the restoration process. Elimination of grafts can also lead to some damage to the hair follicles leading to additional scarring. Camouflage should be followed by removal and re-implantation of grafts as camouflage alone is not capable of producing effective result.
Cautious examination of the problem area and the donor supply is required to address the repair of scars. Selection of the appropriate restorative procedure is vital as the wrong selection can worsen the situation. Utilization of different procedures must be used to solve varying issues.
Some of the procedures which can be used are as follows:-
- Individual Follicular Unit Extraction (IFUE) is the new development in hair transplant repair which is used to camouflage a widened donor scar. Hair is extracted from the area of the linear scar and then placed directly into it. Huge plugs can be eliminated, microscopically divided into individual follicular units and restored back into the scalp in proper location and direction.
- Small grafts can be camouflaged.
- Larger grafts, close to the frontal hairline, pointing in the wrong direction cannot be corrected by camouflage alone. Additional grafts shall have to be added to rectify it. Abnormal grafts are to be redistributed to make the camouflage appear more effective. When the grafts are removed the underlying scarred tissue too, is removed, to enhance the general look of the skin in that area. The process of graft removal and re-implantation may take several sessions.
- Elevated scars can be treated with cortisone injections.
- Excess scar tissue can be excised and eliminated.
- Reduction of the appearance of the donor area (site from where the hair is collected for transplant) scar, by transplanting new donor hair directly into the scar.
Follicular Unit Hair Transplantation (FUT)
This repair procedure is the ideal tool in fixing a bad hair transplant. FUT reduces the utilization of donor hair, decreases wounds and appears natural. Here, the follicular units are removed from the donor tissue under complete microscopic control to prevent damage.
Follicular Unit Hair Transplantation technique transplants hair without the appearance of unpleasant scarring. This technique helps the surgeon to mimic natural growth of hair. It also helps fix the issues of ugly scars and abnormal grafts produced due to old procedures.
The main reasons for using FUT procedure for fixing a bad hair transplant is:-
- Techniques used in FUT such as single strip harvesting and microscopic dissection, ensures utmost utilization of the donor supply.
- Small size follicular units restrict the further damage to areas that have already been scarred.
- There is a greater supply of follicular units, as compared to mini-micrografts which allows them to offer immense coverage.
- Follicular unit grafts mimic natural hair growth and hence, offers the most natural hair restoration.
Carpet Tacking Punch Excision
When the plugs are too dense then, the prime goal shall be to reduce their density rather than to eliminate them completely. In such cases, carpet tacking punch excision technique is used. In this technique, eliminating a part of a large graft can be utilized in reducing the unnatural density of the old plugs. This technique conserves some of the hair in the original graft; the removed hair can be re-used; can enhance the look of the scarred underlying skin and it provides immediate results.
You need not panic in case you are not happy with your previous hair transplant procedure. Presently, there are numerous techniques available which can help you fix your worse outcome of hair transplant. Surgeons need to be updated regarding the latest advancements in hair restoration techniques so that they can offer the best solution to their patients, for fixing their dreadful hair restoration.
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