What Causes a Poor Hair Transplant Consequence And Strategies of Prevention & Correction

With increased knowledge, experience, improved method, aesthetic awareness, and the dissemination of information via the meetings, literature, and the inclusion of hair transplant procedure in training programs, the general quality of hair transplant surgery has vastly elevated in current years. Results considered good years ago might not prove settle forable by as we speak’s standards. Still, because of the increased number of procedures being performed and the increased number of Surgeons performing them, poor outcomes continue to be a problem. This article outlines a few of the causes of poor results and discusses the assorted methods of prevention and correction.

Poor Results attributable to Patient Selection

Surgical procedure Performed on Type I, II, or III

The same old problem is that grafts have been improperly placed in frontal recessions.

1. The best and often the best answer in these cases is just to remove the grafts and hope the remaining scars will be inconspicuous; if not, the affected person can cover them with styling.

2. Generally, if it seems that the removal of the grafts would cause an excessive amount of scar or if the design is acceptable enough, minor design adjustments and filling in will create an settle forable result.

3. If the patient is young and it seems that he will probably progress to a more extreme pattern, then redesigning and filling in ought to be considered. More grafts might be added, and some might need to be removed on the hairline. The usual factors in accepting or rejecting a affected person ought to apply in these cases, e.g. eventual pattern, density of donor hair, amount of hair progress in current grafts, hair coloration, and caliber.

Surgical procedure performed on Type VII

These patients may have grafts anywhere. There has often been an attempt at making a hairline. It will normally be obvious whether additional grafts will help or if the grafts ought to be removed. There are three doable solutions to this problem.

1. If the grafts are reasonable, however donor space is exhausted, advise the affected person that additional surgery would just be creating more beauty problems.

2. If the grafts are very unattractive, they should just be removed with the hope that the ensuing scars will be less obvious.

3. If the grafts comprise satisfactory hair, are well located, and there is donor hair remaining, it is feasible in some Type VIIs to add grafts and get an acceptable result.

One other possibility, if the affected person is able to comb throughout, is to add grafts at the crown. The added grafts give the swept across hair something to connect to and keep it from mendacity flat on the bald skin, thus making styling simpler and improving the illusion of thicker, more dense hair.

These plans normally call for a specific hairstyle, and the patient must be consulted and agree with the anticipated coiffure previous to beginning corrective surgery. If the patient is able to comb throughout with some success and the scalp is lax, scalp reduction will reduce the space from one side to the opposite, making styling simpler, particularly in conjunction with additional grafts in essential areas.

A Poor Density

There is little that may be done for patients with poor density. They get so few hairs per graft that even with the very best technique and careful design the result’s usually not very good. The final word answer, as as to if to add more grafts or remove the existing grafts, will depend on how unattractive the grafts are and how conspicuous the scars will be if removed.

Mistakes in Planning & Design

Improper Hairline Placement

Improper hairline placement is one of the commonest causes of patient dissatisfaction. There are, after all, any number of attainable improper designs, e.g. Hairline too flat, hairline too far back, hairline too far forward, and hairline coming down too far at the temples. If reconstruction seems conceivable, every effort needs to be made to save as many grafts as potential and use additional grafts where they are needed. Some of the grafts that need to be removed could be transplanted to other areas. Usually, not all of the hair survives, but most of it will. Grafts with only a couple of hairs ought to probably just be discarded.

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