With increased knowledge, experience, improved method, aesthetic awareness, and the dissemination of information by the conferences, literature, and the inclusion of hair transplant procedure in training programs, the overall quality of hair transplant surgery has vastly increased in recent years. Results considered good years ago might not prove acceptable by right this moment’s standards. Still, because of the elevated number of procedures being performed and the elevated 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 varied methods of prevention and correction.
Poor Outcomes because of Patient Choice
Surgery Performed on Type I, II, or III
The same old problem is that grafts have been improperly positioned in frontal recessions.
1. The best and often one of the best resolution 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 appears that the removal of the grafts would cause too much scar or if the design is settle forable sufficient, minor design adjustments and filling in will create an acceptable result.
3. If the patient is younger and it appears that he will probably progress to a more severe pattern, then redesigning and filling in should be considered. More grafts may be added, and a few may should be removed at the hairline. The usual factors in accepting or rejecting a patient ought to apply in these cases, e.g. eventual sample, density of donor hair, quantity of hair progress in present grafts, hair coloration, and caliber.
Surgery performed on Type VII
These patients might have grafts anywhere. There has often been an attempt at making a hairline. It will often be apparent whether additional grafts will help or if the grafts needs to be removed. There are three possible options to this problem.
1. If the grafts are reasonable, however donor area is exhausted, advise the affected person that further surgical procedure would just be creating more cosmetic problems.
2. If the grafts are very unattractive, they need to just be removed with the hope that the resulting scars will be less obvious.
3. If the grafts include satisfactory hair, are well situated, and there may be donor hair remaining, it is possible in some Type VIIs to add grafts and get an settle forable result.
Another possibility, if the affected person is able to comb across, is to add grafts at the crown. The added grafts give the swept throughout hair something to attach 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 often call for a specific coiffure, and the affected person ought to be consulted and agree with the anticipated coiffure previous to starting corrective surgery. If the affected person is able to comb across with some success and the scalp is lax, scalp reduction will reduce the gap from one side to the opposite, making styling simpler, particularly in conjunction with additional grafts in crucial areas.
A Poor Density
There may be little that can be executed for patients with poor density. They get so few hairs per graft that even with the very best technique and careful design the result is normally not very good. The final word solution, as as to whether to add more grafts or remove the existing grafts, relies 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 most common causes of affected person dissatisfaction. There are, of course, 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 on the temples. If reconstruction appears conceivable, every effort needs to be made to save lots of as many grafts as possible and use additional grafts where they are needed. Among the grafts that have to be removed will be transplanted to different areas. Normally, not all of the hair survives, but most of it will. Grafts with only just a few hairs should probably just be discarded.
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