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Question:

Repairing plastic surgery scars with hair transplants.

Answer:

I've had 4 surgeries going into the same coronal incision which has left me bald in certain areas. Is it possible to do hair transplantation onto this overly worked incision line?

Dear Anna - Yes, it is quite likely that the scar can be improved by a transplant procedure. You can email some photos for me to evaluate if you wish.

Posted by Jeffrey S. Epstein, MD, FACS

Question:

Repairing plastic surgery scars with hair transplants
I've had 4 surgeries going into the same coronal incision which has left me bald in certain areas. Is it possible to do hair transplantation onto this overly worked incision line?

Answer:

Dear Anna - Yes, it is quite likely that the scar can be improved by a transplant procedure. You can email some photos for me to evaluate if you wish.

Posted by Jeffrey S. Epstein, MD, FACS

Question:

If I had a scalp flap procedure 20 years ago that now looks unnatural, what can I do about it to have it repaired?

Answer:

Up until the early to mid 1990s, scalp flaps, when performed properly by qualified surgeons, were reasonable procedures to perform on select individuals - given the less than perfect aesthetic results of micro/minigrafting procedures. Personally, I stopped performing these complex surgical procedures in 1995, after limiting them to only select patients.
Today, it is possible to significantly address and repair the major aesthetic problems that result from scalp flaps. The abnormally solid hairline can be softened. The donor site scarring can be repaired with grafting and/or with scar repairs. The rounded off frontotemporal recessions can be made more receded. As a surgeon who was trained in this procedure, I am able to understand the  dynamics of these surgeries, and repair them to their greatest degree.

Posted by Jeffrey S. Epstein, MD, FACS

Dear Dr. Epstein,

I had a hair transplant when I was 20 and would prefer now to just have a buzz cut.  I have a straight scar in the back of my head that is very thin but if I buzz my head it will definitely be visible.  My doctor did not take the extra step of stitching or cutting the skin so hair would grow through the scar.  Is there anywhere in the Miami area, where I currently live that I can go to get the scar fixed to become hard to see?

For people who go for a second hair transplant procedure, do you go right into the same donor spot as before or do you go around it?

Dear Dr. Epstein,

I am considering having my second transplant in the future.

After my first transplant I was concerned that I may have lost some grafts due to wearing a hat (which I require for work) and also I had some concern about loosing grafts while sleeping and washing.

Could you please tell me, If I do decide to have another transplant, at what time do the grafts become totally secure in the scalp? (in how many days/weeks)

Also for what reason do you believe this to be the case?

Kindest Regards

Question:

If I had a scalp flap procedure 20 years ago that now looks unnatural, what can I do about it to have it repaired?

Answer:

Up until the early to mid 1990s, scalp flaps, when  performed properly by qualified surgeons, were reasonable procedures to perform on select individuals-  given  the less than perfect aesthetic results of micro/minigrafting procedures.  Personally, I stopped performing these complex surgical procedures in 1995, after limiting them to only select patients.
Today, it is possible to significantly address and repair the major aesthetic problems that result from scalp flaps.  The abnormally solid hairline can be softened.  The donor site scarring can be repaired with grafting and/or with scar repairs.  The rounded off frontotemporal recessions can be made more receded.  As a surgeon who was trained in this procedure, I am able to understand the dynamics of these surgeries, and repair them to their greatest degree.

Posted by Jeffrey S. Epstein, MD, FACS

Question:

I had a not so successful hair transplant. is it possible to remove the transplanted hair and lighten or remove the new hair line that was given?  Please respond.  Thanks

Answer:

This is a procedure in which I specialize.  There are several different options for improving the results of your prior work.  I suggest you email some photos for me to evaluate.

Posted by Jeffrey S. Epstein, MD, FACS

Question:

I have already had 2 transplants using hair from back and  sides of head and am unhappy with my results.  Even the hair on the sides where donor hairs are  have been thinned out, partially  because of low thyroid function and partially because of the 2 previous transplants. Even the donor area in the back has limited donor hairs as the scalp is tight and the donor hairs  have been harvested 2x.  Thank you.

Answer:

I am sure that your research has shown you that I have extensive experience in reparative procedures.  It is usually possible, even in cases such as yours, to obtain at least enough donor hairs-  say 800 to 1200 or so grafts- to create a moderate to significant improvement in appearance.  This is because the grafts can be strategically placed so that they provide the cosmetic improvement that makes the biggest difference.

Posted by Jeffrey S. Epstein, MD, FACS

Question:

I have been covering a scar on my eyebrow with eyeliner for as long as I can remember. If I have a "bad eyebrow day" I usually wear a hat. I have checked into permentant makeup, but I am too scared that it would make my brows look too fake. This has literally controlled certain areas in my life. I determine how my day will be on whether my eyebrow look ok. This is a very important thing for me and I know that my self confidence would improve dramatically. Please help.

Answer:

I understand your reluctance to have a tattoo to the area, given that it never truly looks natural.  It is in fact possible to transplant hairs into the scar, resulting in the scar being somewhat to significantly less noticeable.  For most of my patients, having eyebrows restored is an emotionally significant event.  I suggest you email some photos for me to evaluate, and I will have a Patient Advisor from my office contact you with more information.

Posted by Jeffrey S. Epstein, MD, FACS

 
 
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