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 Many patients come to the Foundation for Hair Restoration to have repaired previous, inferior quality hair restoration results. Our surgeons have perhaps more experience in these challenging cases than any surgeons in the specialty, with Dr. Epstein in particular performing hundreds of these procedures every year, and having authored articles and presented techniques at national meetings. While most patients can expect a dramatic improvement in appearance, the revision work entails additional expense, procedures, and time, and the use of additional hairs, commodities that could have been saved if they had taken our advice to "get it done right the first time."
For most revision patients, the result of the initial hair restoration is a "pluggy" or "doll's hair" look. This is usually the result of work using grafts that are too large, either performed years earlier or more recently with old-fashioned, outmoded techniques. Hair restorations can appear unnatural also for such reasons as improper hairline placement, improper angling of grafts, or scarring of the donor site and transplant areas. Other times, patients are disappointed in the density of the previously performed hair restoration, or had a painful or messy experience with previous procedures. In all cases, patients can take comfort in knowing that the work performed by one of our surgeons will be the finest available, minimizing any future expenses and the need for further revisional work.
The techniques used by the Foundation for Hair Restoration doctors to repair unsatisfactory work include scar revisions, revision micro/minigrafting, the removal and retransplantation of partial and entire grafts that are too large or malpositioned, scalp reductions, and laser skin resurfacing. Factors that make revision hair work more challenging, factors which may include scarring, compromised blood flow, and limited remaining donor hair, can all be overcome using these modern techniques. Our doctors have written articles about the techniques used to repair prior transplants.
One of the most common- and challenging- problems faced by surgeons who specialize in reparative procedures is a widened donor site scar. There are a variety of reparative techniques, and one of the most effective is the excision, then closure of the scar. Here are two examples of the results using this technique, in which a plastic surgery closure technique was used for the most aesthetic result.
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Before and after one procedure for donor site scar repair.
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Before and 8 months after one reparative procedure. Patient had poor and noticeable results from a previous hair transplant surgery with another doctor. The results are thick and natural, and evidence of the previous transplants from another doctor are not noticeable
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Before and 2 months after FUE removal of 325 minigrafts from the hairline. Each graft was removed one at a time with the grafts dissected down then retransplanted higher up within the original hairline.
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Before and after one plug punch removal procedure which involves the punching out of prior placed plug grafts, then suturing closed the small holes. The majority of cases heal up as fine line barely detectable scars.
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Before and eight days after hairline excision/elevation procedure combined with very limited browlift. This procedure involves the excision as a single strip the entire frontal hairline, including the scarred scalp, then the incision closed, which then heals as a fine line scar. Dr. Epstein has particular expertise in this procedure that he has helped develop, limiting it to those with very low hairlines seeking to have it all removed.
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If you have further questions about these hair transplant repairs, or other hair transplant issues, please don't hesitate to contact our office.
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