Hair transplant repair: In hair transplantation surgery a piece of this skin containing these follicles is removed from the back and sides of the head. The follicles are then extracted from the surrounding tissue and then are reinserted into the balding areas of the scalp. This basic principle has been used since the 1970s, but modern hair transplantation produces much more natural results than the original hair transplantations conducted in the 1970s. When hair transplantation was first developed and made available, the transplant procedure often involved grafting large “plugs” of skin with 20 or more hair follicles in them. These large plugs transplanted to the bald areas would certainly grow hair, but because the grafts were large they were distributed unevenly and they could not be correctly angled. As a result the hair could gorw at an unnatural angle and the plugs could bee seen as artificial. The result is often described as a “corn row” or “dolls hair” effect. Modern hair transplant techniques involve grafting muc smaller follicular units of just 1-4 hair follicles. These can be carefully angled and distributed and they produce a very natural-looking result.
Hair transplant repair removes grafts using follicular isolation in a much more rapid fashion than it could be removed in the past. In the past, hair transplant repairs were limited to the removal of one row of pluggy looking grafts at a time. Today hair transplant repair can remove multiple follicular units within a larger graft. This markedly speeds up the hair transplant repair process. Typically two strong sessions are required to remove the majority of the pluggy looking grafts. In some very pluggy cases at least one additional session may be required for hair transplant repair. This is a significant advancement in terms of time.
There are other improvements, as well in the hair transplant repair procedure. One of these is the newer technique of hair transplant repair that leaves less scarring than the older techniques created. Improperly performed hair restoration surgeries present a series of unique problems that often must be solved by deviating from the normal rules that would apply to performing a hair transplant on a virgin scalp. Hair transplant repair requires far more experience and creativity on the part of the surgeon than when performing the original hair transplants. In hair transplant repair procedures, the surgeon encounters a multitude of problems that often exist simultaneously. Unfortunately, the improper techniques that cause the cosmetic defects are often the same ones that limit the repair. Fundamental to all repair work, therefore, is establishing a series of goals that are carefully prioritized so that, in the event they cannot all be met, the ones most critical to the patient's appearance are dealt with first.
There are two basic hair transplant repair strategies that are often used in conjunction with one another, that is, removal of the old plugs with re-implantation of the grafts and second camouflage of the old plug grafts with transplantation of small follicular units to fill in between the old grafts. The doctor must perform hair transplant repair surgery with techniques individualized to the particular patient and deal with problems that cannot always be anticipated before the surgery is begun. Hair transplant repair work on bad hair transplants is a creative endeavor that combines communication, surgical and aesthetic skills to achieve the patient's goals. Hair transplant repair is a very common procedure and beneficial too. Any individual with an old style pluggy hair transplant should consider seeing an expert hair transplant repair surgeon. There is much that can be done using modern hair transplant techniques to improve the look of the old hair transplant.