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What Causes a Poor Hair Transplant Consequence And Methods of Prevention & Correction
With increased knowledge, expertise, improved method, aesthetic awareness, and the dissemination of information through the meetings, literature, and the inclusion of hair transplant procedure in training programs, the general quality of hair transplant surgical procedure has vastly elevated in latest years. Results considered good years ago may not prove acceptable by at the moment's standards. Still, because of the increased number of procedures being performed and the increased number of Surgeons performing them, poor results proceed to be a problem. This article outlines a number of the causes of poor results and discusses the assorted methods of prevention and correction.
Poor Outcomes because of Affected person Selection
Surgery Performed on Type I, II, or III
The standard problem is that grafts have been improperly placed in frontal recessions.
1. The simplest and usually the perfect 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. Typically, if it appears that the removal of the grafts would cause an excessive amount of scar or if the design is settle forable sufficient, minor design modifications and filling in will create an settle forable result.
3. If the patient is younger and it appears that he will probably progress to a more extreme sample, then redesigning and filling in should be considered. More grafts might be added, and some may need to be removed at the hairline. The usual factors in accepting or rejecting a patient should apply in these cases, e.g. eventual pattern, 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 usually been an attempt at creating a hairline. It will usually be obvious whether additional grafts will help or if the grafts needs to be removed. There are three doable options to this problem.
1. If the grafts are reasonable, but donor space is exhausted, advise the affected person that further surgery would just be creating more cosmetic problems.
2. If the grafts are very unattractive, they should just be removed with the hope that the resulting scars will be less obvious.
3. If the grafts contain satisfactory hair, are well positioned, and there is donor hair remaining, it is possible in some Type VIIs to add grafts and get an settle forable result.
Another possibility, if the patient is able to comb across, is to add grafts on the crown. The added grafts give the swept throughout 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 selected hairstyle, and the affected person ought to be consulted and agree with the anticipated hairstyle previous to starting corrective surgery. If the affected person is able to comb throughout with some success and the scalp is lax, scalp reduction will reduce the gap from one side to the opposite, making styling easier, particularly in conjunction with additional grafts in essential areas.
A Poor Density
There is little that may be performed 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 often not very good. The ultimate answer, as as to whether to add more grafts or remove the existing grafts, relies on how unattractive the grafts are and the way conspicuous the scars will be if removed.
Mistakes in Planning & Design
Improper Hairline Placement
Improper hairline placement is among the most typical 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 at the temples. If reconstruction appears conceivable, each effort should be made to avoid wasting as many grafts as possible and use additional grafts the place they're needed. A number of the grafts that have to be removed can be transplanted to other areas. Usually, not all of the hair survives, however most of it will. Grafts with only just a few hairs should probably just be discarded.
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