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What Causes a Poor Hair Transplant Result And Methods of Prevention & Correction

 

With elevated knowledge, experience, improved technique, aesthetic awareness, and the dissemination of information by means of the meetings, literature, and the inclusion of hair transplant procedure in training programs, the overall quality of hair transplant surgical procedure has vastly increased in latest years. Results considered good years ago might not prove settle forable by in the present day's standards. Still, because of the elevated number of procedures being performed and the increased number of Surgeons performing them, poor outcomes proceed to be a problem. This article outlines a few of the causes of poor outcomes and discusses the assorted methods of prevention and correction.

 

 

Poor Results due to Patient Selection

 

 

Surgical procedure Performed on Type I, II, or III

 

 

The usual problem is that grafts have been improperly placed in frontal recessions.

 

 

1. The only and normally the very best resolution in these cases is just to remove the grafts and hope the remaining scars will be inconspicuous; if not, the patient can cover them with styling.

 

 

2. Generally, if it appears that the removal of the grafts would cause an excessive amount of scar or if the design is acceptable enough, minor design modifications and filling in will create an settle forable result.

 

 

3. If the affected person is young and it appears that he will probably progress to a more severe sample, then redesigning and filling in needs to be considered. More grafts could be added, and a few might need to be removed at the hairline. The standard factors in accepting or rejecting a patient ought to apply in these cases, e.g. eventual sample, density of donor hair, amount of hair development in current grafts, hair colour, and caliber.

 

 

Surgery performed on Type VII

 

 

These patients may have grafts anywhere. There has often been an attempt at making a hairline. It will normally be obvious whether additional grafts will assist 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 additional 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 comprise satisfactory hair, are well positioned, and there is donor hair remaining, it is possible in some Type VIIs to add grafts and get an acceptable result.

 

 

One other possibility, if the affected person is able to comb throughout, is to add grafts at the crown. The added grafts give the swept across hair something to connect to and keep it from lying flat on the bald skin, thus making styling easier and improving the illusion of thicker, more dense hair.

 

 

These plans usually call for a particular coiffure, and the affected person needs to be consulted and agree with the anticipated coiffure prior to starting corrective surgery. If the patient 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 simpler, particularly in conjunction with additional grafts in crucial areas.

 

 

A Poor Density

 

 

There's little that may be accomplished for patients with poor density. They get so few hairs per graft that even with the very best technique and careful design the result's usually not very good. The final word resolution, 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 likely one of the commonest causes of patient dissatisfaction. There are, in fact, 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 seems conceivable, every effort needs to be made to save lots of as many grafts as attainable and use additional grafts where they're needed. A few of the grafts that should be removed will be transplanted to other areas. Usually, not all of the hair survives, however most of it will. Grafts with only a couple of hairs should probably just be discarded.

 

 

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