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What Causes a Poor Hair Transplant Outcome And Methods of Prevention & Correction
With increased knowledge, expertise, improved method, aesthetic awareness, and the dissemination of information by the conferences, literature, and the inclusion of hair transplant procedure in training programs, the general quality of hair transplant surgery has vastly elevated in latest years. Outcomes considered good years ago might not prove acceptable by immediately's standards. Still, because of the elevated number of procedures being performed and the increased number of Surgeons performing them, poor outcomes continue to be a problem. This article outlines among the causes of poor outcomes and discusses the varied methods of prevention and correction.
Poor Results because of Affected person Choice
Surgical procedure Performed on Type I, II, or III
The standard problem is that grafts have been improperly positioned in frontal recessions.
1. The only and normally the most effective 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. Sometimes, if it seems that the removal of the grafts would cause too much scar or if the design is acceptable enough, minor design modifications and filling in will create an acceptable result.
3. If the patient is young and it seems that he will probably progress to a more severe pattern, then redesigning and filling in ought to be considered. More grafts can be added, and some may need to be removed at the hairline. The standard factors in accepting or rejecting a affected person should apply in these cases, e.g. eventual pattern, density of donor hair, quantity of hair development in present grafts, hair shade, and caliber.
Surgery performed on Type VII
These patients may have grafts anywhere. There has often been an try at making a hairline. It will normally be apparent whether or not additional grafts will help or if the grafts ought to be removed. There are three doable options to this problem.
1. If the grafts are reasonable, however donor space is exhausted, advise the patient that further surgical procedure would just be creating more beauty 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 include satisfactory hair, are well positioned, and there may be donor hair remaining, it is feasible in some Type VIIs to add grafts and get an acceptable result.
Another possibility, if the affected person is able to comb across, is to add grafts on the crown. The added grafts give the swept throughout hair something to attach 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 particular coiffure, and the affected person should be consulted and agree with the anticipated coiffure previous 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 space from one side to the opposite, making styling easier, particularly in conjunction with additional grafts in crucial areas.
A Poor Density
There's little that can be finished for patients with poor density. They get so few hairs per graft that even with the very best method and careful design the result is often not very good. The ultimate solution, as as to if to add more grafts or remove the prevailing grafts, depends 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 one of the most typical causes of affected person dissatisfaction. There are, in fact, any number of potential 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 save as many grafts as potential and use additional grafts where they are needed. Among the grafts that need to be removed will be transplanted to different areas. Often, not all the hair survives, however most of it will. Grafts with only a few hairs ought to probably just be discarded.
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