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What Causes a Poor Hair Transplant Outcome And Methods of Prevention & Correction
With increased knowledge, expertise, improved technique, 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 might not prove settle forable by at present'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 some of the causes of poor results and discusses the assorted strategies of prevention and correction.
Poor Results due to Affected person Choice
Surgical procedure Performed on Type I, II, or III
The same old problem is that grafts have been improperly positioned in frontal recessions.
1. The best and often 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. Typically, if it appears that the removal of the grafts would cause too much scar or if the design is settle forable enough, minor design adjustments 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 severe pattern, then redesigning and filling in must be considered. More grafts will be added, and a few could must be removed at the hairline. The same old 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 coloration, and caliber.
Surgery performed on Type VII
These patients may have grafts anywhere. There has normally been an try at creating a hairline. It will usually be apparent whether additional grafts will help or if the grafts needs to be removed. There are three possible 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 need to just be removed with the hope that the ensuing scars will be less obvious.
3. If the grafts contain satisfactory hair, are well positioned, and there is donor hair remaining, it is feasible in some Type VIIs to add grafts and get an settle forable result.
One other possibility, if the patient is able to comb throughout, is to add grafts at the crown. The added grafts give the swept throughout hair something to connect to and keep it from lying flat on the bald skin, thus making styling simpler and improving the illusion of thicker, more dense hair.
These plans usually call for a specific hairstyle, and the affected person needs to be consulted and agree with the anticipated hairstyle previous to starting corrective surgery. If the patient is able to comb across with some success and the scalp is lax, scalp reduction will reduce the distance from one side to the opposite, making styling simpler, particularly in conjunction with additional grafts in essential areas.
A Poor Density
There may be little that may be finished for patients with poor density. They get so few hairs per graft that even with the best technique and careful design the result's often not very good. The ultimate solution, as as to whether to add more grafts or remove the present grafts, relies on how unattractive the grafts are and how conspicuous the scars will be if removed.
Mistakes in Planning & Design
Improper Hairline Placement
Improper hairline placement is likely one of the most typical causes of patient dissatisfaction. There are, of course, 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 seems conceivable, each effort ought to be made to save as many grafts as attainable and use additional grafts the place they are needed. A number of the grafts that need to be removed might be transplanted to other areas. Often, not all the hair survives, however most of it will. Grafts with only a few hairs should probably just be discarded.
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