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What Causes a Poor Hair Transplant Consequence And Strategies of Prevention & Correction
With increased 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 general quality of hair transplant surgery has vastly elevated in current years. Results considered good years ago may not prove settle forable 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 outcomes continue to be a problem. This article outlines a few of the causes of poor outcomes and discusses the varied methods of prevention and correction.
Poor Results due to Affected person Selection
Surgery Performed on Type I, II, or III
The same old problem is that grafts have been improperly positioned in frontal recessions.
1. The only and normally the perfect solution 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 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 settle forable result.
3. If the affected person is younger and it appears that he will probably progress to a more extreme sample, then redesigning and filling in needs to be considered. More grafts may be added, and some could need to be removed at the hairline. The same old factors in accepting or rejecting a affected person should apply in these cases, e.g. eventual sample, density of donor hair, amount of hair development in present grafts, hair colour, and caliber.
Surgery performed on Type VII
These patients could have grafts anywhere. There has normally been an attempt at making a hairline. It will often be apparent whether additional grafts will help or if the grafts needs to be removed. There are three attainable solutions 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 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 situated, and there is donor hair remaining, it is possible 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 lying flat on the bald skin, thus making styling easier and improving the illusion of thicker, more dense hair.
These plans normally call for a specific hairstyle, and the patient ought to be consulted and agree with the anticipated coiffure prior to beginning corrective surgery. If the affected person is able to comb throughout with some success and the scalp is lax, scalp reduction will reduce the space from one side to the other, making styling easier, particularly in conjunction with additional grafts in crucial areas.
A Poor Density
There's little that can be executed for patients with poor density. They get so few hairs per graft that even with one of the best method and careful design the result is usually not very good. The final word resolution, as as to whether to add more grafts or remove the existing 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 common causes of patient dissatisfaction. There are, of course, any number of doable improper designs, e.g. Hairline too flat, hairline too far back, hairline too far forward, and hairline coming down too far on the temples. If reconstruction seems conceivable, each effort needs to be made to save as many grafts as attainable and use additional grafts the place they're needed. Among the grafts that need to be removed may be transplanted to other areas. Normally, 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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