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What Causes a Poor Hair Transplant Consequence And Methods of Prevention & Correction
With increased knowledge, experience, improved approach, aesthetic awareness, and the dissemination of information by means of the conferences, literature, and the inclusion of hair transplant procedure in training programs, the overall quality of hair transplant surgical procedure has vastly elevated in current years. Outcomes considered good years ago might not prove acceptable by immediately's standards. Still, because of the increased number of procedures being performed and the elevated number of Surgeons performing them, poor outcomes continue to be a problem. This article outlines among the causes of poor results and discusses the various strategies of prevention and correction.
Poor Outcomes 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 best and usually 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 settle forable enough, minor design changes 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 needs to be considered. More grafts can be added, and some might have to be removed on the hairline. The usual factors in accepting or rejecting a patient should apply in these cases, e.g. eventual pattern, density of donor hair, amount of hair development in present grafts, hair colour, and caliber.
Surgery performed on Type VII
These patients might have grafts anywhere. There has often been an try at making a hairline. It will usually be obvious whether or not additional grafts will help or if the grafts should be removed. There are three potential options to this problem.
1. If the grafts are reasonable, however 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 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.
Another possibility, if the patient is able to comb across, is to add grafts at 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 often call for a specific coiffure, and the affected person must be consulted and agree with the anticipated hairstyle 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 space 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 can be carried out for patients with poor density. They get so few hairs per graft that even with the most effective technique and careful design the result is usually not very good. The final word resolution, as to whether to add more grafts or remove the prevailing 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 one of the commonest causes of patient dissatisfaction. There are, after all, 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, every effort ought to be made to save lots of 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. Normally, 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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