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Bad hair transplants: when procedures go wrong

One of the major risks involved with any cosmetic surgery is the slight chance that you may not be satisfied with the final result. The main reason why a hair transplant would need repair is because it was performed improperly by the surgeon. This is why it is important to do your research, and utilize the resources available to you before undergoing the surgery.

Hair transplants gone bad

Large grafts

A graft is too large when the density of hair in the plug exceeds the donor's natural hair density. This produces a pattern of excessive density within the larger grafts and empty spaces between them. This results in an unnatural, plug-like effect on the patient's scalp.

Low or broad hairlines

Although the position of the normal adult male hairline is approximately 1.5 cm above the upper brow crease at the mid-line, the inexperienced surgeon may restore the hairline too close to the upper brow crease. Excessive lowering the frontal hairline will distort the proportions of the patient’s face.

Hair placed in the wrong direction

It is imperative that the patient's own hair growth direction be followed for the transplant to look natural. However, some surgeons using larger grafts have the tendency to place the grafts perpendicular to the scalp, causing hair to stand in an unnatural radial direction.

Scarring in the recipient area

Unnecessarily large wounds are often created even with the smallest micrografts. These large wounds usually result in scarring. Scars can cause such problems as graft elevation or depression, and visible irregularities in the skin. They even have the tendency to distort the direction of hair growth, producing an undesirable effect with the hair.

Many of these mistakes can be corrected. However, it does present the problem of donor hair wastage. This is why it is important for the surgeon to assess donor hair density before starting the procedure. They must be aware of how much hair they have to work with just in case re-implantation is necessary.

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