MyWHTC Forum

    This 40 years old patient, NW 3 vertex in hair loss scale came for a repair case:
  He had 3 previous hair transplants by strip technique (3000 grafts).
Results: Wrong hair angle direction,  pluggy look, pitting, a damaged receiving area with bumps (cobblestone), and big scars in the donor.
  His goal was: (1) To look natural, (2) To fill in his back scar, (3) To  lower his frontal hair line and  frame his face  so that he will stop wearing a hat all the time.


     Surgery 1 plan:


•   Remove the plugs (to minimize the scarring, we usually close the punch holes with a suture, nylon 5/0, for 3 to 4 days. In this case, we left it for only one day because we had to graft the area)
•   Lower FHL with hairs above the nape area, build back the temples pointes in harmony with the new hair line (otherwise the result may not look natural).
•   Increase density in frontal zone. This area was fibrotic and whitish because of previous work and had poor blood circulation (poking test, bled after 20 sec or plus).
•   Fill in scars in the back.
    Total graft number: 4025 grafts in 4 days.
    After 9 months
•   Yield was very good in the virgin area (temples pointes, FHL). You will notice a difference in hair strength and pigmentation between his FHL and temples pointes.  Indeed hairs for the FHL originated from lower donor area above the nape hairs.
•   The pluggy look was corrected.
•   Poor growth in the scarring area in frontal zone.
•   Good coverage of the scar in the back (not illustrated in our pictures).


 (http://imageshack.us/a/img547/7893/sx104.th.jpg) (http://imageshack.us/photo/my-images/547/sx104.jpg/)(http://imageshack.us/a/img195/1608/sx106.th.jpg) (http://imageshack.us/photo/my-images/195/sx106.jpg/)

(http://imageshack.us/a/img5/3889/sx107.th.jpg) (http://imageshack.us/photo/my-images/5/sx107.jpg/)(http://imageshack.us/a/img72/7818/sx109.th.jpg) (http://imageshack.us/photo/my-images/72/sx109.jpg/)

(http://imageshack.us/a/img641/4025/sx114.th.jpg) (http://imageshack.us/photo/my-images/641/sx114.jpg/)(http://imageshack.us/a/img29/9052/sx112.th.jpg) (http://imageshack.us/photo/my-images/29/sx112.jpg/)

(http://imageshack.us/a/img811/2770/sx115.th.jpg) (http://imageshack.us/photo/my-images/811/sx115.jpg/)
(http://imageshack.us/a/img194/9132/sx118.th.jpg) (http://imageshack.us/photo/my-images/194/sx118.jpg/)(http://imageshack.us/a/img32/7416/sx117.th.jpg) (http://imageshack.us/photo/my-images/32/sx117.jpg/)

(http://imageshack.us/a/img15/5719/sx119.th.jpg) (http://imageshack.us/photo/my-images/15/sx119.jpg/)
(http://imageshack.us/a/img834/7774/sx120.th.jpg) (http://imageshack.us/photo/my-images/834/sx120.jpg/)



  Surgery # 2Plan (9 months after surgery 1):
 
  -We decided with the patient to lower the density in the temples pointes
    by removing the grafts and relocating them in FHL and frontal zone .
  -We completed the FHL with grafts from regular donor area  for a total of 969 grafts .

  Results : Natural look with a low solid hair line  ,
                           in harmony with temples pointes density .

                           No pluggy look .

                           Good growth in frontal zone that was grafted at low density .

Next step : Reinforce some patchy area in the frontal zone to complete the work .

(http://imageshack.us/a/img109/7941/sx227.th.jpg) (http://imageshack.us/photo/my-images/109/sx227.jpg/)

(http://imageshack.us/a/img855/3863/sx231.th.jpg) (http://imageshack.us/photo/my-images/855/sx231.jpg/)


(http://imageshack.us/a/img707/8927/sx22.th.jpg) (http://imageshack.us/photo/my-images/707/sx22.jpg/)


(http://imageshack.us/a/img607/9276/sx23.th.jpg) (http://imageshack.us/photo/my-images/607/sx23.jpg/)

(http://imageshack.us/a/img38/7732/sx25.th.jpg) (http://imageshack.us/photo/my-images/38/sx25.jpg/)

(http://imageshack.us/a/img854/2309/sx210.th.jpg) (http://imageshack.us/photo/my-images/854/sx210.jpg/)



The patient just sent a last set of pictures that will be added to the post later on this week .

Repair case requires patience and sometimes more than one procedure in order to meet some kind of expectations if possible.