At the Seager Hair Transplant Centre, we frequently perform hair transplantation for patients who had already had hair transplantation elsewhere.
Some of their more frequent concerns are that the transplanted hair looks too sparse and/or too conspicuous (“pluggy”.) Sometimes hair has been transplanted into areas that would have been better not to be transplanted. Often there are donor scars and donor hair limitations to contend with.
Performing hair transplantation for patients who have had previous hair transplantation elsewhere can be the most challenging but can also be the most rewarding work in the field of hair transplantation.
Of course, an individual plan must be devised for each patient but there are some general considerations.
If someone has had micro graft or mini graft hair transplantation that is mostly just too sparse we can improve it beautifully by performing follicular unit hair transplantation into the same area.
In almost every corrective hair transplant, follicular unit micro grafts will be placed to surround and fill in between and camouflage older, larger grafts. We can thus increase the hair density in the transplanted area and make it look more natural at the same time. In the case of previous frontal work, where the previously transplanted hairline was fairly high, we can just create a new all follicular unit no-line hairline below the old grafts and can fill in the remaining area.
Sometimes there are larger, conspicuous old grafts close to the hairline and the hairline is already too low or low enough that it should not be lowered further. In these cases, camouflage alone may not be enough. Older grafts can be removed or reduced surgically and, with microscopic dissection, the hair that is removed can be recycled into follicular unit grafts. This can often be done on the same day as hair transplantation but occasionally it is better done as a two-step procedure. That is the old grafts would be removed or reduced and the recycled hair transplanted in one session then the main session of hair transplantation would be performed later, after the area had healed.
Occasionally, electrolysis i.e. destruction of some of the hairs within larger micro grafts or mini grafts in conspicuous area can lead to a better result than removing and recycling the hair. This is only an option when the underlying skin is smooth and of normal colour.
The first goal of corrective work is to provide as natural a result as possible. The second is to provide as much density and coverage as is reasonable and the third goal is to preserve or restore the donor area as much as possible.BACK