Question:
Reparative procedure on a patient from japan. hae prior “plug” grafts
Answer:
I have had 5 prior hair transplants of 20-300 grafts/session and I have uneven density and a very poor hairline. I hope to fill in the density and have a better hairline. Attached are two photos. My main hope is (i) a bit more natural hairline; (ii) filling in the uneven parts behind the hairline; and (iii) a bit more density over the top as I have lost more hair with age. My scars are not so bad in the back but over my left ear a strip graft was taken and seems to have stretched a little bit.
My main concern with a new procedure is losing what hair I do have as a result of surgery. In my past experience with XXXXX, when they used the punch graft method there was a lot of collateral hair loss, but with the recent use of a scalpel blade to make an insertion to put in the new hair, I did not have collateral hair loss that I recall.
If possible I would also like to discuss repair of my donor sites. I live in Japan now but may visit Florida around the end of the year. Thank you.
I see a lot of potential for significantly improving the appearance- a more natural hairline, increasing the density of the frontal and midscalp region. There should be little if any shock hair loss, due to the techniques we use- which involve making incisions 0.6 to 0.9 mm in size that minimize trauma to existing hairs.
Posted by Jeffrey S. Epstein, MD, FACS
