Hair Transplant Repair
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Outcome from a poorly executed hair transplant, old plug-procedures, scalp reductions and flaps can be remedied through recent advancements in hair transplant procedures. These procedures have made it possible to improve cosmetic appearance of those who have undergone discouraging or the worst hair restoration surgery.

Hair transplant repair procedures consist of several techniques. These include the camouflage, graft excision, combined repair, fixing scars, and working with a depleted donor supply.

  • Camouflage

The camouflage is the most basic of the hair transplant repair techniques, where follicular units, or micrografts cover up the unsightly grafts, making it appear more natural looking. In cases where centrally located grafts to be camouflaged are not too large, this procedure can be used as a stand-alone.

This hair transplant repair technique may be also used in conjunction with other surgical repair methods such as graft excision. This is best performed as a final step after graft problems have been eliminated and the hair from those grafts redistributed.

  • Graft excision

This hair transplantation repair technique involves making large grafts smaller or complete removal of the said grafts. The former is done by excising only a portion of the grafts. In the meantime, complete removal is generally required when large grafts have been placed in the wrong location or grown hair in the wrong direction. Once either these procedures are done, the grafts will be transplanted back onto the scalp in a more natural distribution.

Suturing closed holes left after the grants have been removed is a critical aspect of this procedure. This brings the normal skin on either side of the excision together and reduces the scarring significantly.

  • Combined repair

In some restoration centers, the combined repair technique is the most frequently performed hair transplant repair method. This combination of the removal of large grafts or plugs and the re-implantation of the hair dissected from the grafts; and the camouflage procedures is customized for each patient's specific situation. The combined repair method is applied to those large grafts located near the frontal hairline.

  • Fixing scars, and working with a depleted donor supply

This hair transplantation technique eliminates scars caused by patient's poor healing, the plug transplanted, or by the elevation or depression of grafts, or the stretched or thickened donor scar. Through this technique, recipient sites are kept very small - less than 1.2 mm so as not to leave any visible mark. In the donor area, the scarring is minimized by meticulous closures. This is where wound edges are perfectly approximated and are under little or no tension.

There are several methods applied when significant scarring does result. They are scar revision, camouflage, cortisone injections, and dermal filters and laser treatments. Scar revision is the process of excising or changing the direction of a scar. In this case, camouflage is a technique where hair is transplanted directly into the scar. Cortisone injections flatten the thicken scars. Dermal filters raise depressed scars and are smoothened with later treatments, such as dermabrasion.

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