What Causes A Poor Hair Transplant End Result And Strategies Of Prevention & Correction
With increased knowledge, experience, improved technique, aesthetic awareness, and the dissemination of information by way of the conferences, literature, and the inclusion of hair transplant procedure in training programs, the general quality of hair transplant surgical procedure has vastly elevated in recent years. Outcomes considered good years ago won't prove settle forable by as we speak's standards. Still, because of the increased number of procedures being performed and the increased number of Surgeons performing them, poor outcomes continue to be a problem. This article outlines among the causes of poor outcomes and discusses the assorted methods of prevention and correction.
Poor Results because of Patient Selection
Surgical procedure Performed on Type I, II, or III
The usual problem is that grafts have been improperly placed in frontal recessions.
1. The only and often the most effective answer in these cases is just to remove the grafts and hope the remaining scars will be inconspicuous; if not, the affected person can cover them with styling.
2. Sometimes, if it seems that the removal of the grafts would cause an excessive amount of scar or if the design is acceptable sufficient, minor design modifications and filling in will create an settle forable result.
3. If the affected person is young and it seems that he will probably progress to a more extreme sample, then redesigning and filling in ought to be considered. More grafts could be added, and some could should be removed at the hairline. The same old factors in accepting or rejecting a patient ought to apply in these cases, e.g. eventual pattern, density of donor hair, quantity of hair progress in current grafts, hair coloration, and caliber.
Surgical procedure performed on Type VII
These patients may have grafts anywhere. There has normally been an try at creating a hairline. It will often be obvious whether or not additional grafts will help or if the grafts ought to be removed. There are three potential options to this problem.
1. If the grafts are reasonable, however donor area is exhausted, advise the patient that additional surgery would just be creating more beauty problems.
2. If the grafts are very unattractive, they should just be removed with the hope that the ensuing scars will be less obvious.
3. If the grafts comprise satisfactory hair, are well located, and there is donor hair remaining, it is feasible in some Type VIIs to add grafts and get an acceptable result.
One other possibility, if the patient is able to comb across, is to add grafts at the crown. The added grafts give the swept throughout hair something to connect to and keep it from lying flat on the bald skin, thus making styling simpler and improving the illusion of thicker, more dense hair.
These plans normally call for a specific coiffure, and the patient should be consulted and agree with the anticipated hairstyle prior to starting corrective surgery. If the patient is able to comb across with some success and the scalp is lax, scalp reduction will reduce the distance from one side to the opposite, making styling simpler, particularly in conjunction with additional grafts in essential areas.
A Poor Density
There's little that may be carried out for patients with poor density. They get so few hairs per graft that even with the most effective approach and careful design the result's usually not very good. The ultimate answer, as as to if to add more grafts or remove the prevailing grafts, is determined by how unattractive the grafts are and how conspicuous the scars will be if removed.
Mistakes in Planning & Design
Improper Hairline Placement
Improper hairline placement is likely one of the most typical causes of affected person dissatisfaction. There are, after all, any number of doable improper designs, e.g. Hairline too flat, hairline too far back, hairline too far forward, and hairline coming down too far on the temples. If reconstruction seems conceivable, each effort must be made to save as many grafts as attainable and use additional grafts where they are needed. A number of the grafts that must be removed will be transplanted to different areas. Normally, not all of the hair survives, however most of it will. Grafts with only a couple of hairs should probably just be discarded.
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Poor Results because of Patient Selection
Surgical procedure Performed on Type I, II, or III
The usual problem is that grafts have been improperly placed in frontal recessions.
1. The only and often the most effective answer in these cases is just to remove the grafts and hope the remaining scars will be inconspicuous; if not, the affected person can cover them with styling.
2. Sometimes, if it seems that the removal of the grafts would cause an excessive amount of scar or if the design is acceptable sufficient, minor design modifications and filling in will create an settle forable result.
3. If the affected person is young and it seems that he will probably progress to a more extreme sample, then redesigning and filling in ought to be considered. More grafts could be added, and some could should be removed at the hairline. The same old factors in accepting or rejecting a patient ought to apply in these cases, e.g. eventual pattern, density of donor hair, quantity of hair progress in current grafts, hair coloration, and caliber.
Surgical procedure performed on Type VII
These patients may have grafts anywhere. There has normally been an try at creating a hairline. It will often be obvious whether or not additional grafts will help or if the grafts ought to be removed. There are three potential options to this problem.
1. If the grafts are reasonable, however donor area is exhausted, advise the patient that additional surgery would just be creating more beauty problems.
2. If the grafts are very unattractive, they should just be removed with the hope that the ensuing scars will be less obvious.
3. If the grafts comprise satisfactory hair, are well located, and there is donor hair remaining, it is feasible in some Type VIIs to add grafts and get an acceptable result.
One other possibility, if the patient is able to comb across, is to add grafts at the crown. The added grafts give the swept throughout hair something to connect to and keep it from lying flat on the bald skin, thus making styling simpler and improving the illusion of thicker, more dense hair.
These plans normally call for a specific coiffure, and the patient should be consulted and agree with the anticipated hairstyle prior to starting corrective surgery. If the patient is able to comb across with some success and the scalp is lax, scalp reduction will reduce the distance from one side to the opposite, making styling simpler, particularly in conjunction with additional grafts in essential areas.
A Poor Density
There's little that may be carried out for patients with poor density. They get so few hairs per graft that even with the most effective approach and careful design the result's usually not very good. The ultimate answer, as as to if to add more grafts or remove the prevailing grafts, is determined by how unattractive the grafts are and how conspicuous the scars will be if removed.
Mistakes in Planning & Design
Improper Hairline Placement
Improper hairline placement is likely one of the most typical causes of affected person dissatisfaction. There are, after all, any number of doable improper designs, e.g. Hairline too flat, hairline too far back, hairline too far forward, and hairline coming down too far on the temples. If reconstruction seems conceivable, each effort must be made to save as many grafts as attainable and use additional grafts where they are needed. A number of the grafts that must be removed will be transplanted to different areas. Normally, not all of the hair survives, however most of it will. Grafts with only a couple of hairs should probably just be discarded.
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