What Causes A Poor Hair Transplant End Result And Methods Of Prevention & Correction
With increased knowledge, expertise, improved technique, aesthetic awareness, and the dissemination of information by means of the meetings, literature, and the inclusion of hair transplant procedure in training programs, the overall quality of hair transplant surgery has vastly elevated in recent years. Outcomes considered good years ago won't prove acceptable by at present's standards. Still, because of the increased number of procedures being performed and the elevated number of Surgeons performing them, poor outcomes proceed to be a problem. This article outlines a number of the causes of poor outcomes and discusses the varied methods of prevention and correction.
Poor Outcomes because of Affected person Choice
Surgical procedure Performed on Type I, II, or III
The usual problem is that grafts have been improperly placed in frontal recessions.
1. The best and usually one of the best answer in these cases is just to remove the grafts and hope the remaining scars will be inconspicuous; if not, the patient can cover them with styling.
2. Generally, if it seems that the removal of the grafts would cause too much scar or if the design is settle forable enough, minor design adjustments and filling in will create an acceptable result.
3. If the patient is younger and it seems that he will probably progress to a more extreme sample, then redesigning and filling in should be considered. More grafts can be added, and some might need to be removed on the hairline. The standard factors in accepting or rejecting a affected person should apply in these cases, e.g. eventual sample, density of donor hair, quantity of hair progress in existing grafts, hair color, and caliber.
Surgical procedure performed on Type VII
These patients may have grafts anywhere. There has normally been an try at making a hairline. It will usually be apparent whether additional grafts will assist or if the grafts must be removed. There are three possible options to this problem.
1. If the grafts are reasonable, but 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 need to just be removed with the hope that the ensuing scars will be less obvious.
3. If the grafts contain satisfactory hair, are well positioned, and there is donor hair remaining, it is feasible in some Type VIIs to add grafts and get an settle forable result.
Another possibility, if the patient is able to comb throughout, is to add grafts at the crown. The added grafts give the swept across 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 often call for a particular coiffure, and the affected person should be consulted and agree with the anticipated hairstyle previous 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 gap from one side to the other, making styling easier, particularly in conjunction with additional grafts in essential areas.
A Poor Density
There is little that may be achieved for patients with poor density. They get so few hairs per graft that even with the best approach and careful design the result's often not very good. The ultimate resolution, as as to whether to add more grafts or remove the existing grafts, relies on 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 commonest causes of affected person dissatisfaction. There are, in fact, any number of possible 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, every effort needs to be made to save as many grafts as potential and use additional grafts the place they're needed. A number of the grafts that must be removed will be transplanted to other areas. Usually, not all of the hair survives, but most of it will. Grafts with only a number of hairs should probably just be discarded.
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Poor Outcomes because of Affected person Choice
Surgical procedure Performed on Type I, II, or III
The usual problem is that grafts have been improperly placed in frontal recessions.
1. The best and usually one of the best answer in these cases is just to remove the grafts and hope the remaining scars will be inconspicuous; if not, the patient can cover them with styling.
2. Generally, if it seems that the removal of the grafts would cause too much scar or if the design is settle forable enough, minor design adjustments and filling in will create an acceptable result.
3. If the patient is younger and it seems that he will probably progress to a more extreme sample, then redesigning and filling in should be considered. More grafts can be added, and some might need to be removed on the hairline. The standard factors in accepting or rejecting a affected person should apply in these cases, e.g. eventual sample, density of donor hair, quantity of hair progress in existing grafts, hair color, and caliber.
Surgical procedure performed on Type VII
These patients may have grafts anywhere. There has normally been an try at making a hairline. It will usually be apparent whether additional grafts will assist or if the grafts must be removed. There are three possible options to this problem.
1. If the grafts are reasonable, but 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 need to just be removed with the hope that the ensuing scars will be less obvious.
3. If the grafts contain satisfactory hair, are well positioned, and there is donor hair remaining, it is feasible in some Type VIIs to add grafts and get an settle forable result.
Another possibility, if the patient is able to comb throughout, is to add grafts at the crown. The added grafts give the swept across 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 often call for a particular coiffure, and the affected person should be consulted and agree with the anticipated hairstyle previous 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 gap from one side to the other, making styling easier, particularly in conjunction with additional grafts in essential areas.
A Poor Density
There is little that may be achieved for patients with poor density. They get so few hairs per graft that even with the best approach and careful design the result's often not very good. The ultimate resolution, as as to whether to add more grafts or remove the existing grafts, relies on 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 commonest causes of affected person dissatisfaction. There are, in fact, any number of possible 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, every effort needs to be made to save as many grafts as potential and use additional grafts the place they're needed. A number of the grafts that must be removed will be transplanted to other areas. Usually, not all of the hair survives, but most of it will. Grafts with only a number of hairs should probably just be discarded.
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