Repair of former hair transplant(s)

FUE after 2 FUTs ex domo

FUE after 2 FUTs ex domo

FUE after 2 FUTs ex domo

FUE after 2 FUTs ex domo

"The treatment of patients who have been through prior treatment"

A hair transplant is a highly complex and demanding form of surgery. Unfortunately not all treatment is performed using state-of-the-art techniques and technology. Hair transplants are time-consuming operations requiring a lot of effort and work. This in turn entails a great amount of know-how, years of experience, and intuition. Also, hair transplantation results often do not meet up to a patient's expectations, or a patient is not fully satisfied with the results. For instance, visible scars can remain where donor hairs have been removed, or the hairline might not look natural. These are just two consequences patients may be confronted with.

Dr. Feriduni
"The reasons for a previous hair transplant needing to be corrected are mostly associated with the usage of out-of-date methods, the wrong advice and/or treatment or a lack of knowledge about the aesthetic and harmonious design of hairlines and how to achieve a natural look."
Reasons for correcting a previous hair transplant

The most common reasons why patients want to have a previous hair transplant corrected involve an unnatural appearance or too much scarring. Further reasons include: The hairline being too low or too high, making it look unnatural; The exit angle and the arrangement of the grafts having been chosen wrongly or badly; The appearance of the transplanted grafts, arranged in such a way that they look like cobblestones or a chess-board, heavily scarred tissue or a bristle-like appearance reminiscent of a cleaning brush.

Results of repair cases
Choosing the right hair surgeon
A hair surgeon needs to possess a wide range of characteristics and abilities. These include utmost care, the right professional qualifications and knowledge of all hair restoration surgery techniques and methods, along with the right sense of the principles of aesthetics and harmony. Correcting or repairing a hair transplant that has gone wrong is therefore a treatment placing extremely high demands on the physician. It is not just a case of correcting the bad results and consequences (for instance, scars or an unnatural appearance) of a previous transplant, but also of achieving a result looking completely natural. The team supporting the physician is also a crucial factor, for a hair surgeon's employees need not just to fully master the techniques used and have years of experience, but also need to be able to work for a period of 8 - 10 hours - the duration of a hair transplant - in full concentration and without making any mistakes. A well-established surgery team working flexibly as a team represents a key success factor for any hair transplant. Another factor is membership of an internationally recognized association such as IAHRS; Members of this association are always experts in the field of corrective hair transplantation. Dr. Feriduni has already successfully performed hundreds of corrective hair transplants in his clinic and therefore has the necessary experience and know-how. This is confirmed by the fact that some 20% of all our hair transplants involve correcting previous transplants.
Remedial options available to reconstructive hair surgery
With the hairline forming part of a face's frame, achieving a natural hairline is an art needing to be mastered by any good hair surgeon. An unnatural or unaesthetic hairline can be greatly improved by an expertly performed FU transplant. This will optimally design the hairline, taking into account natural hair density and achieving optimal harmony through expert fine-tuning. The possibilities open to corrective surgery are however not just dependent on the competence and know-how of the surgeon, but also on the availability of appropriate donor hair. The corrective methods used to repair an unnatural hairline include completely removing any disturbing grafts, removing individual undesired grafts or placing follicular units between the mini-grafts.
A hairline that is too low looks unnatural and unduly "wastes" donor hair. This is why grafts below the natural hairline are completely removed, restoring the hairline's natural look. The grafts removed can be recycled, extracting from them individual FUs and using these elsewhere. The complete removal of grafts can also be necessary when the grafts have resulted in undue scarring, when hair grows out of them in the wrong direction, or when their arrangement looks unnatural. In some cases it is possible to hide or correct such deficiencies by implanting individual follicular units, though in many cases the grafts need to be completely removed. Grafts implanted in the right direction and aesthetically arranged can still look unnatural from an overall perspective. Such a so-called ‘pluggy look’ can be alleviated by using FUE to remove individual follicular units from the affected area. In cases where larger areas are affected by unnatural-looking grafts and where more is involved than just removing individual hairs, the traditional punch technique can be used to remove the hair.
Correcting hair transplants performed using the strip or flap technique
The flap technique was developed as an alternative to the then usual punch graft technique. In the strip or flap technique, a strip of the scalp is removed and transplanted to the bald patch on the head. Negative results of a hair transplant performed using the strip or flap technique are visible scars, unaesthetic or unnatural hairlines, or unnaturally high hair density. Another consequence is that the transplanted hair often grows in the wrong direction, other than desired. Though not immediately, the flap technique often leads over time to an unnatural appearance, as the hairs belonging to the transplanted strip often greatly contrast with the surrounding hair which falls out due to natural ageing. This in turn leads to baldness appearing behind the transplanted strips, making the scalp look very unnatural. Correcting hair transplants performed using the flap technique is a difficult process generally requiring a combination of different corrective methods to achieve an aesthetically pleasing result. These include follicular unit transplantation (FUT) and follicular unit extraction (FUE), as well as various strip and scalp reduction techniques: Unaesthetic scars can often be corrected by scar correction, possible in conjunction with a micro-surgical hair transplant. To achieve a natural hairline, the flap is partially removed, possibly with follicles being extracted and used elsewhere. In cases where the hairline looks unnatural, the artificial look can be somewhat alleviated through an FUE operation. Bald patches on the scalp can be removed to create an aesthetic appearance. Another way of achieving a more natural and harmonious appearance is to make changes to the transplanted strip. This can only be done to a certain extent. When sufficient donor hair is available, the hairline and hair density can be corrected via a simple FUT.

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