Very poor coverage plus very average looking hairline post his first surgery by Dr XYZ.
We have three challenges:
- poor recipient site, as grafts were implanted with lot of scars in first surgery: we could overcome by using high quality slit maker, sapphire blade which has minimal tissue damage, less scars and fast healing
- we had poor donor area: we did use beard grafts to cover the entire scalp
- very poor hairline: we had to extract lot of grafts from the hairline and we could also manage to save those grafts, we implanted those grafts back to area where it is needed the most
Result is at 6 months, final result is expected around 12-14 months
This gentleman had done two surgeries in the past. It’s understandable that after two surgeries, his back of the head (occipital) donor area was exhausted.
In order to achieve good looking result, we have to search for another donor area; beard is second best area and generally that’s sufficient to give coverage on top of the head.
We generally use beard grafts in mid scalp and crown area because it’s thick and adds volume, it should not be used for hairline creation or and temple area as natural look is distorted.
This case is very difficult as you can see that hairline was also looking so artificial so we have to remove some grafts from the hairline as well and those coarse looking grafts were placed in mid scalp area.
Result is after 6 months.
We expect to get even fuller coverage around 12-14 months post surgery.
Technique: sapphire FUE