hello all .

What is the best procedure to remove an initialy poorly placed/grafted hairline .

Brown scar or punching out grafts one per one ???

ciao
conan

Any way to see pictures of what a procedure like this looks like after a week? Also, why does he need more punched out of the hairline? It looks good after this procedure.

Conan,

Punching out the poorly transplanted grafts will likely be your best option. However, I would say get examined by an experienced ht physician who has a good track record for repairing poor work evaluate you in person so they can determine what's the best option for YOU.

Bigbill,

This patient is from out of state and he has not sent any pics after his procedure. In regards to your next question, even with a punch out session, not all hairs at the hairline can be punched out in one session. Plus, some of the punched out grafts may not have all come out - for example, when punching out a two hair follicle, one follicle may have remained under the skin. The depth in which some of the grafts are planted vary, along with odd direction of the grafts so it's difficult to predict the angle and depth for punch outs. The second punch out session will not be as extensive as the first. We also do not want to over due the punch out session to see how the patient's skin heals.

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Dr. Ron Shapiro and Dr. Paul Shapiro are members of the Coalition of Independent Hair Restoration Physicians.

I say we get some hi-res pictures of Janna while we are at it!

Kudos to SMG for taking on such a difficult case and posting these photos-good job!!

How long do the little punch out dots stay noticable usually?

Hi Bill...it really depends on the person...the holes look a little larger because the tissue is expanded a bit to ease the extraction process.

As the expansion solution drains the holes close up on their own and form a small scab...generally just like a HT the scabs are gone fairly quickly and may leave a red/pink dot for several days or be unnoticeable right away.

Getting a light tan prior to getting a HT is a good idea, as those with fair skin tend to take a bit longer to shed the effects of having surgery.

Take Care,
Jason

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6721 transplanted grafts
13,906 hairs
Performed by Dr. Ron Shapiro

Dr. Ron Shapiro and Dr. Paul Shapiro are members of the Coalition of Independent Hair Restoration Physicians.

It would be interesting to know how grafts take to being traumatised for a second time.

Do you have any problems with poor growth when grafts are recycled in this way?

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Dr. Rahal is a member of the Coalition of Independent Hair Restoration Physicians

Hi Matt...generally not really. There will always be some slight loss by virtue of doing a HT...regardless of methods...but Dr. Ron has been punching out old work and recycling grafts as a repair approach for many, many years. Once the hair grows it is just as if it never had been moved.

I think the only real issue is re-placing into areas that have been punched out due to some decrease in vascularity/scar tissue that can occur as a result of a poor previous surgery.

But that is a story for another day!

Take Care,
Jason

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Go Cubs!

6721 transplanted grafts
13,906 hairs
Performed by Dr. Ron Shapiro

Dr. Ron Shapiro and Dr. Paul Shapiro are members of the Coalition of Independent Hair Restoration Physicians.