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This is an interesting case for me. I met Dr Sever in London on Friday and he wants to do something very similar to my hairline. I don't have pluggy grafts like you did, but my hairline is a little too linear for Dr Sever's liking and he wants to do some strategic punchouts to create more irregularity and soft breakup, as well as 1,500-ish grafts into the midscalp and old forelock area to bolster and connect everything from front to back. Would be great to see some more close ups of the hairline when you can!

Hey Keith, You need to tread very carefully and slowly here and not rush into surgery. Your donor does look compromised, so needs to be handled with care. But the key thing here is the approach to the repair of the front. You could simple add a load more grafts to cover up the pluggy hairline and try to mask the sticky-up angles, whilst also improving density. Problem here is, you're going to be using more grafts than you might ideally want to. You haven't provided any pre-op photos or immediate post-op photos so it's hard to know for sure, but did they lower the hairline? It looks as though they did, and maybe a bit too low. Another repair option you have is to have the hairline removed via FUE over two sessions, and then rebuilt more naturally, softly and more appropriately on a third session. This way the previously implanted 'bad' grafts can be reused further back. This obviously comes with the hassle of a multi-step approach, and tends to cost more, but it may help preserve the donor and will improve the hairline without having to throw too many more grafts into the mix.

Will the punched out grafts be put back into the donor?

As others have pointed out, something is amiss here. You had what looked like a pretty good result after 8 months from your surgery with Medispa, then it seemed to regress rapidly, which is quite curious. You've now had another surgery from a different clinic and with similar outcomes to what happened with your first surgery. A scalp biopsy to try and determine whether there's a previously undetected underlying issue would be a worthwhile investment before any further surgeries.

Hi, might be a long post so thank you inadvance for reading.  I recently had a hair transplant 16 months ago and currently unhappy with the density and how it looks in the front hairline.  Im considering a 2nd hair transplant with 'dr. Michalis georgiou' and was wondering if you know off him, and whether hes a good option in being cautious dealing with the donor? My previous surgery at (sule hair) in turkey has unfortunately left me with pretty bad scarring at the donor area with patchy overharvasted areas. This means its a big challenge for anyone in the future. Dr. Michalis georgiou has mentioned, balanced use of grafts now will make a fade out effect for a more homogeneous look. The idea is that we shall take from the more dense areas. Just not sure if thats actually possible? Opinions on this whole thing would be much appreciated.  Im also trying to be cautious as i might need further hair transplants in the future as the hair begins to thin as i age. So im wondering is there enough for the repair and for further hairloss if it continues down the road Fyi; Im 27 years old, been using minoxidil liquid and finasteride daily.  I have included photos and videos to hopefully paint a better picture of my situation. Thank you for reading.    Best regards,  Keith    20240420_172531_2.mp4 20240423_043235.mp4