Senior Member azn_guy Posted October 14, 2010 Senior Member Share Posted October 14, 2010 Some of you might know that my donor strip scar didn't go as planned and I'm getting a scar revision simply because my HT surgeon is unhappy with the results. I've been thinking and now considering getting additional grafts placed in the recipient area. The reason I'm thinking this is because I'm already going in for a scar revision, I might as well get some grafts transplanted right? What would you guys do if you were me? HT with Dr. Cooley Link to comment Share on other sites More sharing options...
Senior Member haircut Posted October 14, 2010 Senior Member Share Posted October 14, 2010 Given that Dr. Cooley did your HT, I would trust whatever he has to in this regard. Link to comment Share on other sites More sharing options...
Regular Member Baldtom Posted October 14, 2010 Regular Member Share Posted October 14, 2010 Do you have any pictures before and after the surgery ? I am considering getting a strip transplant with Dr Cooley... Any feedback you have would be appreciated. Link to comment Share on other sites More sharing options...
Senior Member azn_guy Posted October 14, 2010 Author Senior Member Share Posted October 14, 2010 I just sent Dr Cooley an email to see if he would advise to do it or not. We had a consultation and I never really brought it up because the 1st HT was adequate. Baldtom, Check out my profile, I've been documenting my results for the past 8 months Regardless of what the HT surgeon says, does anyone think it would be a bad idea to press forward with this? Again, I'm thinking of "time spent" on this because I'm basically getting another HT if you know what I mean. HT with Dr. Cooley Link to comment Share on other sites More sharing options...
Dr. Glenn Charles Posted October 14, 2010 Share Posted October 14, 2010 It really depend on how wide the scar is and how tight the scalp is in the surrounding area. Have you been doing scalp stretching exercises? Maybe the donor strip could be made a little longer than the original to obtain some additional grafts for the next procedure. Is the next procedure going to have a two layer donor closure used to try and reduce the amount of tension at the wound margins? Dr. Glenn Charles is a member of the Coalition of Independent Hair Restoration Physicians Link to comment Share on other sites More sharing options...
Senior Member azn_guy Posted October 14, 2010 Author Senior Member Share Posted October 14, 2010 The width of the scar is about 4mm and in terms of laxity, my scalp is quite loose. I have not been doing scalp exercises because Dr. Cooley mentioned not to do anything until November since I'm 8 months post op. He actually only recommends a slight massage and to NOT do scalp exercises. In terms of length, the strip scar is 31cm long, so I don't think going any longer will happen, but I do expect if I were to get additional grafts, it would be based on how width, not length.... In my case, the donor stretch was not due to my laxity, I have really really good laxity right now.. (very odd scenario) HT with Dr. Cooley Link to comment Share on other sites More sharing options...
Senior Member Megatron Posted October 14, 2010 Senior Member Share Posted October 14, 2010 I guess it depends on when the scar revision is happening vs if you feel you need extra density at that time. I wonder if it's too early to judge right now. I also wonder how many grafts it would take to make a cosmetic difference. You'll also need to keep in mind how many more grafts you'll need down the road for your crown and/or midscalp and/or receeding side. Tough call that I think you'll probably have to trust heavily in the advice of your doc. My Hair Loss Website - Hair Transplant with Dr. Simmons Link to comment Share on other sites More sharing options...
Regular Member Dr. William Lindsey Posted October 15, 2010 Regular Member Share Posted October 15, 2010 I agree with Dr. Charles. It all depends on the width of your scar. Beware of the enemy of good is perfection. Meaning, if you have a good hair transplant, just improve the scar.... If you try to get more hair and improve the scar, you may do neither one perfectly. I've posted contradictory threads on this specific issue. One is something like "the double edged sword" encouraging just fixing the scar.... And at the same time we've done several guys who had hair greed and wanted more hair more than getting the "perfect" scar. I'm up for either, as long as the patient knows the issues and understands the ramifications. Dr. Lindsey McLean VA William H. Lindsey, MD, FACS McLean, VA Dr. William Lindsey is a member of the Coalition of Independent Hair Restoration Physicians Link to comment Share on other sites More sharing options...
Senior Member azn_guy Posted October 16, 2010 Author Senior Member Share Posted October 16, 2010 Thanks for the feedback. I spoke with Dr. Cooley and considering the level of my hairloss and the amount of grafts I already had about a year ago, he only wants to fix the scar. He did mention that a few grafts will be removed in the process and they will be transplanted accordingly I'm glad that the HT Surgeon's on this site give a unbiased opinion, while there are a lot of scam artist that would have easily recommended I get more grafts. Kudos to many of you Dr's out there HT with Dr. Cooley Link to comment Share on other sites More sharing options...
Senior Member RCWest Posted October 16, 2010 Senior Member Share Posted October 16, 2010 Dr. Cooley seems to be "all in the patients best interests", so I'm sure whatever call he makes is the right one I wonder how many grafts the revision will have? Finasteride 1.25 mg. daily Avodart 0.5 mg. daily Spironolactone 50 mg twice daily 5 mg. oral Minoxidil twice daily Biotin 1000 mcg daily Multi Vitamin daily Damn, with all the stuff you put in your hair are you like a negative NW1? Link to comment Share on other sites More sharing options...
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