Remarkable Cosmetic Correction of Old Big Punch Grafts with Traction Alopecia

[Dr. Damkerng Pathomvanich]

A 46 years Asian male presented to DHT Clinic, Bangkok with the concerns of unnatural big punch plug hair transplant done 13 years back from another surgeon in his country. He also has traction alopecia over both fronto-temporal regions from wearing the traditional turban. Patient has Grade B, wavy black hair with brown oily skin, average scalp laxity. Total area of recipient site measured was 70 cm2. The patient requested for small session because of budget problem and not to remove the existing big punches for the corrective surgery.

Two hair transplant sessions were performed at an interval of one and half years. A total of 3341 Follicular unit grafts bearing 6993 hair was transplanted. The details are 1 hair FU: 542, 2 hair FU: 1408, 3 hair FU: 1491grafts.

The postoperative snaps were recorded and shows significantly improvement with natural coverage of the frontotemporal regions and complete camouflage and softening of big punch plugs with the dense microfollicular unit grafting done in the hair transplant sessions.

One year after, the third session was also performed with another 1488 FU grafts bearing 2771 hairs but we didn’t have record as the patient fail to follow for evaluation.

A total of 4829 Follicular unit grafts bearing 8763 hair was transplanted in three sessions. The details are 1 hair FU: 835, 2 hair FU: 2520, 3 hair FU: 1576 grafts.

 

Photographs: Preoperative photographs and IInd Session Postoperative snaps

 

Front View:

[Dr. Damkerng Pathomvanich]

Photographs:

Preoperative photographs and IInd Session Postoperative snaps

[Dr. Damkerng Pathomvanich]

Photographs:

Preoperative photographs and IInd Session Postoperative snaps

[Dr. Damkerng Pathomvanich]

IInd Session Postoperative snaps in various views

[TakingThePlunge]

Dr. Pathomvanich,

 

Thank you for sharing this patient's results. This patient must be nothing short of thrilled with the cosmetic improvement.

 

All the best,

[wb280]

Great repair results!!!!!! It looks much more natural now!!!

[omy]

Dr. Pathomvanich this is an excellent repair result . The hairline looks soft while still hiding the big plugs .

Good job in not creating a thick wall of hair but instead giving a natural looking transition . This patient has to be thrilled .

[mattj]

Looks very good. It's hard to see the plugs now. I imagine the result is even better now after the third session.

[aaron1234]

Looks great. Those once harsh looking plugs are now density enhancers behind that remarkable hairline. It's a great example of turning a bad situation into a good one.