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Repair of Old Donor Scarring


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  • Senior Member

This 63 year old patient had plug grafts done over 30 years ago. Many session were done with grafts taken throughout the "safe" donor zone and some above it. With age, baldness came down to uncover the scars above the "safe" zone. This patient wished correction to avoid use of a hair piece.

 

He was treated by placing 1600 follicular unit grafts, into acutely angulated recipient sites, created within and above his fringe. The grafts were harvested from the temporal and parietal area's of both sides.

 

The first five pictures show the pre-operative situation. The next two pictures show the zone to be grafted, the next followed by two views of the prepared recipient sites, and one view of the sites filled with 1600 grafts.

 

The next to last view shows the grafts at 2 weeks, and the last few show comparative images.

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  • Senior Member

Dr. Kabaker, you present the most interesting cases. It is a shame this patient didn't even have any success from the plugs 30 years ago. I also believe this is the first time I've witnessed someone having hair put back into that area. Your work is TOP NOTCH! You are definitely among the best of them.

Edited by RCWest

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? :D

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  • Senior Member

Dr. Kabaker,

 

Thank you for sharing this very interesting case! Like RC said, I don't think I've ever seen a transplant procedure quite like this, but the work looks very refined and natural. Nicely done!

"Doc" Blake Bloxham - formerly "Future_HT_Doc"

 

Forum Co-Moderator and Editorial Assistant for the Hair Transplant Network, the Hair Loss Learning Center, the Hair Loss Q&A Blog, and the Hair Restoration Forum

 

All opinions are my own and my advice does not constitute as medical advice. All medical questions and concerns should be addressed by a personal physician.

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  • Senior Member

Blake, it does look natural but ultimately its not a hairline so hope u understand i am not damping anyone's spirit here but to make a round circumference like that... it just does not bode well with me but hey, maybe thats the whole objective of the patient

 

As long as he is happy, thats the most important

 

However, from a HT standpoint, the correction work was meticulously done :)

View my hair loss website. Surgery done by Doc Pathomvanich from Bangkok http://www.hairtransplantnetwork.com/blog/home-page.asp?WebID=1730

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