Dr. Cam Simmons – 1 Session Repair of Scalp Reduction, Hairline Flap, & Punch Grafts

[Cam Simmons MD ABHRS]

In 1996 this patient underwent a “lazy S” scalp reduction and punch grafts to his right hairline at another centre. Although he can’t recall having had flap surgery, it looked like he also had a flap rotation in his right hairline, perhaps as part of the scalp reduction. He went on to lose the hair on the left side and had no choice but to part his hair from right to left. Some of the transplanted hair was directed strongly to the right, however, so his hair was still difficult to style.

 

He had obvious misdirected punch grafts on the right side of his scalp and an area of scarring behind his right hairline that looked like it was caused by tip necrosis from flap surgery. He had punch graft scars that were hidden but higher than ideal in the back. They were at an appropriate level on the sides. He had good donor density where he was not scarred in the back but his scalp was tight. He had finer than average, blond, straight donor hair.

 

After discussing all of his options, we performed fifty 1mm FUE and 2 mm extractions to “thin out” the previous plugs and reuse the hair. At the same time we were able to transplant 2768 FUGs in his frontal area. His grafts were placed with usual density on the left, but reduced density on the right because of the compromised circulation by the scarring. His donor strip went through the punch graft scars on the sides and at the usual level in the back (well below the punch graft scars.) A 2-layer closure was done and it was trichophytic in the new area in back.

 

These photos were taken 7.5 months post-op. He is very happy with the improvement and that it is much easier to style his hair.

 

He continues to take Propecia and Minoxidil and he has donor hair available to transplant his midscalp later.

[aaron1234]

Great work once again Dr. Simmons. HUGE difference! What an interesting case this patient brought to the table.

[Superfinehair]

I've always been impressed by your work Dr. Simmons! How do you achieve such density on a patient with fine hair and with such a low graft count?

 

This result is amazing honestly, I have the exact same type of hair as this patient so this is really encouraging to see.

[aseda1979]

It is a great improvement, nice work doc, this is a life changing transformation

[RCWest]

Dr. Simmons always does more with less, and this case highlights that. Another amazing result and I can't wait to see what another pass would do!

[Blake Bloxham]

Dr. Simmons,

 

Thank you for sharing this case! Truly an amazing transformation. I can't even begin to imagine how pleased this gentleman must be with the excellent results. Nicely done.

[Mick from Farjo]

Dr Simmons,

 

This is a great turn around for your patient.

 

Mick

[Cam Simmons MD ABHRS]

Thanks everyone.

[Cam Simmons MD ABHRS]

This gentleman's hair has continued to fill in. He is quite happy with his hair when parted on the left. We knew that the right hairline would not look as full or natural as the left side because we had to reduce the transplanted density on the left because of the extensive scarring. He is content that reducing the old punch grafts and filling the hairline in a little makes his right hairline much better if the wind should blow his hair from right to left. He may see a little improvement in the scarred area over the next 6 months because there can be some delayed growth when transplanting into scar tissue.

 

He is content now but does have more hair available to strengthen his left part and transplant further back.