Regular Member Dr. Patrick Mwamba1530039577 Posted November 27, 2012 Regular Member Share Posted November 27, 2012 (edited) This patient came to us after 2 strip surgeries.He was disappointed because he had: -2 big scars in the donor area -poor coverage (light density) in the front -pluggy look in Frontal hair line. He was worse than before his hair transplant surgery. The first strip scar was above the nape area: unsafe zone for a strip because tissue elasticity is high in this zone. Also, most of the time, the scar will stretch back ending with wide scars like in this case. Scar can be as wide as 2 cm. The only possibility to treat it was to graft the scar. In this case we chose to use BHT because we needed scalp hairs for the recipient area on top. We didn't want to waste scalp hairs in the back where they wouldn’t make any cosmetic impact. The second scar, on the upper left side was in the safe zone. We decided to excise it to correct it and to get some extra grafts from it. At the same time, we harvest the right side with a strip. We were cautious not to take a big strip (we limited ourselves to harvest a 1.2mm wide strip). Because wide strip can increase the tension on the edges of our suture line and increase the probability of stretch back and make a wide scar in the end. With the small strip size we could not get the number of grafts we wanted to cover the top with a decent density. To reach the desired number of grafts, FIT patchy shaven was the perfect complementary technique. For final touch up, we removed some plugs in the frontal hair line for naturalness. Remember that plugs have a lot of hairs in them and can provide great coverage. One just needs to surround them with normal follicular units. That's why you don't have to remove all the plugs but only those in the frontal hair line. The following set of pictures illustrate our work: Edited November 28, 2012 by wiseone better picture presentation Link to comment Share on other sites More sharing options...
Senior Member Blake Bloxham Posted November 28, 2012 Senior Member Share Posted November 28, 2012 Nice restoration! "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. Link to comment Share on other sites More sharing options...
Senior Member HARIRI Posted November 28, 2012 Senior Member Share Posted November 28, 2012 Great presentation and results. Thats what I call a REAL REPAIR. :-) Plug removal + Strip scar revision - Dr. Ali Karadeniz (AEK)- May 23, 2015 Plug removal + 250 FUE temple points- Dr. Hakan Doganay (AHD)- July 3, 2013 Scar Tricopigmentation- Dr. Koray Erdogan (ASMED)- May 3, 2013 2500 FUT (Hairline Repair)- Dr. Rahal- July 26, 2011 My Hair Treatments: 1- Alpecin Double Effect Shampoo (Daily) 2- Regaine Solution Minoxidil 5% (2 ml once a day) 3- GNC Ultra NourishHair™ (Once a day) 4- GNC Herbal Plus Standardized Saw Palmetto (Once a day) My Rahal HT thread http://www.hairrestorationnetwork.com/eve/164456-2500-fut-dr-rahal-hairline-repair.html[/size] Link to comment Share on other sites More sharing options...
Senior Member TakingThePlunge Posted November 28, 2012 Senior Member Share Posted November 28, 2012 Beautiful repair work by Dr. Mwamba! Thank you for sharing this case. David - Former Forum Co-Moderator and Editorial Assistant I am not a medical professional. All opinions are my own and my advice should not constitute as medical advice. View my Hair Loss Website Link to comment Share on other sites More sharing options...
Senior Member GBU Posted November 29, 2012 Senior Member Share Posted November 29, 2012 Nice pictures . That's a great repair . Link to comment Share on other sites More sharing options...
Senior Member Blake Bloxham Posted November 30, 2012 Senior Member Share Posted November 30, 2012 Again, this is an awesome case! "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. Link to comment Share on other sites More sharing options...
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