Removing multi grafts

[Tracer3000]

Hello guys,

4 months after the procedure in turkey I noticed on one side of the hairline several multi hair grafts in the beginning row of the hairline. There are definetly no single hairs underneath them.

Can you extract these grafts and replace them with singles?

What is to be expected for this correction?

Regards

Falco

[Rahal Hair Transplant]

@Tracer3000,

Before answering your question, I do want to suggest strongly that you wait until maturation before drawing any conclusions and making any decisions. Maturation is between 12 and 18 months.

The reason for this is simple.  Transplanted hair only typically starts to break through the scalp between 3 to 5 months.  So at four months, you’re only seeing a fraction of the hairs that are going to break through the scalp and grow.  You say that there are definitely not any single Hairs underneath them. How do you know this? If they haven’t broken through the scalp yet,  you wouldn’t visually see them.   What you are seeing now may not be what you see in several months.

now, I’m not getting that there’s a possibility you are correct. So if at maturation, you still see that there are multi-haired grafts in the hair line, there are certainly options. One is to extract the multi haired follicles Which may not be the best option because it will leave you with scarring at the hairline.  Another, which is typically more favorable is to camouflage the multi-haired grafts by transplanting single haired grafts in between and around the multi haired grafts  

Either way,  in my opinion, I would wait at least until you are at eight months postop but to be safe, 12 months is ideal.   Between now and then, do your research and number of your selection down to a couple outstanding surgeons with a proven track record of producing excellent results… and then consult with them when the time comes to go over your options.

when the time comes, you are certainly welcome to contact me privately and I can set up an information session with Dr. Rahal who can assess your situation and go over the best options for you.

Best wishes,

Rahal Hair Transplant

[Tracer3000]

2 minutes ago, Rahal Hair Transplant said:

@Tracer3000,

You say that there are definitely not any single Hairs underneath them. How do you know this? If they haven’t broken through the scalp yet,  you wouldn’t visually see them.   What you are seeing now may not be what you see in several months.

 

I know this because its impossible for a single hair to be below it, as there wasnt anything transplanted below them. I know this because below them my facial muscle begins. And for a natural result I have seen its mandatory for the singles to begin the hairline.

I just read here that it would be possible to REPLACE the multi hair grafts with singles. Is that correct? And by removing them entirely, would the scarring actually be more visible than an unnatural looking hair follicle?

Dr. Rahals work looks very good. Where are you located and how much with a correction cost, considering its "just" a correction of naturalness?

[jjalay]

Can you post some pictures?

[Tracer3000]

6 minutes ago, jjalay said:

Can you post some pictures?

I think its too early to post pictures after 4 months but imagine that on one half of the frontal hairline there are 6-7 dual hair grafts in the absolute front of the line. Directly above the muscle.

[jjalay]

For such a small amount of dual grafts in the hairline i dont think it would be a big problem to remove them and replace them with single grafts. As you said, it is too early to tell. I think you should just wait for the final results of the transplant after 12 months and then reconsider. No doctor will operate on you before the final result is there.

[ITA]

15 ore fa, Tracer3000 ha detto:

Penso che sia troppo presto per pubblicare la foto dopo 4 mesi

If it's too early for you to post photos, I think it's too early to even alarm you.

[Tracer3000]

21 hours ago, jjalay said:

For such a small amount of dual grafts in the hairline i dont think it would be a big problem to remove them and replace them with single grafts. As you said, it is too early to tell. I think you should just wait for the final results of the transplant after 12 months and then reconsider. No doctor will operate on you before the final result is there.

Can it be considered okay if dual hair grafts start the hairline? 
Or is it actually considwred a mistake?

I thought the hairline always has to start with singles. 

[jjalay]

1 hour ago, Tracer3000 said:

Can it be considered okay if dual hair grafts start the hairline? 
Or is it actually considwred a mistake?

I thought the hairline always has to start with singles. 

it is considered a mistake. When there are onle 2-3 doubles in the hairline and it is not noticeable its not a big problem. But when you have alot of doubles in the hairline you become the doll effect where your hair looks really artificial like a dolls hair and if people can take a closer look they can tell that you had something done.

Top doctors only use singles for the hairline and the first two rows behind it.

[Tracer3000]

Just now, jjalay said:

it is considered a mistake. When there are onle 2-3 doubles in the hairline and it is not noticeable its not a big problem. But when you have alot of doubles in the hairline you become the doll effect where your hair looks really artificial like a dolls hair and if people can take a closer look they can tell that you had something done.

Top doctors only use singles for the hairline and the first two rows behind it.

Ok, sounds unfortunate. Can top doctors remove this situation with a high probability?

[jjalay]

3 minutes ago, Tracer3000 said:

Ok, sounds unfortunate. Can top doctors remove this situation with a high probability?

Yes, this can be fixed but not 4 months after your surgery, it is too early to tell. You have to wait for the final result of your transplant at 12 months.

There are doctors that are specialised in this kind of repairs like Bisanga, Feriduni, and many others.

[jjalay]

Check out this video for example:

 

[jjalay]

 

[jjalay]

 

[Tracer3000]

Thanks a lot man! I will check out the videos. It gives me a lot of hope. I did the mistake and went to a basic clinic in turkey.

When its the earliest to tell or rather to get in contact with one of those repair clinics? What do you reckon. Contact them now to be then able to show them later on or contact them after 8 months and see the doll looking hairline..

[Tracer3000]

Well unfortunately the video of Dr. Bisanga does not show the result of the repair...

Any other doctor recommendations for this exact repair procedure? Because only looking at the results of his site. I have to say honestly that almost all of his end result look a little unnatural as well.. wow. This thing is pretty complicated.

I highly appreciate names of other repair doctors.

Edited September 3, 2023 by Tracer3000

[sl]

Two of these videos are very new and no end result has been achieved yet and punch-outs are not one and done. One has not had removal at all so the purpose of these videos was assessment and showing punch-outs and as and when they have rebuilds then they can of course feel free to share, but we have also a lot of repair cases shown.  It is important to get it right and why we seek to share these kind of videos as there are not enough of them and people sharing to help others. 

As for natural, thankfully we have a lot of patient posted cases on this forum with regularity and very happy patients who look natural and obviously happy enough to show their results and who they are openly, some even full face, so you should also look through the patient and clinic posted section. 

Above all, all the best in your growth and repair if needed. Be great to see your photos and hopefully you can get to where you want to get. Yes repair is complicated, choose wisely if you need more surgery.

 

[baddecisions]

2 hours ago, jjalay said:

 

oh my god, I'm speechless

[sl]

Yes it is heart breaking what we see now...my heart goes out to repair patients...I am glad we can help him and others and will do our best. Time is needed and as said on this thread very wisely also by Rahal and others, patients need to wait for growth to come in. It is not easy but very much needed and then assess and take things step at a time.

[Tracer3000]

2 hours ago, sl said:

Two of these videos are very new and no end result has been achieved yet and punch-outs are not one and done. One has not had removal at all so the purpose of these videos was assessment and showing punch-outs and as and when they have rebuilds then they can of course feel free to share, but we have also a lot of repair cases shown.  It is important to get it right and why we seek to share these kind of videos as there are not enough of them and people sharing to help others. 

As for natural, thankfully we have a lot of patient posted cases on this forum with regularity and very happy patients who look natural and obviously happy enough to show their results and who they are openly, some even full face, so you should also look through the patient and clinic posted section. 

Above all, all the best in your growth and repair if needed. Be great to see your photos and hopefully you can get to where you want to get. Yes repair is complicated, choose wisely if you need more surgery.

 

Thank you very much for your time and answer. How hard is it to remove a dual hair graft and replace it with another single? What are the risks with that?

[sl]

So, we ask for the patient to wait for full growth, so then we can see what has grown in and also see if there any other irregularities in the skin etc. Then once a consultation is done we can see how much has grown and what needs to be addressed.

We will not punch out every graft but need to give space in between punch-outs, this will help healing as we take and leave, take and leave for example..so not removing all grafts that are close together. Punch out the grafts, more so the lower ones, mis-angled and or doubles etc. Usually we try to re-use them and mostly we put them back into the donor as often with some poor surgery the donor can also be significantly affected with over harvesting or too concentrated with as one of the videos shows resulting in confluent scarring. 

Once the punch-outs are done, and each session is approx 2 to 3 months apart to facilitate skin healing, we can then rebuild a natural hair line. If there are skin issues, ridging or other, then the patient may wish to have some laser or other treatments to solve that first. If not then re-build a natural hair line for the patient.

There are variations in that at times we may be able to camouflage the hair line if it is not too low and avoid some punch-outs but  it depends on how low the hair line is and if it is wise to then go lower again. We will not punch out and rebuild in same session so as said it is often a journey and I know not easy but the patient will need to think longterm and step by step and not a one and done surgery.

Another option for patients who do not wish for punch-outs is laser or electrolysis, but this again needs multiple sessions but is also a possible option.

Try to be patient, I know not easy but the repairing clinic will need to see the full result and punch out once you have had this and then go from there. 

Please feel free to ask us for videos on this and we can send and also some results of repair surgery, behind the scenes footage, or Dr,Bisanga's commentary on his approach per se and we can email or send via a message to you if helpful. 

 

[Tracer3000]

1 hour ago, sl said:

So, we ask for the patient to wait for full growth, so then we can see what has grown in and also see if there any other irregularities in the skin etc. Then once a consultation is done we can see how much has grown and what needs to be addressed.

We will not punch out every graft but need to give space in between punch-outs, this will help healing as we take and leave, take and leave for example..so not removing all grafts that are close together. Punch out the grafts, more so the lower ones, mis-angled and or doubles etc. Usually we try to re-use them and mostly we put them back into the donor as often with some poor surgery the donor can also be significantly affected with over harvesting or too concentrated with as one of the videos shows resulting in confluent scarring. 

Once the punch-outs are done, and each session is approx 2 to 3 months apart to facilitate skin healing, we can then rebuild a natural hair line. If there are skin issues, ridging or other, then the patient may wish to have some laser or other treatments to solve that first. If not then re-build a natural hair line for the patient.

There are variations in that at times we may be able to camouflage the hair line if it is not too low and avoid some punch-outs but  it depends on how low the hair line is and if it is wise to then go lower again. We will not punch out and rebuild in same session so as said it is often a journey and I know not easy but the patient will need to think longterm and step by step and not a one and done surgery.

Another option for patients who do not wish for punch-outs is laser or electrolysis, but this again needs multiple sessions but is also a possible option.

Try to be patient, I know not easy but the repairing clinic will need to see the full result and punch out once you have had this and then go from there. 

Please feel free to ask us for videos on this and we can send and also some results of repair surgery, behind the scenes footage, or Dr,Bisanga's commentary on his approach per se and we can email or send via a message to you if helpful. 

 

Thank you, that was very helpful! I have contacted your clinic via mail. Full growth is expected to be at 12 months. So depending on the waiting times I would like to make an appointment for in 8 months already now.

Edited September 3, 2023 by Tracer3000

[Berba11]

8 hours ago, Tracer3000 said:

Can it be considered okay if dual hair grafts start the hairline? 
Or is it actually considwred a mistake?

I thought the hairline always has to start with singles. 

Ideally it should be single & soft singles but a few softer doubles is fine. The problem will be if those doubles are thicker hairs, or there lots of them or there’s even triples in there. 
 

In most case the odd double graft is no problem. So it very much depends. If you only need a few punch outs then there’s pretty simple work for any good doctor. 
 

However if you need extensive extractions to raise the hairline again then that’s usually a two or even three step process.

[Tracer3000]

7 hours ago, Berba11 said:

Ideally it should be single & soft singles but a few softer doubles is fine. The problem will be if those doubles are thicker hairs, or there lots of them or there’s even triples in there. 
 

In most case the odd double graft is no problem. So it very much depends. If you only need a few punch outs then there’s pretty simple work for any good doctor. 
 

However if you need extensive extractions to raise the hairline again then that’s usually a two or even three step process.

Thats an helpful answer. Can you recommend a doctor with double extraction? I need a few to evaluate. 

[Berba11]

1 hour ago, Tracer3000 said:

Thats an helpful answer. Can you recommend a doctor with double extraction? I need a few to evaluate. 

Dr Feriduni. Several cases on this forum of his hairline extraction work.