Help wanted. Repairing a hairline that is placed too low.

[eze]

Hello guys, I went for a hair transplant at 23 in Mexico and the surgeon gave me a very crooked result. This resulted in one side of the hair line to be too low while the other side was at the perfect height.

The issue is, this surgeon packed my hairline very densely, so I was wondering if its even practical to punch out all the grafts on the side that is too low with FUE and put them back in my donor zone. 

[thetdog666]

Yes that is possible but depends on how many grafts your needing to move. Repairs usually require more operations to fix and are more costly.

[eze]

23 minutes ago, thetdog666 said:

Yes that is possible but depends on how many grafts your needing to move. Repairs usually require more operations to fix and are more costly.

Yeah, I estimate about 400. Hopefully I can get it done in 2 sessions.

 

[BaldReaper]

can you post some pics?

[eze]

3 hours ago, BaldV said:

can you post some pics?

You dont need a pic to see what I mean, one side is like 3mm lower than the other lol

[duchaine]

3 minutes ago, eze said:

You dont need a pic to see what I mean, one side is like 3mm lower than the other lol

face is not perfectly symmetrical.
Sometimes a little asymmetry makes the look more natural.
In any case, if your hair are not on your frontalis muscle, I would lower the other side.

[eze]

45 minutes ago, duchaine said:

face is not perfectly symmetrical.
Sometimes a little asymmetry makes the look more natural.
In any case, if your hair are not on your frontalis muscle, I would lower the other side.

No, its way too low. Its on the frontalis already on the lower side. 

[HappyMan2021]

are you absolutely certain the hairline is too low? the best scenario would be simply to lower the higher part of the hairline so it matches the bottom part. 

If the hairline truly is f*cked, you can certainly do punch outs but it almost always requires 2 or more surgeries to get all the hair. 

If you have very generous donor availability remaining, I think the best repair option would be to laser or use electrolysis and kill off all the bad grafts. 

Killing bad grafts is way easier, quicker, less costly, and simply than going the extraction repair route

[eze]

10 minutes ago, HappyMan2021 said:

are you absolutely certain the hairline is too low? the best scenario would be simply to lower the higher part of the hairline so it matches the bottom part. 

If the hairline truly is f*cked, you can certainly do punch outs but it almost always requires 2 or more surgeries to get all the hair. 

If you have very generous donor availability remaining, I think the best repair option would be to laser or use electrolysis and kill off all the bad grafts. 

Killing bad grafts is way easier, quicker, less costly, and simply than going the extraction repair route

Yes I'm certain its too low and I want them punched out. I was just wondering if its possible to do it without it scarring to bad. 

 

Edit: I heard eletrolysis can take more than 12 sessions and 2 years to completely remove hairs, so Idk if thats a good idea.

 

Edited November 16, 2023 by eze

[Gatsby]

5 hours ago, BaldV said:

can you post some pics?

This ^ If you can post some pics it would help. Depending on your case you could have the grafts punched out. This will take more than one session though and is a very common repair. All the best!

[gillenator]

This is where both instrumentation and skill are integrally critical in the removal of hairline grafts…and we also need to remember that healing variances between individuals is going to play a huge factor with visible scarring post-op.

[Berba11]

10 hours ago, eze said:

You dont need a pic to see what I mean, one side is like 3mm lower than the other lol

If you want just a generic answer as to whether you can have the problem grafts punched out then yes, you can.

If you want more specific feedback about your case in particular then pictures will be necessary.

[eze]

@Gatsby @Berba11

I have seen a few cases of punching the grafts out, but most of those cases had people with very sparce hair. So I was wondering if its still possible to punch it out when the transplanted region is very dense like mine or will the damage be too much.

I fine with taking multiple sessions, I just want the peace of mind to know whether its possible or not. 

[Berba11]

1 hour ago, eze said:

@Gatsby @Berba11

I have seen a few cases of punching the grafts out, but most of those cases had people with very sparce hair. So I was wondering if its still possible to punch it out when the transplanted region is very dense like mine or will the damage be too much.

I fine with taking multiple sessions, I just want the peace of mind to know whether its possible or not. 

That's a question best aimed at a repair specialists, but yes, it's still possible. It just means it will take more sessions as you'll have to wait for things to fully heal before going back in. If there's a tool small enough to make incisions close together, then there's a tool small enough to extract them again.

[Konsole93]

Hello, just pull the other side down with on the muscle.
I have a number of friends and acquaintances who were born with hair on their frontalis muscle. I also know many celebrities for whom this is the case. Why should it be unnatural when it often occurs in nature?

[HappyMan2021]

On 11/15/2023 at 7:08 PM, eze said:

I heard eletrolysis can take more than 12 sessions and 2 years to completely remove hairs, so Idk if thats a good idea

You heard 12 sessions for your specific case? 

Extraction via surgery is exponentially more effective and you can remove more grafts that way, but i think electrolysis can help augment the process

The more grafts removed via electrolysis, the easier you are making it for the surgeon and the more grafts can be removed in less time.

Ex. Say you need 4 formal HT repairs to get rid of all the bad grafts

Instead, you could have a few electrolysis sessions and may only need 3 surgeries. So with electrolysis you are removing the need for one of your hair transplant repairs

When you consider the cost of a formal HT repair vs a few electrolysis sessions, you honestly cant compare the two. Electrolysis costs like $80 tops and you can do it 1x/month. 

A repair HT can be $15-20k and you can only have 1 ht a year

So while multiple ht repair is undeniably necessary for you to be fixed, you can still expedite the process and save a lot of money by incorporating electrolysis

***I will add as a disclaimer that you should only do electrolysis if you are ok killing grafts and you still have a generous donor

Dont waste your time with electrolysis if donor supply is an issue for you***

[mavigo]

On 11/15/2023 at 9:59 PM, Gatsby said:

This ^ If you can post some pics it would help. Depending on your case you could have the grafts punched out. This will take more than one session though and is a very common repair. All the best!

I third this, can you please share some photos?

[eze]

On 1/19/2024 at 5:32 PM, HappyMan2021 said:

You heard 12 sessions for your specific case? 

Extraction via surgery is exponentially more effective and you can remove more grafts that way, but i think electrolysis can help augment the process

The more grafts removed via electrolysis, the easier you are making it for the surgeon and the more grafts can be removed in less time.

Ex. Say you need 4 formal HT repairs to get rid of all the bad grafts

Instead, you could have a few electrolysis sessions and may only need 3 surgeries. So with electrolysis you are removing the need for one of your hair transplant repairs

When you consider the cost of a formal HT repair vs a few electrolysis sessions, you honestly cant compare the two. Electrolysis costs like $80 tops and you can do it 1x/month. 

A repair HT can be $15-20k and you can only have 1 ht a year

So while multiple ht repair is undeniably necessary for you to be fixed, you can still expedite the process and save a lot of money by incorporating electrolysis

***I will add as a disclaimer that you should only do electrolysis if you are ok killing grafts and you still have a generous donor

Dont waste your time with electrolysis if donor supply is an issue for you***

Thank you for your reply, I am probably gonna go for electrolysis when verteporfin becomes approved for FUE.

I want to ask you this since you have experience with this. I had about 1700 grafts transplanted on the hairline and they stick upwards perpendicularly from the scalp which looks very unnatural. I was wondering if removing the frontal half of the transplanted hairs and then implanting better-angled grafts with another FUE procedure will be enough to mask this. Or do I need to remove essentially all 1700 previous transplanted hairs and start from scratch if I want a natural result?

In other words, can implanting correctly angled hairs in front of mis-angled hairs camouflage the unnaturalness, or do I need to remove all the mis-angled hairs before I go for another FUE?

[Gatsby]

Watch Melvin’s latest interview with Dr Pinto. 

[HappyMan2021]

2 hours ago, eze said:

Thank you for your reply, I am probably gonna go for electrolysis when verteporfin becomes approved for FUE.

I want to ask you this since you have experience with this. I had about 1700 grafts transplanted on the hairline and they stick upwards perpendicularly from the scalp which looks very unnatural. I was wondering if removing the frontal half of the transplanted hairs and then implanting better-angled grafts with another FUE procedure will be enough to mask this. Or do I need to remove essentially all 1700 previous transplanted hairs and start from scratch if I want a natural result?

In other words, can implanting correctly angled hairs in front of mis-angled hairs camouflage the unnaturalness, or do I need to remove all the mis-angled hairs before I go for another FUE?

I personally do not believe "camouflaging" badly angled grafts is a legitimate tactic. There are a few prominent doctors who tout camouflage, but i think they are just full of it. I have yet to see a case of camoflage working for badly angled grafts

Say you have a badly angled graft surrounded by a bunch of good grafts, the badly angled graft will always "show through/reveal itself, etc"

Trust me it would benefit me personally immensely if camouflaging worked. I wish it did, but sadly it doesn't. 

I am hoping in your case your donor is generous enough that you can afford to kill 1700 grafts and still have enough for a good ht result.

if so i would have an electrologist kill all 1700 grafts (or as many as possible) before having your surgery

The less bad grafts a surgeon has to extract the better your surgery outcome and the quicker your repair journey will be

keep in mind that it is very very difficult for a doctor to extract bad grafts and implant new ones, in the same area during the same round of surgery.

So the more bad grafts the doctor needs to extract, the more limited the surgery will be, which will add on the need for even more repair surgeries

Lastlsy, another reason to do electrolysis before more surgery is because the more good grafts you have interspersed among bad grafts, the harder it will be for you and the electrologist to identify the bad grafts!

It is best to kill bad grafts before any type of repair surgery so you can much much much more easily identify the bad grafts that need to be killed.