Implanting correctly-angled grafts in a punched out graft hole

[RTC]

Has anyone successfully punched out a poorly-angled graft and implanted a new hair instead (with the correct angle)?

Or will any new graft implanted take on the angle of the previous graft, due to the way the initial incision was made

[Shadman]

@RTC I think if you implant a new graft on the previous slit it'll take that angle. 

In my case, Dr. Extracted wrongly placed grafts, new slits were created. Dr. Didn't implant anything on the previously created slits. 

[RTC]

2 minutes ago, Shadman said:

@RTC I think if you implant a new graft on the previous slit it'll take that angle. 

In my case, Dr. Extracted wrongly placed grafts, new slits were created. Dr. Didn't implant anything on the previously created slits. 

This is what I suspected brother

[RTC]

How close would you say the new graft was to the old punched out one?

Edited June 20 by RTC

[baddecisions]

Are you considering another punch out session @RTC?

[Melvin- Admin]

If a graft is punched out, it has to be placed in a new site. The site ultimately determines the angle. For example, if the graft is punched out because the angle is sticking up, the doctor can not reinsert the graft in the same site, otherwise it will still be the same angle.

[RTC]

3 hours ago, baddecisions said:

Are you considering another punch out session @RTC?

Yes bro. I have probably over 1000 horribly angled grafts that need removing which I chose not to previously.

I just wish I could do a buzzcut without having odd sticking up hair everywhere, it's so ugly.

[baddecisions]

@Paul_ approach may be the best play, basically doing a hair transplant reversal. 

I am suffering from a similar situation and can understand you perfectly.

[HappyMan2021]

27 minutes ago, RTC said:

Yes bro. I have probably over 1000 horribly angled grafts that need removing which I chose not to previously.

 

sorry to hear man, i thought you were almost done! (or at least closer to the finish line than me lol)

I would honestly say repairing 1000 grafts is 2 surgeries minimum, but you might want to mentally prepare yourself for 3 surgeries

How many grafts do you have left in your donor?

If your donor supply is good and you are OK with having some good grafts killed as collateral damage, I recommend electrolysis to kill all the bad grafts, so you just have 1 (or 2) implant procedures

Can you share pics of the 1000 bad grafts remaining? I really thought your repair issues were fairly minor-ish

[Berba11]

56 minutes ago, RTC said:

Yes bro. I have probably over 1000 horribly angled grafts that need removing which I chose not to previously.

I just wish I could do a buzzcut without having odd sticking up hair everywhere, it's so ugly.

Did you discuss with Dr Sever about going for a bigger punch out session to get all the bad grafts out?

[RTC]

Basically, my poor angles make up the bulk of my hair BEHIND my hairline.

I had a Norwood 2/3 pattern initially before any transplant - a strong center with heavily receded corners. All the grafts implanted in Turkey were used to cover those bare areas in the corners and to lower my hairline, and were implanted pointing straight up towards the ceiling. I also have hairs they implanted on the sides of my head near my temples which grow out looking awful.

If I was to do punch all of them out, return them to the donor, and start rebuilding again, that's another 2, maybe 3 surgeries like @HappyMan2021 said. If I just wanted to restore factory settings and punch them all out and back to the donor like @baddecisions suggested, I'd be a Norwood 2 again and would be depressed about that.

I just don't have the money or energy for it anymore. As much as I have improved my hair with Mwamba and Hattingen, it depresses me on a daily basis. The hair I have is ugly, unmanageable, and I just wish could I do a buzzcut and look normal.

I shaved my head to a zero today and my head has obviously been decimated with punches etc. I am really fed up.

[RTC]

2 hours ago, HappyMan2021 said:

sorry to hear man, i thought you were almost done! (or at least closer to the finish line than me lol)

I would honestly say repairing 1000 grafts is 2 surgeries minimum, but you might want to mentally prepare yourself for 3 surgeries

How many grafts do you have left in your donor?

If your donor supply is good and you are OK with having some good grafts killed as collateral damage, I recommend electrolysis to kill all the bad grafts, so you just have 1 (or 2) implant procedures

Can you share pics of the 1000 bad grafts remaining? I really thought your repair issues were fairly minor-ish

Also, bear in mind I have no donor reserve left. Or not any donor reserve I'm willing to mess around with anyway.

[RTC]

2 hours ago, Berba11 said:

Did you discuss with Dr Sever about going for a bigger punch out session to get all the bad grafts out?

I initially just wanted to do a small hairline punchout procedure with him in August.. but now I want to tear everything down and go from there.

[Berba11]

16 minutes ago, RTC said:

I initially just wanted to do a small hairline punchout procedure with him in August.. but now I want to tear everything down and go from there.

I do know how you feel. I've just confirmed a couple of dates with Hattingen (Sept & Dec). Session one will be to punch out a couple hundred grafts, session two to punch out some more plus take from the donor and start to build the midscalp a bit and then we'll go from there really. Aim is to get the hairline back up to a more appropriate position.

[HairLossHero]

I think punching out 400-500 grafts behind the hairline is the way to go. Based on the your most recent pictures, I feel that would just thin it out a bit to blend in more with the hairline, so it would still look good. 

Then you can decide after whether to do a full teardown without having to worry about it looking like a NW2-3. 
 

[Paul_]

9 hours ago, RTC said:

Basically, my poor angles make up the bulk of my hair BEHIND my hairline.

I had a Norwood 2/3 pattern initially before any transplant - a strong center with heavily receded corners. All the grafts implanted in Turkey were used to cover those bare areas in the corners and to lower my hairline, and were implanted pointing straight up towards the ceiling. I also have hairs they implanted on the sides of my head near my temples which grow out looking awful.

If I was to do punch all of them out, return them to the donor, and start rebuilding again, that's another 2, maybe 3 surgeries like @HappyMan2021 said. If I just wanted to restore factory settings and punch them all out and back to the donor like @baddecisions suggested, I'd be a Norwood 2 again and would be depressed about that.

I just don't have the money or energy for it anymore. As much as I have improved my hair with Mwamba and Hattingen, it depresses me on a daily basis. The hair I have is ugly, unmanageable, and I just wish could I do a buzzcut and look normal.

I shaved my head to a zero today and my head has obviously been decimated with punches etc. I am really fed up.

I can understand how poorly you feel. I suggest before deciding on the next steps to focus on your mental state first - meditate, mindfulness reading, therapy, whatever fits you best

Then consider if being a NW2 as you said is all that bad as you were saying. There is no perfect fix here, I had the same choice to make when removing the entire implanted hairline - it'll never look great, but I got peace of mind at least

 

Edited June 21 by Paul_

[Berba11]

1 hour ago, Paul_ said:

I can understand how poorly you feel. I suggest before deciding on the next steps to focus on your mental state first - meditate, mindfulness reading, therapy, whatever fits you best

Then consider if being a NW2 as you said is all that bad as you were saying. There is no perfect fix here, I had the same choice to make when removing the entire implanted hairline - it'll never look great, but I got peace of mind at least

 

I would definitely echo these sentiments, RTC. The punch out session you've already had with Hattingen has made a visual improvement to the naturalness of your hairline, and in combination with your otherwise pretty full looking head of hair you're definitely several steps ahead of where you were. I do feel your pain - when the hair isn't right it isn't right and you're left dealing with and seeing it everyday whereas others either aren't noticing at all or only to a minimal extent via photos on forums like this. These things can dominate a person's life until they're resolved but the good news in your case (and similar to myself) is that you're at a point in the journey where you're looking more than presentable despite the issues, so you're in a great place to proceed in a calm and rational manner.

[laverita]

You look great with some length...really many of us would be happy with your hair..This is not to take away from your experience but try to grow it and move on if you can. 

[asterix0]

Dude I understand your frustration, this is a bad hand you were dealt, but try to look at the positives, your hair is in a much better state considering where you were just a little while earlier.

Rather than seeking perfection perhaps acceptance that you've come a long way and that things are pretty good given all circumstances may be a better approach.