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Hair Transplant Repair
How To Fix A Poor Result

A successful hair transplant can bring immense satisfaction, restoring not just your hair but also your confidence. Unfortunately, not every hair transplant yields the desired outcome. If you find yourself unhappy with your results, the good news is that hair transplant repair surgery can often fix the situation. However, it's essential to understand when repair is feasible and when it might not be. This article explores the factors involved in repair surgeries, common causes of poor hair transplants, and what to expect from the process.

Hair Transplant Surgery Repairs

What is Hair Transplant Repair Surgery?


Hair transplant repair surgery is aimed at addressing issues from a previous transplant that didn’t turn out as expected. It’s a second chance to fix problems such as unnatural hairlines, low density, or scarring from the first procedure. While this kind of surgery can be more complex than the initial transplant, it is often possible, provided there is sufficient donor hair left.

The first step in considering hair transplant repair is a comprehensive evaluation. A surgeon will assess your donor area—typically the back and sides of your head—and the recipient area where more grafts may be needed. The success of a repair surgery largely depends on the quality and quantity of hair in your donor area.

Why Do Hair Transplants Fail?


Hair transplants can fail for various reasons, and understanding these can help you avoid similar issues if you're considering a repair. Some common causes of unsatisfactory results include:


Insufficient Coverage of the Recipient Area

In many cases, patients report that their transplanted hair lacks density. Hair transplants should provide enough coverage to make the balding area look full, but when too few grafts are used, the result can be sparse and unconvincing. A follow-up surgery may be necessary to add more grafts and achieve the desired fullness.

Poor Graft Placement

A natural-looking result depends heavily on how well the grafts are placed. Incorrect angles, uneven distribution, or poorly designed hairlines can lead to unnatural appearances. Poor graft placement may also result in the transplanted hair growing in the wrong direction, making it obvious that a transplant has taken place. Correcting this often involves removing and re-implanting grafts in a more natural manner.

Visible Scarring

Scarring is a common concern, especially with the strip method (FUT) of hair transplantation. While some scarring is inevitable, excessive or visible scars can be a significant cosmetic issue. In repair surgeries, techniques such as follicular unit extraction (FUE) can be used to minimise scarring, and in some cases, scalp micropigmentation (SMP) can camouflage scars by creating the illusion of hair.

Over-Harvesting the Donor Area

Over-harvesting occurs when too many hair follicles are taken from the donor area during the first transplant, leaving it visibly thin or patchy. This is often one of the most challenging issues to fix, as it can limit the number of viable grafts available for a second surgery.

Factors that Make Hair Transplant Repair Possible

Hair transplant repair is possible in most cases, but there are certain factors that will determine your eligibility for the procedure.

Sufficient Donor Hair

The most important factor for any repair surgery is the availability of healthy donor hair. The donor area typically includes the back and sides of the head, where hair is genetically resistant to thinning. If there’s enough hair left in these areas, your surgeon can harvest additional grafts to correct the problem. However, if the donor area was over-harvested in the first surgery, options for repair might be limited.

Extent of Scarring

While minor scarring from a previous transplant doesn’t usually prevent repair surgery, significant or raised scars—such as keloids—may make another procedure difficult or unsafe. Keloid scarring is a particular concern, as it can interfere with the healing process and increase the risk of infection. Patients who develop keloids are often not considered good candidates for further surgery.

The Condition of the Recipient Area

The condition of the recipient area is another key factor. If the transplanted hair has not grown well due to poor graft placement or issues with blood supply, repair surgery will focus on re-distributing grafts more effectively. If the skin in the recipient area has healed poorly, however, this could complicate any attempts at repair.

Health and Healing

Your general health plays a role in determining whether repair surgery is a viable option. Patients who smoke, have uncontrolled diabetes, or suffer from certain skin conditions may face greater risks during any follow-up surgery. Proper post-operative care is also crucial to ensure the success of both the initial and repair surgeries.

When Hair Transplant Repair Might Not Be Possible

While hair transplant repair is possible in many situations, there are some instances where it may not be viable. Here are the most common reasons a surgeon may decline to perform a second procedure:

Severe Donor Area Depletion

If too many follicles were taken from the donor area during the initial procedure, it may not be possible to harvest enough healthy grafts for a second surgery. Donor area depletion is a common issue, especially in patients who underwent poorly planned or overly aggressive surgeries. In these cases, non-surgical alternatives like scalp micropigmentation (SMP) or platelet-rich plasma (PRP) therapy may be recommended.

Keloid Formation

Patients prone to keloid scarring may not be suitable candidates for a second surgery. Keloids are raised, thick scars that form after an injury or surgery, and they can complicate the healing process. Not only do keloids make it difficult for new grafts to take root, but they also increase the risk of infection, making further surgery risky.

Post-Surgical Skin Complications

Some patients experience post-surgical skin complications, such as hypertrophic scars or poor blood supply to the grafts. These issues can make repair surgery challenging or even impossible. In such cases, non-surgical options like SMP or PRP may provide a way to improve the appearance of the scalp without further invasive procedures.

What to Expect from Hair Transplant Repair Surgery


If your surgeon determines that you’re a good candidate for repair surgery, it’s important to understand what to expect from the process.

Consultation and Planning

The first step is a thorough consultation with a qualified hair transplant surgeon. During this meeting, the surgeon will evaluate your donor area, discuss the issues with your initial transplant, and create a customised plan for repair. It’s essential to choose a surgeon with extensive experience in repair work, as this type of surgery requires a high level of skill and precision.

Graft Harvesting and Implantation

Repair surgery typically involves harvesting more grafts from the donor area and implanting them into the recipient area. In some cases, poorly implanted grafts from the first surgery may need to be removed and replaced. The goal is to improve the density of the transplanted hair, create a more natural hairline, and reduce the visibility of scars.

Post-Operative Care

Just like the initial transplant, repair surgery requires proper post-operative care to ensure the best possible results. This includes following your surgeon’s instructions on how to care for your scalp, avoiding strenuous activity, and taking any prescribed medications to prevent infection and promote healing.

Alternatives to Repair Surgery

If a second hair transplant isn’t possible, there are still other options available to improve the appearance of your hair. Two popular non-surgical alternatives include:

Scalp Micropigmentation (SMP)

SMP is a non-invasive treatment that involves tattooing tiny dots onto the scalp to mimic the appearance of hair follicles. This can be a good option for patients with significant scarring or those who have had their donor area over-harvested.

Platelet-Rich Plasma (PRP) Therapy

PRP therapy uses a patient’s own blood plasma to stimulate hair growth. While it won’t provide the same dramatic results as a transplant, it can help thicken existing hair and improve the overall health of the scalp.

Conclusion


A poor hair transplant result can be disappointing, but it’s not always the end of the road. Hair transplant repair surgery can often correct the issues from your initial procedure, provided there is enough healthy donor hair left and you’re in good health overall. However, not all cases are eligible for repair surgery, particularly if the donor area has been over-harvested or if you have a history of keloid scarring.

If you're considering hair transplant repair, the key is to choose a highly experienced surgeon who specialises in repair work. By taking the time to find the right clinic and surgeon, you can significantly improve the chances of achieving a result you're happy with, whether through surgery or non-surgical alternatives.

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