This is a case you do not see every day and the patient has allowed me to post.
Our Patient had old punch grafting in the '70’s and then a smaller revision strip to try and hide some of the large grafts on the hair line that was not really that successful.
He came to us with obviously a great deal of uncertainty and apprehension about results and expectations, we discussed the possibility to extract more from his donor to camouflage the old work or to reverse the procedure. After checking his donor density and scarring it was obvious that to take any more hair would not be recommended and leave the donor too thin, either by Strip or FUE, taking in to consideration the grafts needed and the amount of scarring that existed.
It was agreed to do a small test, approx. 10 plugs being removed on the hair line and then assess the healing, pitting and ridging or scarring that was left. This was successful in respect the grafts were removed and even the patient said he could not see any scarring. The pictures below are the culmination of that, we have now removed 327 plugs and placed as many as we could back into the donor scarring. The plugs were either removed via FUE or sutured depending how large and how close together they were.
POST OP RECIPIENT AND DONOR