» This looks very very good, the only thing I would change is to use body
» hair instead of scalp hair. Why waste precious scalp hair for repair?
Thank you for your comments, this was a hard case for the patient after his previous experience.
You bring up a good point and something the patient deliberated on for some time; this previous procedure did not only leave him with a large scar, and what you see was not the entire line just the worst area, he also had poor yield , pitting and plugs on his hair line. To say he was physically scarred was only the beginning, the mental trauma was maybe worse; it took him sometime to gain any trust again that anything positive could be achieved.
When we discussed his options it was broken down into priorities, the scar to fill, his hair line, then a thinning crown. His laxity had been seriously impaired due to the first procedure so removing another strip was not going to yield a great amount of hair, especially as his density was approximately 70 anyway. FUE would have boosted the numbers up but on its own not enough to really address all the areas properly. Body hair was an option but with his previous bad experience he was not willing to go through another procedure and possibly see little for his efforts.
Initially he decided on the graft removal via FUE on his hair line, define it a little, and add hair to the crown and scar (both scalp hair 2400 grafts with FUE & FUT) and then a body hair test to measure the growth. Prior to the procedure he changed his mind and decided on the plug removal, scalp hair into the scar and a body hair test on his crown. At this stage he was more concerned with getting back to some normality rather than restoration.
At 5 months when the post op picture was taken he already has good growth from the scalp hair, it has made a huge difference to him psychologically and he can expect more growth to come over the next 7 months or so. The plug removal on the hair line has restored a natural looking hair line and the body hair test at 5 months showed growth.
At present he is less concerned about restoration and happy to be, well not “cured” but for him in a better situation than he had ever hoped. Whether he does further surgery is probably 50-50, and leaning towards no. I will try to post some pictures of the frontal area and the body hair test later.