Home | News | Find a Doctor | Ask a Question | Free

Dr. Mwamba - WHTC - Pluggy Hairline Repair 4 Months Progress


#1

4 months ago, a 30 year old female came to us after a bad hair transplant. She had a facelift that repositioned her hairline. The hair transplant to restore her hairline was cosmetically unsuccessful, leaving her with an unnatural, thin, pluggy hairline.

Although we refer to these grafts as “plugs” and call the repair “plug removal”, these are actually not 4mm plugs. They are actually very poorly placed follicular unit grafts.

The patient and Dr. Mwamba decided to move forward with plug removal and hairline grafting. Because the patient always wears her hair long, she chose the strip method of harvesting. Her long hair will easily cover the scar in the donor area.

Dr. Mwamba designed a female hairline for her. The female hairline differs from the male hairline design because it goes almost straight across the forehead. A male hairline has some natural recession in the temples.

Plug removal and grafting were done at the same time. First, Dr. Mwamba removed the pluggiest grafts and used small sutures for closure. Then, 1550 strip grafts were transplanted around the plug removal sites to add density and natural details. Because we are not able to get good density in the sutured areas, this patient may need to come for a touch up session later.

The sutures remain in the plug removal sites for 4 days after the procedure. Dr. Mwamba uses a combination of interrupted and running sutures.

For this patient, removing some of the worst plugs and grafting around the remaining plugs was the best option. When repairing pluggy hairlines, patients may opt for complete removal (giving a bald look), partial removal with grafting (like this patient), or grafting without removal to camoflauge the pluggy appearance. For this patient, removal was necessary because the pluggy grafts would stand out too much among the final result.

After 4 months, you can see that the plug removal sites have healed perfectly.

Even though the majority of the grafts have not grown in yet, her appearance is greatly improved already. The absence of pluggy grafts and initial growth gives a much more natural look. As the grafts grow in and thicken the area, her hairline will continue to improve.

Before, the patient was wearing a bandana pulled forward to hide her hairline. Now, at only 4 months, she can put her bandana in the normal position to hold her hair back. Being able to expose her hairline rather than hide it may seem like a small achievement, but to people with previous bad transplant work, it makes a world of difference.

We look forward to sharing pictures as her grafts grow in and her hairline nears complete restoration. For more pictures and larger, more detailed versions of the pictures shown here, please visit the photo gallery at mywhtc.com


#2

Nice improvement. I can still see some larger grafts towards the back. Does she plan to remove these also? I guess once it thickens you would not even notice them.


#3

» 4 months ago, a 30 year old female came to us after a bad hair transplant.
» She had a facelift that repositioned her hairline. The hair transplant to
» restore her hairline was cosmetically unsuccessful, leaving her with an
» unnatural, thin, pluggy hairline.
»
»
»
»
»
»


»
»
»
»
»
» Although we refer to these grafts as “plugs” and call the repair “plug
» removal”, these are actually not 4mm plugs. They are actually very poorly
» placed follicular unit grafts.
»
» The patient and Dr. Mwamba decided to move forward with plug removal and
» hairline grafting. Because the patient always wears her hair long, she
» chose the strip method of harvesting. Her long hair will easily cover the
» scar in the donor area.
»
» Dr. Mwamba designed a female hairline for her. The female hairline
» differs from the male hairline design because it goes almost straight
» across the forehead. A male hairline has some natural recession in the
» temples.
»
»
»
» Plug removal and grafting were done at the same time. First, Dr. Mwamba
» removed the pluggiest grafts and used small sutures for closure. Then,
» 1550 strip grafts were transplanted around the plug removal sites to add
» density and natural details. Because we are not able to get good density
» in the sutured areas, this patient may need to come for a touch up session
» later.
»
»
»
»
»
»
»
» The sutures remain in the plug removal sites for 4 days after the
» procedure. Dr. Mwamba uses a combination of interrupted and running
» sutures.
»
» For this patient, removing some of the worst plugs and grafting around the
» remaining plugs was the best option. When repairing pluggy hairlines,
» patients may opt for complete removal (giving a bald look), partial removal
» with grafting (like this patient), or grafting without removal to
» camoflauge the pluggy appearance. For this patient, removal was necessary
» because the pluggy grafts would stand out too much among the final result.
»
» After 4 months, you can see that the plug removal sites have healed
» perfectly.
»
»
»
»
»
»
»
» Even though the majority of the grafts have not grown in yet, her
» appearance is greatly improved already. The absence of pluggy grafts and
» initial growth gives a much more natural look. As the grafts grow in and
» thicken the area, her hairline will continue to improve.
»
»
»
»
»
»
»
» Before, the patient was wearing a bandana pulled forward to hide her
» hairline. Now, at only 4 months, she can put her bandana in the normal
» position to hold her hair back. Being able to expose her hairline rather
» than hide it may seem like a small achievement, but to people with previous
» bad transplant work, it makes a world of difference.
»
» We look forward to sharing pictures as her grafts grow in and her hairline
» nears complete restoration. For more pictures and larger, more detailed
» versions of the pictures shown here, please visit the photo gallery at
» mywhtc.com
Photos are descent, result is more natural:-)


#4

I have met Patrick Mwamba. A very personable guy dedicated to patient care and satisfaction. Patrick is among the few true masters of hair transplantation in the world. If you live in Europe, Patrick Mwamba is the man. The photos are excellent by the way.


#5

» Nice improvement. I can still see some larger grafts towards the back. Does
» she plan to remove these also? I guess once it thickens you would not even
» notice them.

You have good eyes :slight_smile:

The removal portion of the repair is complete. The pluggy grafts further back remain because the grafts will grow in to adequately camoflaugue them, as you suggest. The pluggy grafts are inappropriate near the hairline, but further back, they are at least contributing to the density, so we can leave these without sacrificing the naturalness of the result.

Because we cannot always graft the density we want in the sutured areas of removal, there is a possibility that we will need to do a touch up session to further refine the details after the grafts grow in. But, as you can see, she will have a natural appearance at every stage of repair. It will just get better and better.