Additional Hair Loss After Surgery
Some patients with older transplants may have had some additional hair loss in addition to a transplant they now find esthetically unsatisfactory. The combined surgery for revision of the older transplant plus new hair restoration surgery in the area(s) of new hair loss may offer an opportunity to meet “natural” or “more dense” esthetic standards, but may also present challenges such as finding enough donor hair to accomplish both goals. New areas of hair loss commonly occur after initial hair transplantation. A physician hair restoration specialist is usually able to anticipate the progressive hair loss and tell the patient that additional transplantation sessions will be necessary in the future to address the problem of continuing hair loss.
Continuing hair loss can frequently be anticipated on the basis of factors such as:
- age of hair loss onset,
- rate of progressive hair loss,
- hair loss type, and
- history of hair loss in the patient’s family.
Hair styles for both men and women change over time. People who are especially anxious to be current with style may alter hair styles frequently. Other people may be pleased to remain with a hair style that changes little over time—for example, the well-groomed look of a successful businessman or professional. Whatever the preference for frequency of change in hair styles, a person with a hair transplant may come to believe that the esthetic form of his or her transplant is out of step with current style mandates. For example, a transplanted hairline placed well forward in the frontal and temporal areas in a younger person may become cosmetically inappropriate as the patient ages. Unanticipated hair loss in the hairline area can also create cosmetic difficulties. Before revision of a transplant for “style” reasons is undertaken, the patient should be certain of the need for revision, and patient and physician hair restoration specialist should agree on a revision plan for goals for outcome.
Hair Transplant Repair for old hair transplants is most common with patients who had a procedure done over 10 years ago. Most patients who had “Plug” and “Mini-Graft” procedures want their donor scar fixed and their hair line “softened”. We try to fix both the donor scar and the hair line at the same time.
We have found that the best way to improve these older hair transplants is to use FUE technology. In the past Hair Restoration doctors would try to remove the old scar. This often failed causing the scar to become worse.
With today’s techniques, we can transplant grafts into the old scar. We also remove old large plugs and turn them into 1 to 3 haired grafts to create a better hairline. It typically costs between 4 and 6 thousand dollars. We have done scar repair that costs as little as $2000.00.