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repair case 4994 grafts ( FIT shaven + plug removal ) :myWHTC -Dr Patrick Mwamba (Hair Transplant)

posted by drmwamba Homepage, 08.11.2012, 06:58

This 40 years old patient ,NW 3 vertex in hair loss scale

came for a repair case :

He had 3 previous hair transplants by strip technique(3000 grafts).

Result : wrong hair angle direction ,

pluggy look ,pitting ,

a damaged receiving area with bumps (cobblestone),

And big scars in the donor.

His goal was: 1. To look natural,

2. To fill in his back scar,

3. To lower his frontal hair line and frame his face

so that he will stop wearing a hat all the time.





Surgery 1 plan :



-Removing the plugs ( to minimize the scarring ,we usuallyclose

the punch holes with a suture ,nylon 5/0 , for 3 to 4 days.

In this case , we left it for only one day

because we had to graft the area )



-Lower FHL with hairs above the nape area,

build back the temples pointes in harmony with the new hair line

( otherwise the result may look unnatural ).



-Increase density in frontal zone .

This area was fibrotic and whitish because of previous work and

had poor blood circulation. (poking test ,bled after 20 sec or plus)



-Fill in scars in the back .



Total graft number : 4025 grafts in 4 days .

After 9 months :

-yield was very good in the virgin area ( temples pointes ,FHL).

You will notice a difference in hair strenght and pigmentation

between his FHL and temples pointes.

Indeed hairs for the FHL originated from lower donor area

above the nape hairs .



- The pluggy look was corrected.



-Poor growth in the scarring area in frontal zone .



-Good coverage of the scar in the back ( not illustrated in our pictures).





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Surgery # 2Plan (9 months after surgery 1) :



-We decided with the patient to lower the density in the temples pointes

by removing the grafts and relocating them in FHL and frontal zone .

-We completed the FHL with grafts from regular donor area for a total of 969 grafts .



Results : Natural look with a low solid hair line ,

in harmony with temples pointes density .



No pluggy look .



Good growth in frontal zone that was grafted at low density .



Next step : Reinforce some patchy area in the frontal zone to complete the work.



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Repair case requires patience and sometimes more than one procedure in order to meet some kind of expectations if possible




drmwamba is located in [NA] and he is available to meet: NO

---
Patrick Mwamba,MD
World Hair Transplant Center (WHTC)
73 Rue Defacqz
1060 Bruxelles
Belgium

WHTC US Office:
4840 Camberbridge Drive
Alpharetta GA 30022
USA

website: www.mywhtc.com
email: customer.care@mywhtc.com
+32-2-538-4404 (office)
+32 479-75-3281 (mobile)
+44-203-318-6228 (UK)
770-663-1290 (US


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