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Bad Hair Transplant Results – How Can I Improve My Situation?

I’ve had two poor hair transplants in 2003 and 2004 and I am at my wits end. Unfortunately, I did not do enough research and have just found your organization. I am hoping to repair my hair line to make it look more natural than it does now. I still have a lot of donor hair but definitely need a touch up to make things appear less obvious. Where do I go from here?- Ted

Dear Ted,

Much has changed since 2003 and 2004 in respect to hairlines. Correct hairline creation is based on anatomic markers and artistry. Every head is shaped differently, however the anatomical apex and temporal points are consistent. Once consistent anatomical markers are found then the hairline is created. To look natural, the hairline is gradually thickened by a technique called feathering. Single hair grafts are used to outline the front hairline and thicker grafts are blended behind this front border. The hairline is not created straight and rounded but irregular-what some call a snail tract. Even the differences in the hair shaft thickness is utilized in proper hairline creation with the most thin hairs placed in the very front. Those hairs above and directly behind the ear are thinner in nature and are selected for the very front hairline. Recent studies have proven that the hair transplant surgeon can create more acute angles and directionality with the grafts to create the hairline. The hairline is the framework for the face, much like a frame for a picture, so it is imperative to concentrate much of our effort in this artistry.

You also mentioned the donor area. Since 2003 and 2004 trichophytic closures have been a benchmark for new closures. These closures create hair bearing scars, so the scars are hidden. In my opinion 2 layer closures decrease tension and produce a even better cosmetic result.

Lastly, research your surgeon’s work. Look at his before and after photos and decide what you like. Ask to have a consult with the surgeon, and to speak with several of his previous patients. The IAHRS provides a list of physician members for you to research.


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The International Alliance of Hair Restoration Surgeons is a consumer organization that selectively screens skilled and ethical hair transplant surgeons. The IAHRS does not offer an open membership policy to doctors practicing hair transplatation, and is the only group that recognizes that all surgeons are not equal in their skill and technique. Its elite membership seeks to represent the best in the discipline, the true leaders in the field of surgical hair restoration.