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
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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.

Regards,
Richard S. Keller, MD, ABHRS
Member, International Alliance of Hair Restoration Surgeons
Member, American Hair Loss Association

Richard Keller, MD Dr. Keller is a board certified hair transplant specialist with extensive hair transplant surgery experience and is highly trained in the art of hair restoration. Dr. Keller completed his General Surgery training at University of Illinois and has been a practicing physician for 20 years. Dr. Keller is a Diplomate of the American Board of Hair Restoration Surgery and a member of the International Society of Hair Restoration Surgery. Dr. Keller has attended 6 I.S.H.R.S conferences in 6 years and he is currently an underwriter/guest of the learning series, hosted by Michael Douglas, on hair transplant. Dr. Keller has also received first place awards for the Expansion Technique by the International Society of Hair Restoration Surgery (Chicago '02). He has also been published widely in scientific and medical journals. Dr. Keller is a member of the International Alliance of Hair Restoration Surgeons and recommended by the American Hair Loss Association. Visit Dr. Reed's Website: www.nshts.com

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