The Art of Repair in Surgical Hair Restoration Part I: Basic Repair Strategies

September 2002 in “ Dermatologic Surgery ”

Robert Bernstein, William R. Rassman, Nazia Rashid, Richard C. Shiell

hair transplants donor hair supply follicular unit transplantation excision with reimplantation camouflage natural graft angling over-harvesting Follicular Unit Extraction scarring hair alignment FUT FUE

TLDR Effective repair of bad hair transplants requires skilled techniques and careful use of donor hair, with strategies like reimplantation and camouflage, and new methods to minimize scarring.

In 2002, Bernstein et al. discussed the complexities of repairing poorly executed hair transplants, emphasizing the need for skillful surgical techniques and judicious use of the limited donor hair supply. They identified common issues such as surgical and aesthetic errors, operating on non-candidate patients, and setting unrealistic expectations. The authors recommended strategies like excision with reimplantation and camouflage, with a preference for follicular unit transplantation. They stressed the importance of natural graft angling and avoiding over-harvesting donor hair to prevent a depleted supply, which is a significant limitation in repair procedures. The document also introduced "Follicular Unit Extraction" as a method for minimizing scarring and preserving hair alignment in repairs. The conclusion highlighted the potential for reversing cosmetic defects from poor techniques, but underscored the challenge of limited donor hair due to previous surgical wastage.

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Research cited in this study

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research The Logic of Follicular Unit Transplantation

77 citations, April 1999 in “Dermatologic Clinics”

The document concludes that follicular unit transplantation offers more natural results and better graft survival than older hair transplant methods.

research Measurements in Hair Restoration

10 citations, January 1998 in “Hair transplant forum international”

Hair restoration effectiveness can be measured.

research Are Scalp Reductions Still Indicated?

10 citations, May 1996 in “Hair transplant forum international”

Scalp reductions are no longer commonly recommended.

research Laser Hair Transplantation: Is It Really State of the Art?

15 citations, January 1996 in “Lasers in Surgery and Medicine”

Lasers in hair transplantation may have potential but require caution due to possible damage and reduced graft survival.

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