Correction of the Cornrow Transplant and Other Common Problems in Surgical Hair Restoration

    April 2000 in “ Plastic and Reconstructive Surgery ”
    James A. Vogel, Jack C. Fisher
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    TLDR The document suggests fixing bad hair transplants by removing large hair plugs and replacing them with smaller ones, considering the natural progression of hair loss, and emphasizing the need for ethical judgment in hair transplantation.
    The document from 23 years ago discusses the correction of unsatisfactory results from previous hair transplantation, specifically the "Cornrow Transplant" and other common problems. Dr. Vogel outlined a series of steps to correct these issues, which often resulted from starting grafting at a very early age, poorly designed hairlines, and the use of large hair plugs. The article emphasized the importance of understanding the natural evolution of male pattern hair loss. The solutions proposed included removing the unsightly plug grafts and recycling them as minigrafts and micrografts. In severe cases, a more aggressive excision of the plugs was suggested, followed by large volume micrografting for hair restoration. The document also highlighted the emotional impact of unsuccessful hair transplants on patients and stressed the importance of proper judgment and ethical considerations in hair transplantation.
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