Reconstruction of Scalp and Forehead Defects: Options and Strategies

A person had three hair transplant surgeries using 7,600 grafts from scalp, beard, and chest, along with finasteride and minoxidil. Reactions are mixed, with suggestions for alternatives like hair systems or scalp micropigmentation.

The conversation discusses changes in scalp texture and appearance in areas of hair loss, with concerns about the suitability of these areas for hair transplants. Users mention issues like fibrosis, inflammation, and thinner skin, advising caution and consultation with clinics before proceeding with transplants.

The user is considering another hair transplant or scalp micropigmentation (SMP) for a congenital bald spot, but previous transplants were less effective due to scar tissue. Suggestions include using hair fibers, changing hairstyles, or doing nothing, as the spot is not very noticeable.

Hair/scalp cloning for unlimited transplants is likely a decade away, with prior transplants not significantly affecting future options. Advances in AI and research in wound-induced hair neogenesis are promising, but infrastructure and technology constraints remain challenges.

A user shared progress pictures of a corrective hair transplant involving 1670 grafts after a previous unsuccessful surgery. The conversation includes questions about medication use and comments on hairline design.

Hair transplants typically involve spreading follicle extraction across the back and sides of the head to maintain an even appearance, rather than taking a solid rectangle of grafts. FUT procedures, which involve taking a strip of skin, are less common now due to advancements in techniques like FUE, which heal well and are less invasive.