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Bad Hair Transplant looking for repair advice & Dr recommendation

J

Jonx12

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#1
I had my 1st Hair Transplant Nov 2018, 27 years old, 1700 grafts in the front.

I feel I've made a terrible mistake of choosing a surgery in Turkey following the recommendation of someone I’d met. He’d had a transplant there, his hair looked good (I now realise this may be because the front was styled down). I spoke to 3 other people who’d had their hair done there and they were happy. I looked at all the reviews I could find online and bar one they were all positive.

2 weeks after my procedure when I saw my transplanted hair out of scabs I felt something was wrong, after researching I learned how to create a natural hairline. I know this wasn’t done right as they never inspected my grafts under a microscope before implantation and I can see multi-hair grafts in my hairline.
Furthermore, I don’t think the angulation of all the grafts is correct, I don’t have enough knowledge to know for sure but the hairs aren't all uniform in direction/angulation.

The most annoying part is that I normally research everything I do in detail, whether that’s booking a holiday or even buying a new vacuum! Not only that, in 2016 I actually consulted with Dr Farjo, Dr Bisanga and Dr Erdoğan when I was first considering a transplant, at the time I decided to wait to see how my hair loss progressed.

Fast forward to now and for some reason, a recommendation from someone sat in front of me with hair on his head was near sufficient. I met him at the perfect wrong time when I was ready for a hair transplant but hadn’t yet had time to spend time looking myself for a clinic.


REPAIR CASE:

1) My hair will probably look unnatural, to what extent is this fixable by fue extraction/planting single hairs in front of my existing hairline? - I think I could fit one row of single hairs before my hairline would be too low. Are there any before/after pictures of this kind of procedure anywhere or has anyone personally gone through this?

2) Does anyone have any experience with any repair Dr’s they could suggest?

I appreciate I should wait and see how the results turn out but I’m convinced it’s not going to look natural and I desperately need to make a plan now so I can try put my mind at ease as I’m driving myself mental with regret and have been in a terrible state since realising my mistake.
 
JohnB

JohnB

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#2
I am sorry to hear that you had to go through all the problems. I guess now the best thing you can do is get free consultations from different doctors. Most of them have before and after pictures on their websites so you can take a look and see if you like any of those.

If you can share your pictures here, we can maybe tell you what we think about but it is also best if you talk with a surgeon.
 
JohnB

JohnB

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#3
Also, I find this guide very useful, a six-step guide I prepared, it can give you an idea about how you can build your strategy.
 
J

Jonx12

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#4
JohnB the guide you've linked is fantastic I wish I'd have followed that advice to a T pre-op! Here's some photos 17 days post-op.
 

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JohnB

JohnB

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#5
Well, I see what your problem is. I think you needed around 2,500 grafts at least for a conservative hairline, and up to 3,500 for an aggressive hairline. Because the number of grafts was insufficient, it looks like it is not natural. However you will grow a lot of hair and will get density in the area, so don't be so nervous. I think after a year it will look great, but if you need a further hairline, you need a new surgery.
 
Pete from Farjo

Pete from Farjo

Valued member
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#6
Firstly, don't be too hard on yourself. We've all made rash decisions at some point or other that we've regretted later. I can understand your concerns but I think you're going to be fine.

The first positive is that the clinic didn't lower your hairline too much. This will make any future procedure that much more effective as far as increasing density/naturalness. Also, only 1700 grafts were used so, assuming the graft extractions were done correctly (pics of your donor area would be useful),you should have plenty left in the bank for further work.

Try and be patient and reassess in a few months. I think you'll get decent, although not particularly dense growth, but with a further procedure of perhaps 1000-1500 grafts you'll be in good shape, with hopefully still a good amount of grafts available for the future should they be needed.
 
J

Jonx12

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#7
The first positive is that the clinic didn't lower your hairline too much. This will make any future procedure that much more effective as far as increasing density/naturalness. Also, only 1700 grafts were used so, assuming the graft extractions were done correctly (pics of your donor area would be useful),you should have plenty left in the bank for further work.

Try and be patient and reassess in a few months. I think you'll get decent, although not particularly dense growth, but with a further procedure of perhaps 1000-1500 grafts you'll be in good shape, with hopefully still a good amount of grafts available for the future should they be needed.
Thank you for replying with some positive news. It was actually Dr Farjo's advice 2 years ago about been conservative and planning for the future which stuck in my head and helped me here, the surgeon initially drew a hairline much lower for 2200 grafts but I asked for it to be higher.

Here are pics of my donor area post-op.
 

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Pete from Farjo

Pete from Farjo

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#8
Sensible thinking by you to ask for a more conservative hairline. You've always got to consider future loss and by keeping a more mature hairline you free up more grafts for addressing thinning in other areas at a later point.

Those extractions look ok. I'd assume you'll be fine for further work but obviously only a face to face consultation would be able confirm this.

Hopefully you'll keep us posted so we can advise as the months progress.
 
sl

sl

BHR Clinic Patient Advisor
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#9
Really sorry to hear of your predicament Jonx12. It's too early to do anything as the surgery is recent seemingly so need to wait for it to grow in and keep in contact with the performing clinic over this period and see what they say to you. Patience is not easy but needed and once you have the final outcome then assess and go from there if you can. I am sure this forum and users will also be rooting for you and give guidance.
 
J

Jonx12

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#10
Those extractions look ok. I'd assume you'll be fine for further work but obviously only a face to face consultation would be able confirm this.

Hopefully you'll keep us posted so we can advise as the months progress.
That’s good news hopefully - I know I’ll need to have my donor area assessed in person for density but given the average male donor area is 3500-6000 FU and it looks like 2/3 of my safe area has been harvested does it look like I’ve had too much harvested or is that a normal look post op?

I’ll definitely keep everyone posted, this forum has been an immense help getting me through this mistake I made and I hope in turn I can help others. I’ve already started sharing the knowledge I have now with anyone I know thinking of a hair transplant and I’ve told the people who recommended the place I went to that morally they should stop as the clinic is not performing the procedure correctly.

I wanted to ask in terms of a repair job, what are the chances of ever looking truely natural again? If my hairline had multi grafts and bad angulation of hair.. Would the procedure be a combination of planting single hairs in front of my hairline / planting hairs behind bad angled grafts in order to ‘force’ the badly angled hairs to a better angle or FU extracting a lot of troublesome hairs then having a 2nd session to redesign the front?
 
J

Jonx12

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#12
Really sorry to hear of your predicament Jonx12. It's too early to do anything as the surgery is recent seemingly so need to wait for it to grow in and keep in contact with the performing clinic over this period and see what they say to you. Patience is not easy but needed and once you have the final outcome then assess and go from there if you can. I am sure this forum and users will also be rooting for you and give guidance.
Thank you for your message. I definitely won’t be going back to the performing clinic, they were not a good choice.
I’ve seen a lot of repair cases from your clinic with fantastic results. What would be the procedure normally suggested for multi hair grafts in the front / some bad angulation of hairs implanted to make it look natural? Will I always end up with a ‘see through’ hair/scalp in my situation even after repair?
 
sl

sl

BHR Clinic Patient Advisor
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#13
Thank you for the kind words.

In general, two options are punching out grafts if they are multiple haired, re-using where possible, or planting in front of them to camouflage the work while keeping in mind not to go too low if possible with the hairline. The hairline should be proportionate to facial features in terms of height and design and keeping in mind loss potential because you are extending then the coverage area if you go low and essentially using more grafts. You can't force grafts into good angles, they are set, so you camouflage by placing in and among the area or remove. Often with good placing around and playing with hair length you can over come mis-angled grafts.

You are at the early stages, so it's too early to come up with an action plan and essentially time is needed to then see how things progress and then have in-person consultations to see what the next stage is. It is important to keep contact with the performing clinic and have their input on how they think things are, I know that may not be your instinctive thought but clinics usually ask for patients to keep contact throughout and then assess at the 12 month period. Not easy but try not to rush any thing and let things take course and then assess. Sorry but it will be a waiting game for you at this stage. Try to be as positive as you can in this time.
 
Bigmac

Bigmac

Administrator
Staff member
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#14
Hi Jox12.
As others have said, you will have to wait and see how it grows out. There are a lot of grafts pointing in various angles and possibly multi-grafts that may need punching out or camouflaging with more grafts as Sl suggests.

Once it begins to grow, styling your hair forward may be the best option until you are in a position to seek some repair work.

Good luck with it.

All the best.

Bm.
 
J

Jonx12

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#15
Hi Jox12.
As others have said, you will have to wait and see how it grows out. There are a lot of grafts pointing in various angles and possibly multi-grafts that may need punching out or camouflaging with more grafts as Sl suggests.

Once it begins to grow, styling your hair forward may be the best option until you are in a position to seek some repair work.

Good luck with it.

All the best.

Bm.
Hey Bigmac, thanks for replying. I know I have to wait and see what the final result is but my thoughts are it will definitely require a lot fue removals to get anywhere near natural now. Do you know if chances of graft survival are normally okay after implanting into fue sites at my hairline for example (since that is now a scarred x 2 area)?

Also I’ve been researching a lot of repair surgeons worldwide but would love some suggestions if you had any I should look into for this kind of repair? I haven’t found many repair cases similar to mine at all. There are some phenomenal docs but now I’m looking for someone who’s specifically had experience in a repair like this.
 
Bigmac

Bigmac

Administrator
Staff member
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#16
I think you will find that most skilled doctors are very good at repair work, unfortunately, they are getting lots of practice. I`ve seen many patients have multiple grafts punched out and moved elsewhere. Sometimes the grafts are split to make singles for the hairline. Usually, grafts planted into a site where a previous graft has been punched out have no problem growing.
 
Raphael84

Raphael84

Valued member
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#17
@Jonx12
You seem to have a great head on your shoulders and whilst its terribly unfortunate that you met your friend at "the perfect wrong time", you are now doing your due diligence and have received some great advice already. I would echo those sentiments. You will have to wait it our a while before you can see the final results of your surgery. Things may not be as bad as you fear. You will have to wait it out until at least the 12 month mark and whilst I appreciate that it is very easy for me to say, just try not to stress yourself too much. Instead, be confident in the fact that you have options and if necessary great surgeons who can help.

Wishing you the best.
 
R

Radiance Cosmedic Centre

member
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#18
This is really bad news. If you give better consultation before a hair transplant from the best surgeon of hair transplantation, you got a definitely different result.