From pluggy to soft - 600 CIT grafts to hair line | Dr. John Cole Atlanta
Here is a patient who received a session of approximately 600 CIT grafts to camouflage the large plug grafts from several years ago. The treatment plan was to add density to the frontal hair line with single hair follicular units. When hair line restoration is performed, the surgeon attempts to recreate Mother Nature’s density. Some patients want to add more density to disguise previous hair transplant work while others desire to thin out the previously transplanted areas for a more mature natural appearance.
Removal of the plug grafts is almost always more difficult than extracting follicular units from a virgin scalp. In a typical case of hair transplant, less scar tissue is involved and survival of the newly transplanted hairs should have adequate blood supply in the recipient area. Repair is often referred to as Plug redistribution. We may decrease the size of the plugs to reduce the appearance or totally remove them. Patients may have extremely difficult plugs to remove or may have plugs that are easily removed. Tests can be done so that the patient and surgeon have an idea of how well the scalp will heal. Patients usually will have a few plugs redistributed and have the healthier harvested hairs placed back into the patient's donor area. The survival rates of these dissected plug grafts remains unknown. Because the plug grafts are sometimes relocated back to the original donor area, scar tissue may cause limited blood supply for survival. We are excited for this patient.