View Full Version : Dr. Dauer Patient- 1003 Grafts and Donor Repair

Marc Dauer, MD
07-31-2015, 05:06 PM

here is a patient of mine who came to me after undergoing 2 previous FUT hair transplant procedures with another physician. He was having continual pain in the donor scar. On examination the scar was raised and in certain spots there were 2 separate scars.

I decided to revise the old scar and consolidate the 2 scars into one and hopefully create a much smaller and flatter scar that was no longer painful.

While harvesting the patient's strip I discovered that there were many retained nylon sutures in the wound that had created fibrosis around them. I removed the retained suture material and closed the wound performing a trichophytic closure. The results of my donor strip scar revision are shown below.

In addition, I placed 1003 grafts into the hairline to create increased cosmetic density.

The patient now states that he no longer has any pain in the donor region and the scar is now flat. In addition, he is thrilled with the increased cosmetic density in the hairline.

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02-04-2016, 12:53 PM
Dr. Dauer, that is impressive work. Have you ever done repair on donor area from 1980's work, where the donor area is a field of open punch graft scarring?

Marc Dauer, MD
02-05-2016, 04:39 PM
It's much more complicated to repair large punch grafts scarring.
In some cases we can take beard hair from the neck via FUE and transplant it into some of the large vacant spaces created by the punch holes.
Another option for this is SMP.
I don't perform SMP and I tell others to make sure to do lots of research to find someone who is well versed in the technique before moving forward with it.
I hope this helps. Best of luck to you.