1980's Patient - Looking to repair old donor scarred area

[roso1234]

I was one of the thousands of patients that had old punch grafts done in the late 1980's. I have three rows of these scars at the back of my head. Donor area is now thinning(Doctor back then said this would never happen). Am looking for a solution to make my head look as normal as possible short of wearing a hair piece again. Any and all advice/experience noted is appreciated. Thank you.

[jamesst11]

two options brother - fue into the scar or SMP... with SMP you have to constantly have head shaved to a zero

[suarez]

If you can post a few details , I'm sure a few people will chip in - Current NW level , age , how is your donor area etc. ( photos may be helpful if you're comfortable with that ).

A fair few doctors have great experience in repair cases such as yours , so spend a good bit of time checking out all the forums / websites to get a feel for things . If you just google the key words , you should get a fair few results straight off . I'm sure you'll also come across repair cases with circumstances similar to yours .

Could also start the ball rolling by doing online consultations with various surgeons to get a feel for what procedures may be recommended . The Drs listed on this website would be a good place to start .

Good luck .

[roso1234]

Thank you Suarez and James for replying. I'm 47 years old. I had the work done 28 years ago. Donor area is thinning. I'm now a NW 7. If the doctor I dealt with would have been responsible, he would not have recommended hair transplants for a 19 year old. There was no way of knowing what I would look like in my 40's.

[gillenator]

roso,

I see that you're from the Baltimore area. I would bet that your doctor was Dr. Weidig?

And I agree that 19 year olds should never ever have any HT work done.

The best barometer is family history. If either side has men in the NW7 class, then that's almost always the future for guys who experience MPB in their teens and early 20's.

Hair systems have come a long way since when I used to wear them so it's something to consider if something like DRT is not an option.

You are welcome to come and see me for a free assessment as I live in the area.

[incider]

I was one of the thousands of patients that had old punch grafts done in the late 1980's. I have three rows of these scars at the back of my head. Donor area is now thinning(Doctor back then said this would never happen). Am looking for a solution to make my head look as normal as possible short of wearing a hair piece again. Any and all advice/experience noted is appreciated. Thank you.

Best solution is to get beard hair transplanted into the scar tissue (assuming you have a decent supply)

I had extensive punch graft scarring from having numerous transplants back in the day, and I've had it all repaired over the last year and a half.

Beard hair grows well in scar tissue and it can give a great result.

SMP might be an option but, at the end of the day, it's just a disguise and you can't beat having hair growing where you need it.

[JoeTillman]

two options brother - fue into the scar or SMP... with SMP you have to constantly have head shaved to a zero

Not necessarily. It depends on the length and color of his hair but some SMP is ideal for adding cosmetic density to one's hair. I've had it done myself a few times with tricopigmentation and it worked very well.

I think that some sort of FUE into the scars would be the best angle of attack on this problem. Beard hair and scalp hair would work but there would have to be a few passes to get it right.

[roso1234]

Donor Area Scarring

Would SMP cover up the bumps left by the open donor scarring? If Weidig had just sutured the donor area holes in the first place, camouflage would be a whole lot simpler now...

[WHTC Clinic]

Treating the scars by FUE grafting will require sufficient blood supply in order to be a success. Have more than one consultation with an expert in FUE and procedures involving beard hair.

[monty3001]

Not necessarily. It depends on the length and color of his hair but some SMP is ideal for adding cosmetic density to one's hair. I've had it done myself a few times with tricopigmentation and it worked very well.

I think that some sort of FUE into the scars would be the best angle of attack on this problem. Beard hair and scalp hair would work but there would have to be a few passes to get it right.

Hi Joe,

I'm interested in SMP for a scalp that is NOT shaved to add thickening to crown and donor area. This is the first time I had realised this could be possible thanks to your mentioning it. How effective is it for this purpose? I'm U.K though, not sure if there are any reputable experienced providers of this service over here.

Ta

[JoeTillman]

Hi Joe,

I'm interested in SMP for a scalp that is NOT shaved to add thickening to crown and donor area. This is the first time I had realised this could be possible thanks to your mentioning it. How effective is it for this purpose? I'm U.K though, not sure if there are any reputable experienced providers of this service over here.

Ta

As far as I know, permanent SMP is rarely suitable (much less offered) for adding density to average length hair and is usually used for those that want to maintain a shaved head. Tricopigmentation however is ideally suited for this purpose. As I said before, I had this done on myself a few times with excellent results. In the UK you can visit the Harley Street clinic in London, tell them I sent you and they'll get you sorted.

[hairhairhair456]

As far as I know, permanent SMP is rarely suitable (much less offered) for adding density to average length hair and is usually used for those that want to maintain a shaved head. Tricopigmentation however is ideally suited for this purpose. As I said before, I had this done on myself a few times with excellent results. In the UK you can visit the Harley Street clinic in London, tell them I sent you and they'll get you sorted.

Why do you consider tricopigmentation suitable, but not permanent SMP?

[hairhairhair456]

Was wondering if Joe or someone could answer as to why tricopigmentation would be suitable for this, but not permanent SMP.

[hairhairhair456]

Okay, no answer. Well, I'm puzzled as to why you think permanent SMP is rarely suitable for this purpose, but that tricopigmentation (which you are affiliated with) is. They are both dots of ink placed under the skin... so what makes permanent SMP dots less suitable for adding density to long hair, than temporary SMP dots?

Leaving that aside, numerous permanent SMP companies specifically discuss how their SMP can be used in conjunction with longer hair in men or women

With as much experience as you have researching SMP, i'm surprised that you think this type of service isn't offered by permanent SMP companies... as nearly every SMP website I've ever seen discusses and/or has pictures of SMP being used for women who have thinning hair, or people with patchy alopecia.

[hairhairhair456]

To explain the edit, it's because i linked to articles from 3 popular permanent SMP companies, where they discuss using permanent SMP in conjunction with long hair. Sorry, didn't know there was a rule against that.