Today I will discuss a very interesting case I just performed. This patient presented with a skin graft in his mustache region from a previous accident that required extensive Plastic Surgery. He was left with a large scar and no ability to cover the scar as it would only grow a scant amount of hair. The patient prefers to wear a goatee but it is very unnatural with only one side growing hair. In this case I performed follicular unit extraction otherwise know as FUE by harvesting the hairs from his beard on the neck individually with a .8mm punch. I harvested the neck hairs as these will most closely resemble the beard hairs we are meant to recreate. After I harvested all the beard hairs via FUE we placed the grafts individually to recreate a mustache.The angles and orientation of the grafts placed in the mustache were made to mimic the angles of the hairs on the unaffected part of the mustache. Typically there is a slightly lower growth rate of grafts transplanted into scar tissue, but these patients usually have excellent cosmetic results. Below you can see the pre operative photo and the post operative photo and the immediate difference that is seen with the transplanted grafts present over the scar.
Hello all, lately I have been treating an increasing number of patients who have suffered hair loss after various surgical procedures. The most common cases that I treat are loss of the sideburns after face lift procedures. I have also treated patients who have undergone previous brow lift procedures where their hairlines were brought up too high, or a scar was left in front of the hairline. In addition, patients who have had cranial surgery are often left with patches of hair loss secondary to the surgery. In all these cases, hair can be harvested from the patients “donor” region (usually in the back of the scalp, and if necessary, on the sides as well), and this donor hair can be used to graft to the areas that require coverage. This includes scars in the scalp, eyebrows, mustache, and beard regions. The end result is a completely natural appearance with coverage of the pre-existing scars. These hair transplants are effective because there is rich blood supply to the face and scalp, which allows hair transplants to grow well through most scars. In the photo section of my website I have posted some of my patients who are in this category of hair loss. I also have additional photos available for viewing in my office.