Here is a patient of mine who had numerous FUT strip harvest procedures by other physicians that resulted in severe scarring in the donor area, plug grafts throughout the scalp, and an overall very unnatural appearance. The result was so unnatural that the patient would not go outside without a hat.
I extracted approximately 1500 grafts from the neck via FUE in multiple sessions and placed them throughout the scalp, especially in the “alleys” on the sides to connect the transplanted hair to the native hair on the sides, and the crown in the back.
The patient also had some SMP performed on his scalp and will have more in the future.
The result is already so much improved from prior and the patient still has some more beard donor hair and will have more SMP to improve the result even more. I will also be “de-bulking” some of the plug grafts to make them more natural looking.
Neck and beard hair can be a very valuable source of donor hair for those that are out of scalp donor hair. Though the character of the hair is a little different, it works very well as filler and can make a nice impact in improving visual cosmetic density. Also, the neck heals so well from the small punch sites of the FUE removal that the tiny dots are barely visible on close inspection.
Choose your surgeon wisely so that you end up with an aesthetically natural result both in the short term and long term.
All the best,
Marc Dauer, MD