When repairing a bad hair transplant by removing poorly placed grafts along the hairline, is it best punch the grafts out or remove them with a laser?
Laser hair removal for badly transplanted grafts at the hairline has not worked for my repair patients in the past and many other hair restoration surgeons that I know. These grafts contain multiple hairs at a high caliber and are very resistant to laser. Multiple laser sessions on previous patients have not given a satisfactory result. In addition, multiple sessions of laser removal causes some thermal damage resulting in scarring at the dermal layer.
I do not claim that follicular unit extraction (FUE) punching does not cause scarring at all. There is no ideal way of removing these hairs without accepting a trade off. We are just trying to get the best improvement with the least aesthetic problems left behind.
Dr. Ali Emre Karadeniz
Editorial Assistant and Forum Co-Moderator for the Hair Transplant Network, the Coalition Hair Loss Learning Center, and the Hair Loss Q & A Blog.
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