There isn't a one size fits all punch for hairline correction. If you have larger grafts placed along the front, you need a bigger punch and vice versa. The worst thing you can do is transect a graft you are trying to remove along the frontal hairline as it could end up buried and grow out worse than it started. Any physician that claims to only use one specific size punch is a moron and has not business performing hair restoration surgery. Our punch sizes range from .6mm-1.1mm. Look at coleinstruments.com Also note that our punches are true to size. Every other company that manufactures punches may claim to offer a .8mm. However, when we do a tricometer test on these companies punches, they are .2mm larger than what they advertise them being.
When removing transplanted hair from the hairline, should I use FUE to remove it? Laser hair removal? Electrolysis? Which method leaves the least amount of scars?
Attempting to laser the hair off usually does not work. It will also make the removal process more difficult. You are better off removing with FUE than attempting the laser.
@@forhair Thank you for the detailed explanation. I have just one more question: when hair transplants from the hairline are removed with FUE, what percentage of them can be reused?
@@再生-c6z This is an excellent question. My first question to anyone looking to remove grafts is to understand their long-term goals. Do they want to remove everything and be naturally bald, do they want to have more hair and appear natural, or do they just want to remove the most apparent grafts? Removal of grafts is tricky and similar to changing money in a foreign country. When you give them $1, you do not receive $1 dollar's worth of foreign currency. You will receive less. You always lose something when you relocate grafts, as well. For this reason, I would like to know the goals. Most want to look natural and have more hair. In this instance, I remove only what I need to create a natural hairline. Because grafts from most clinics are not appropriately placed, the angle of orientation in the skin is guesswork. This means that some grafts will be destroyed upon removal. The goal is always to minimize the destruction of the hair in a graft, but we will eliminate some of the grafts. When the grafts are taken out intact, the survival rate is outstanding. When the graft is destroyed, the yield will be zero. So, we would like to remove only what needs to be removed and leave behind anything we do not need to remove. However, I can generally remove 90 to 99% of the grafts intact. One of the things I find from most doctors is that they do not get the grafts out intact, and they don't see and dig out the grafts they bisect. Repairing these repair cases is even more complex because they changed the exit angle and left scars to contend with.
Hi Dr Cole, unfortunately I am in a similar situation to this individual. Nowhere nearly as bad in my opinion but definitely something I am not happy with and believe needs to be corrected. Any recommendations for Southern California or how can I get in touch to discuss this?
An FUE only clinic is remarkable and seems to be the trend. I know the best of the best most experienced HT surgeon in southern California who performs primarily FUT.
I've had a fut and it's still a very good method especially in terms of maintaining your donor hair keep in mind Dr Cole is invested in an fue tool I would definitely go to him but there's still some people that should start off with a fut
when you are taking these grafts out, you can't make mistakes. This means having a variety of tools necessary to do the job properly. I switch back and forth using a variety of instruments, different sizes, different positions, different techniques/methods. If someone learns FUE from me, they will learn all of these techniques. However, most did not learn from me so they use one tool, one size, one method, and miss a hell of a lot of grafts. I have to see the surgeon work to recommend them. I also make and sell instruments. I get to see who buys what. I can tell you that most buy one or two sizes of the same punch. that just isn't going to get a repair case done properly. It will not get a hair transplant FUE case done properly, but they will make a mess of a repair case. Repair cases require the most skill and time.
The removal process is not scarless, but the scarring is minimal and often require magnification to see. Another concern is pitting as a result from the prior bad hair transplant. Removal may not resolve the pitting issue. Though the reason this area heals so well is there is more blood flow to the front of the scalp than the donor area which reduces scarring.
There are a few prinicples at play here. First, the size of the wound is smaller than 1.5 mm so the scarring will be minimal. The second is that the hairline region heals better than the back of someone's head so scarring on the hairline and the beard area are minimal. This principle is also why hairline advancement procedures heal well, but it's not a good idea in people (males in particular) with hairloss. There will be a scar in the males so stick to FUEing the grafts out when possible. Another reason is the punches I make for myself make smaller wounds and follow langer's lines.
Excellent work, Dr. Cole.
Great work. You saved that poor kid.
Thank you, yes we must educate to try avoid more patients suffer like him :)
There is redness due to vasodilation in the donor scar from FUT performed more than 10 years ago. What treatment options are available?
Please contact the clinic, we have solutions but we need you to provide photos first to evaluate: www.forhair.com/free-online-consultation/
How many millimeter punches do you use when removing hair grafts from the hairline?
There isn't a one size fits all punch for hairline correction. If you have larger grafts placed along the front, you need a bigger punch and vice versa. The worst thing you can do is transect a graft you are trying to remove along the frontal hairline as it could end up buried and grow out worse than it started. Any physician that claims to only use one specific size punch is a moron and has not business performing hair restoration surgery. Our punch sizes range from .6mm-1.1mm. Look at coleinstruments.com
Also note that our punches are true to size. Every other company that manufactures punches may claim to offer a .8mm. However, when we do a tricometer test on these companies punches, they are .2mm larger than what they advertise them being.
🔥 🔥🔥🔥🔥
When removing transplanted hair from the hairline, should I use FUE to remove it? Laser hair removal? Electrolysis? Which method leaves the least amount of scars?
Attempting to laser the hair off usually does not work. It will also make the removal process more difficult. You are better off removing with FUE than attempting the laser.
@@forhair Thank you for the detailed explanation.
I have just one more question: when hair transplants from the hairline are removed with FUE, what percentage of them can be reused?
@@再生-c6z This is an excellent question. My first question to anyone looking to remove grafts is to understand their long-term goals. Do they want to remove everything and be naturally bald, do they want to have more hair and appear natural, or do they just want to remove the most apparent grafts? Removal of grafts is tricky and similar to changing money in a foreign country. When you give them $1, you do not receive $1 dollar's worth of foreign currency. You will receive less. You always lose something when you relocate grafts, as well. For this reason, I would like to know the goals. Most want to look natural and have more hair. In this instance, I remove only what I need to create a natural hairline. Because grafts from most clinics are not appropriately placed, the angle of orientation in the skin is guesswork. This means that some grafts will be destroyed upon removal. The goal is always to minimize the destruction of the hair in a graft, but we will eliminate some of the grafts. When the grafts are taken out intact, the survival rate is outstanding. When the graft is destroyed, the yield will be zero. So, we would like to remove only what needs to be removed and leave behind anything we do not need to remove. However, I can generally remove 90 to 99% of the grafts intact. One of the things I find from most doctors is that they do not get the grafts out intact, and they don't see and dig out the grafts they bisect. Repairing these repair cases is even more complex because they changed the exit angle and left scars to contend with.
Electrolysis does not work either
Hi Dr Cole, unfortunately I am in a similar situation to this individual. Nowhere nearly as bad in my opinion but definitely something I am not happy with and believe needs to be corrected. Any recommendations for Southern California or how can I get in touch to discuss this?
Send us your pictures here: www.forhair.com/free-online-consultation/
An FUE only clinic is remarkable and seems to be the trend. I know the best of the best most experienced HT surgeon in southern California who performs primarily FUT.
I've had a fut and it's still a very good method especially in terms of maintaining your donor hair keep in mind Dr Cole is invested in an fue tool I would definitely go to him but there's still some people that should start off with a fut
when you are taking these grafts out, you can't make mistakes. This means having a variety of tools necessary to do the job properly. I switch back and forth using a variety of instruments, different sizes, different positions, different techniques/methods. If someone learns FUE from me, they will learn all of these techniques. However, most did not learn from me so they use one tool, one size, one method, and miss a hell of a lot of grafts. I have to see the surgeon work to recommend them. I also make and sell instruments. I get to see who buys what. I can tell you that most buy one or two sizes of the same punch. that just isn't going to get a repair case done properly. It will not get a hair transplant FUE case done properly, but they will make a mess of a repair case. Repair cases require the most skill and time.
Why doesn't FUE leave any scars when the hairline is removed?
The removal process is not scarless, but the scarring is minimal and often require magnification to see. Another concern is pitting as a result from the prior bad hair transplant. Removal may not resolve the pitting issue. Though the reason this area heals so well is there is more blood flow to the front of the scalp than the donor area which reduces scarring.
There are a few prinicples at play here. First, the size of the wound is smaller than 1.5 mm so the scarring will be minimal. The second is that the hairline region heals better than the back of someone's head so scarring on the hairline and the beard area are minimal. This principle is also why hairline advancement procedures heal well, but it's not a good idea in people (males in particular) with hairloss. There will be a scar in the males so stick to FUEing the grafts out when possible. Another reason is the punches I make for myself make smaller wounds and follow langer's lines.