wondering how you can get hair transplants without a pluggy look? it seems that some guys get that after-procedure look, others dont. i obviously dont want others to know i got this done.
How to Avoid Pluggy Look from Hair Transplant?
Doctor Answers 10
Follicular Unit Extraction Avoids Pluggy Look
This depends on the technique and surgeon used for hair transplant. Thirty-or-so years ago, hair transplant was associated with the pluggy look due to the now-antiquated methods that were used. Nowadays, this is not so. Any experienced hair transplant surgeon with skill and artistic propensity should be able to implant donor hairs without a pluggy result. The same may not be said of novice practitioners, which means you need to extensively research surgeons and not just arbitrarily pick one. Furthermore, certain modern techniques are prone to more natural-looking results. For example follicular unit extraction (FUE) has a greater capacity to create soft, gradual hairlines due to its use of non-traditional donor hair (such as finer caliber nape hair).
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Obtaining a natural look from Hair Transplant
With today's modern techniques one should no longer use the old plug grafts method. A transplant today done properly does not look like the patient had a transplant since grafts contain 1-3 hairs.
Avoiding Pluggy Look in Hair Transplant
The pluggy look was due to the process of large hairbearing grafts put into cut out areas. No quality hair-transplantation surgeon does this kind of work anymore. Our office only does micro-follicular hair grafts of 1 or 2 hairs in small .5mm perforations in the scalp. The results are completely natural and totally undetectable.
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Achieving an undetectable results
These days, anyone who does not achieve an undetectable result from a hair transplant has not had an aesthetically performed procedure, and therefore has likely not done his/her homework. The use of the microscope in follicular unit grafting allows for the smallest grafts that can then be placed in an aesthetic fashion to create a natural appearance. Doing research online is generally the best way to be assured of getting an excellent result- be sure to view hundreds of before and after photos as part of your homework.
Producing a Natural Hair Transplant Result
There are a couple of ways to avoid this look. One is the use of micro grafts (1-2 hairs) and mini (3-4 hairs) grafts, a wavy pattern to the hair line with placement of micro grafts at the hair line.
To Avoid Hair Plug Looks AFter Hair Transplants
Good hair restoration has moved far beyond the plugs, i.e., 4 mm round grafts containing 16 to 20 hairs in each. However, we have still not moved beyond bad work. Compression, pitting, bad angles, traumatic insertion, kinky hair, unnatural curl, wrong graft to site fit are all things that I still see in cut-rate clinics or inexperienced hands. The way to overcome this problem is by having not only an excellent surgeon but an amazing team. To me the success of a transplant involves both elements. My new textbook, Hair Transplant 360, is a two volume edition with one by me for physicians and one by my assistant, Emina, for assistants. Nothing like that has ever been written before. Focus on quality of every member is the key to excellent outcomes.
Plugging Look in Hair Transplantation
The final result in hair transplantation depends on the hair texture and density,as well as the skill of the technician (surgeon). Hair transplants are easy to do, but it is difficult to get good results. Some patients choose to have the Fleming/Mayer flap, where there is no risk of the "pluggy" look while achieving normal, uniform density.
Avoiding the pluggy look in hair transplants
It is hard to find a hair surgeon these days who performs plug grafts which give the "pluggy look". Properly done follicular unit grafts cannot give the "pluggy look."
The look you describe comes from more than one follicular unit in a plug placed in a recipient hole that is smaller than the graft. This compression of the follicular units creates an abnormally dense look in a small area. By transplanting hair by its loweest common denominator, the follicular unit, one cannot get this compression.
With the use of micrografts at the hairline, this is minimized.
Make sure you see patients with your hair type, density, texture and similar ULTIMATE balding. What looks good today with mild hair loss can look poor in 20 years. In more than 30 years of doing both grafting and flaps, we find many patients prefer the advantages of the Fleming-Mayer flap. Since we do both flaps and grafts we don't care which the patient chooses after seeing both. Most surgeons or dermatologists do only grafts.
Plugs are an old hair transplant technique
Most hair transplant surgeons perform follicular unit hair transplant by either a strip technique or follicular unit extraction. Hair plugs have not been performed for quite some time. Many factors determine what will lead to a natural result such as hair direction, angulation, density, hairline design, etc..... Make sure that your surgeon shows you a lot of before an after pictures during the consultation so that you can see what he is capable of.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.