How can I fix a pluggy hair transplant? (Photo)

Hello, thank you for your question. In my professional opinion I would not get SMP into the hairline, most likely it will just make your hairline stand out more. I would recommend consulting with reputable surgeons to see what they suggest. Generally, for patients such as you I would recommend another corrective procedure to mask the pluggy looking grafts with single hair grafts and implant them at the correct angles. If you decide to undergo another procedure I would advise that you make sure to consult with well experienced surgeons who are actually doing the procedure and involved in every aspect of the surgery. It is possible that you may need to use other donor areas as well since you mentioned that your donor zone is not in great shape.

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You have a few options, based on your pictures. Some of the course hairs can be removed from the hairline, refined and re-inserted as singles for a softer look. You may have to have some grafts removed from the corners of the hairline (fronto-temporal angles) to make them more natural. The density you achieved is good and can be used to your advantage. Recycling the grafts preserves your donor area, since no more grafts have to be harvested from there in order to correct your results. There is not much that can be done with the angle of the grafts that were placed in your hairline, though. Hope this helps.

Addressing the issues you've raised with your hair transplant requires consultation with a specialist. However, I can provide some general advice that might help you understand your options.

1. **Scalp Micro Pigmentation (SMP):** As you mentioned, SMP is a non-surgical treatment that uses detailed micro-needles to deposit pigment into the scalp. It can create the appearance of tiny hair follicles that help thicken and restore the look of fuller hair. If you're considering this procedure, it's important to consult with a professional who is experienced in this area.

2. **Revision Hair Transplant Surgery:** Another option could be having another hair transplant. This could help to correct the angles and directions of the hair grafts. However, this would depend on your donor hair availability, as you mentioned you were over-harvested previously. A skilled surgeon might be able to extract grafts from other body areas (like beard or chest) if scalp donor hair is insufficient.

3. **Combination of Both:** A combination of SMP and another hair transplant could also be an option. This could potentially give the most natural-looking result, with the SMP providing the appearance of density and the hair transplant correcting the unnatural angles and directions.

4. **Non-Surgical Options:** There are also non-surgical treatments such as Minoxidil (Rogaine), Finasteride (Propecia), and Low-Level Laser Therapy (LLLT) that could potentially help improve the density and health of your existing hair.

Remember, it's crucial to consult with a hair restoration specialist before making any decisions. They can provide a thorough evaluation of your situation and guide you on the best course of action.