Hair Transplant Surgeon: Steven Gabel, M.D.

Hair transplant surgery repair before and after photographs

Hair Transplant Sessions: 1
Grafts Implanted: 3570
Baldness Class: 5A
Hair Transplant Repair Work
Surgical Procedure: Follicular Unit Transplant (FUT/Strip)

This hair restoration patient is a 57-year-old gentleman who came to me after a failed hair transplant elsewhere in the Northwest. He stated that 2 years prior to my initial evaluation, he had a transplant, which did not achieve the desired result. In fact, he had problems with an infection throughout his scalp and an area in the left mid-scalp turned black. It took almost a year to fill in with scar, which is shown on the close up.

On initial evaluation, he had many 4-mm areas of “white scars” which represented plugs that failed and had no hairs. There was an area in the left mid-scalp which was white and thin where the skin died (necrosis), and a white scar eventually replaced it. There were several areas of plugs that were very unnatural appearing. (See photograph with diagrams). The donor scar was wide and unsightly.

We were able to perform 2 procedures on this patient with a total of 3570 grafts, with repair of the donor scar. Our goal was to repair the prior transplant by placing grafts where he lacked them, and thicken the entire scalp region with new transplants. We also wanted to make it look natural. I was not sure if the grafts would grow in the prior necrotic area, so these were placed very conservatively in that area to make sure there was adequate blood supply.

The postoperative photographs are 3 year after the procedures. The entire scalp has been filled in and he has a very natural appearance to the hairline and scalp.


Discuss this patient on our Hair Restoration Forum

Initial hair transplant evaluation before surgery
Physicians descriptive narrative pointing out issues with this patient's prior hair transplant surgery.

Front view before and after hair transplant results
Hair restoration surgery using 3570 grafts shown from the front, viewing before and after pictures.

Top view before and after hair transplant repair by Steven Gabel, M.D.
Hair transplant surgery using 3570 grafts viewed from the top, displaying before and after photos.

Hair transplant surgery before and after photographs by Steven Gabel, M.D.
Hair restoration surgery with 3570 grafts displayed from the left, viewing preoperative and postoperative photographs.

Before and after hair transplantation surgery by Steven Gabel, M.D.
Hair transplant procedure with 3570 grafts displayed from the right, viewing before and after images.

Left closeup view three years postoperative from hair transplant by Steven Gabel, M.D.
Hair restoration surgery with 3570 grafts displayed from the left, viewing close-up image three years postoperative.