I have a large forehead and suffer from Male Pattern Baldness. When you do a hair transplant, is it possible to put the hairline in a lower position then my pre baldness hairline so it eliminates two problems at once? — S.

Hello S. Yes, it is sometimes possible to give you a hairline that is in a lower position than you had prior to receding. It would be dependent on a few factors: how much hair loss exists in other areas that the hair transplant must address, the amount of available donor hair, and possible future hair loss. These factors all play a role in the appropriate placement of your hairline. A consultation would be necessary to assess your particular case. Please submit a free online hair transplant consultation form where you can upload photos. Please read our photo guidelines.

— Jerry Wong, MD.

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If you are not satisfied with the hairline you got from your hair transplant, is it possible to remove the grafts and make your hairline higher so it matches the rest of your hair?

Do you know if the scars from the grafts remain visible?
Does Kelo-Cote help to minimize these scars? — BS

It is possible to remove a transplanted hairline if it has been placed too low or is extremely unnatural in appearance and difficult to make look natural by adding more grafts. In some cases, only a portion of the hairline need be removed to create a more natural appearance. In other more extreme cases, the entire first few millimeters must be removed creating a higher hairline. Sometimes, just removing the unsightly hairline can be enough for a cosmetic improvement, but in other cases a second hair transplant procedure is required to rebuild a new hairline. If you are referring to whether scars remain after the removal of the old grafts, the answer is probably "Yes". If the old grafts presented no scarring to begin with and are removed with electrolysis or laser, minimal if any scarring should remain after grafts are removed. If, however, the grafts to be removed created scarring, pitting, or any surface irregularities, the entire tissue must be removed via strip. This excision will leave a fine linear scar running along the front of the hairline. This scar usually heals fairly well and if the hair is strong behind it, some patients would find this acceptable and a great improvement over what was there. In most cases, as mentioned before, some grafting in front and into the scar (rebuilding a new hairline), blending into the existing hairline, gives the best aesthetic result.

If you are considering a repair procedure, please send photos via the Hasson & Wong online consultation page.

I can’t comment on the product Kelo-Cote. Sorry I can’t be of help there.

— Jerry Wong, MD

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