I received a previous transplant from another doctor. The result was extremely thin in appearance. The doctor spread out about 1000 grafts all over my head and they gave this very thin appearance. This is cosmetically not what I was desiring, as I would need some thickness to make a cosmetic improvement. Is your clinic able to transplant new grafts in between my old grafts from the previous transplant in order to thicken it up a bit? Are you able to transplant in between the old grafts from the previous transplant without having to remove or damage to old transplanted hairs? Thanks in advance.
— S.R.

Hello S. Yes, We can transplant between your old grafts, and yes we can do so without damaging them. To do so, we would have to shave the recipient area to about 2mm where hairs are being transplanted. Dr Hasson and I both require recipient site shaving regardless, but occasionally allow a few clients to forego the shaving for various reasons. In your case, it would be an absolute requirement. Shaving is done so that we can clearly visualize the old work and the angle and direction at which the hair leaves the scalp.

Of course, the "yes"s to the questions above come with a caveat: you must first have a consultation before the we can be definitive about your specific case. Feel free to submit your photos and complete the consultation form.

Jerry Wong, MD.

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I have lost hair over a period of 20 years. I want to add density to my crown by placing the grafts in between natural hair. Will this damage the existing hair? Post the scar healing period of 3 weeks, will the transplant be
obvious and visible to others? When the transplant shoots start growing after 3 months, will the difference between natural hair and transplanted hair be noticeable? Is the size of the acne big enough to give away the fact that you had a transplant? When can you take your cap off and still look the same old you?
— S.

Clinics that don’t precisely trim grafts, that do not use custom cut blades, or require shaving the recipient site, do run the risk of damaging surrounding (native) hair. There is virtually no risk at Hasson & Wong because transection of existing hair is eliminated by the use of ultra-refined follicular units and custom cut blades made to match the depth of grafts. We shave the recipient area . This allows us to read the exact angle and direction of existing hair and provides a better field of vision to make incisions without causing damage to that native hair.

As for your concerns about post-op appearance: at three weeks post-op most people will have no idea that you have had a hair transplant. Your scalp may appear somewhat red, as if you have a mild sunburn, but even with short hair, any effects of transplantation (redness, acne, flaking), will be mostly obscured by your short hair. With very fair skinned patients, the redness may linger a little longer. At three to four months, the new hair will begin to grow gradually and naturally. Because the change in your appearance is gradual, it will not draw attention to you. Acne in the recipient area, if it occurs at all, will not draw any unneeded attention; nobody will associate a few pimples with a hair transplant. By three months, you’ll look like the "same old you" and your grafts will gradually grow and improve your appearance which each passing month. At 8 months, the result is quite apparent, most growth will have occurred with further growth and maturing of hair grafts between 8 and 12 months. Please see our graft growth timeline.

— Jerry Wong, MD

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