Combined Repair

Combined repair is the overall procedure of removing large grafts and re-implanting the hair dissected from these grafts back onto the patient’s scalp, along with additional camouflage procedures which are performed by obtaining hair from a patient’s donor area. This is the most commonly performed hair transplant in delhi which provides patients with a natural looking hairline and better cosmetic results.

A combined repair is recommended in the following situations:

• Transplanted grafts are too large
• Grafts are located near the frontal hairline or the crown area
• Grafts have hair pointing in the wrong direction

At MedLinks, we customize the combined repair procedure for each patient depending upon his/her situation and needs. Our approach includes:

• Removing the unnatural looking grafts from the scalp
• Suturing closed the created holes
• Dissecting the excised grafts into individual follicular units
• Transplanting these follicular unit grafts back onto the patient’s scalp
• Removing sutures after 7-8 days
• Repeating the graft excision procedure at 8 week intervals, if necessary

• Removing additional hair from the donor area using either FUT or FUE procedures
• Creating a more natural looking hairline
• Better distribution of hair to cover the top and front areas of the scalp
• Improving the appearance of the crown area

At MedLinks, our surgeons ensure that all holes which have been created as a result of removing large grafts are carefully sutured closed. This is one of the most critical aspects of the hair transplant repair procedure which promotes faster healing, minimizes the risk of scarring, and helps patients to get the best cosmetic results.

Planning a combined repair procedure is extremely important to ensure best results. We recommend patients to wait for at least 8 weeks before repeating a graft excision procedure. This provides the sutured skin sufficient time to heal and allows the procedure to be repeated in the same area without any opening of the previous wounds. This also allows the surgeon to identify and remove any follicles that were missed in the previous procedure.

For similar reasons, we perform the camouflage procedure only after a minimum of 8 weeks post the graft excision procedure.

In the camouflage procedure of hair transplant repair, we usually prefer using the strip excision or FUT procedure in order to add additional hair. This allows the surgeon to remove few or all of the earlier donor scars and enhance the cosmetic appearance of the donor area. Also, the FUT procedure is highly recommended in areas of scarring as it is best for harvesting hair with minimal damage. However, in cases where it is not possible to perform the FUT procedure, we use the FUE procedure to add additional hair onto the top of the patient’s scalp or to make donor scars less visible.

The hairs which are removed during the graft excision procedure are usually placed behind the frontal hairline as they have a tendency to become wiry upon re-implantation. Hence, our surgeons use them as fillers in the mid-scalp, but not to create a hairline. We transplant new hairs obtained from the donor areas to provide patients with a more natural looking hairline and better cosmetic results.