In the 80s and early 90s doctors used large pencil-sized plugs in hair transplants

This patient had hair plugs over 25 years ago.  We fixed his frontal hairline in 2003 but he still noticed the plugs so he switched to a hair system. Now he wants to get rid of it and I gave him a plan that would do just that.  The photo below shows (inside the circles) some of the many plugs on his scalp that should be removed with FUE. With better instruments than we had in 2003, we have become very good at FUE.

When I pulled back his hair and revealed his hairline, his hair looked almost perfect but he was conscious of the plugs that can clearly be seen with his scalp shaved for his hair piece.

The Solution:

(1) remove the plugs using FUE;

(2) put enough hair around the frontal area to give him volume; and

(3) follow-up with Scalp MicroPigmentation to fill in everything once the next to last hair transplant is done.

This patient had so many plug surgeries 25 years ago, he is almost out of donor hair, a real challenge for us.

hair plugs from 25 years ago