Removing vs Camouflaging Old Plugs

In correcting an old pluggy hair transplant,is it feasible or possible to transplant behind the old plugs first, let this mature, then remove the old plugs so the initial transplants (from the donor area) can camoflage the surgical sites of the excised plugs(this is assuming the old plugs cannot be camoflaged via a transitional zones of fue transplants). I have seen the reverse procedure on your website often when corrective procedures such as this are done. Also, if old plugs need to be excised can you use a flesh colored suture material to minimize post surgical incision lines of the excised plugs? And final question, in determining whether to excise old plugs or place a zone of camoflaging units in front, if the existing hairline is on the borderline (low or high) what is your criteria in your choice.Thanks.

The decision to remove the hairline is a joint arrangement between patient and doctor. Sometimes the social limitations of removing the frontal hairline is just not a good choice for the patient. One should outline the number of surgeries with the various approaches. The decision for FUE, or excision of single plugs and building a hairline in front of the old plugs at the time of the FUE, or individual plug excision, seems to be the choice most patients are making despite a hairline excision which may, in the long term, be a better decision. The location of the old pugs is important. If the old plugs are at least 1 1/4 inches above where the natural juvenile hairline was located originally, then just camouflage may work fine. The lower the hairline, the better is the excision of the hairline, but still many people today are opting for the FUE/selective plug excision and frontal camouflage, because it does not limit their ability to go out in public within days of this surgery.