You have less to work with than in the first surgery, and more that must be done.
We like performing revision surgery
There are people who underwent surgery with expectations but then suffered for a long time because of unexpected results. They worry every time they look in the mirror, spend time every morning hiding an awkward hairline, and worry about their front hair when the wind blows. They likely began the first surgery wanting to look better, but now their wish may have become simply that others not notice they had surgery.
We like revision surgery because we can help fulfill that small wish.
There are reasons you don’t like the result
There are many reasons patients want revision surgery. Density may be insufficient, the design may look awkward, the hair direction may be wrong, or overly thick hairs may have been placed too far forward. The forehead may still look wide, or a large scar may remain. Sometimes patients can’t precisely say what’s wrong but simply feel it looks awkward and they don’t like it.
In those cases we first identify and explain what specifically makes it look awkward. Simply knowing the reason can relieve some of the frustration. Now we know what to change this time.
If this goes wrong again, the next time is harder
Revision surgery is more difficult than the first operation. Scar tissue from previous surgery makes the tissue firmer, complicating harvesting, follicle dissection, and implantation. Donor hair available at the occiput may already be significantly reduced. In such situations we must think much more carefully about where and how to use the remaining follicles. You have less to use and more to accomplish compared with the first surgery.
If this goes wrong again, the next attempt becomes even harder. That is why revision procedures require more experience and concentration.
I feel glad I do this work
Revision procedures take more time. Working with hardened tissue and operating under restricted conditions places greater physical strain on the practitioner as well. For this reason, revision procedures are often charged at higher rates in general. However, we do not charge an additional fee solely because the procedure is a revision. This policy is distinct from the basic fees for the surgery itself. When we see patients cast off the emotional burden they have carried for so long and truly rejoice in their improved appearance, we cannot help but feel uplifted with them.
I feel glad I do this work. I will accept that sense of reward in place of charging more.
So you can do the hairstyle you want again
The goal of revision surgery does not always have to be a perfect hairline. It can be reducing morning styling time, worrying less when the wind blows, being able to tie or sweep back the hair without fearing others will notice an odd hairline. I like revision surgery because it can return those ordinary daily things to people.
Bleeding, infection, swelling, scarring, folliculitis, sensory changes, temporary shock loss (concurrent loss) or less-than-expected graft survival may occur. Preexisting hair loss can continue after transplantation, so long-term management is necessary.
