Secondary Revision of Female Hairline Correction Surgery: Personal Experience.

Patients undergoing secondary female hairline correction surgery present with dissatisfaction of various causes that require specific solutions. Satisfactory results following secondary revision surgery are achieved only after consideration of the reasons for the patient's dissatisfaction as well as specific factors regarding the state of the hairline, height and width of the forehead, and overall facial type; all of these must be considered when choosing the most suitable surgical method. In the present study, the authors used various surgical approaches according to the patient's characteristics and presenting symptoms in the performance of secondary hairline correction surgery and evaluated the adequacy of each method using a satisfaction survey. In total, 246 patients who underwent hairline correction surgery by hair transplantation were enrolled in this study. As adjunctive procedures prior to surgery, 24 patients received triamcinolone injections every 1-2 weeks to ameliorate severe hyperfibrotic scarring, and laser hair removal was performed in part of the recipient area in 18 patients to remove old transplanted grafts that had created an awkward appearance or were unnecessary. Revision of female hairline correction surgery was performed with FUT (follicular unit transplantation) in 156 patients (63.4%), partial-shave FUE (follicular unit extraction) in 12 patients (4.9%), a combination technique (FUT + FUE) in 24 patients (9.8%), and non-shaven FUE in 54 patients (22.0%). LEVEL OF EVIDENCE V: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .