Synthetic [username as known on forums] came to us after have two previous surgeries and 17 years of wearing synthetic fibres.

First surgery was 2002 whereby he had a 1000 strip with another doctor giving him a frontal hairline but nothing else.

He then proceeded to have a 300 FUE surgery the same year elsewhere which resulted in little to no growth and left evident scarring in the donor area.

The years of synthetic fibre wearing took its toll on his scalp resulting in widespread scarring, pitting, inflammation of the scalp as evidenced in the pictures.

The aim of this surgery was to use the limited donor area available to give coverage from the hairline going back into the frontal third. The original scar would be englobed within this strip surgery rather than creating a secondary scar.

Due to the condition of the scalp in the recipient along with the goals of the patient, coverage rather than density was the main objective here, spreading the grafts to give them the best chance of survival in the scarred recipient area.

This case is really a significant repair job, the lack of donor, scarring in both donor and recipient area, and therefore was a challenging case to perform taking into consideration all of the constraints present.

Here the photographs show the pre-operational design and immediately post operation, clearly showing the placement and resultant trichophytic closure.

Many thanks to synthetic for allowing this case to be posted, we hope that it will be both educational and inspiring to others.

Pre- Op













Immediately post op

hi to all, i just want to say a big than you to evey one at BHR for there support and the professional way that my transplant was carried out. From start to finish with stephen patient co ordinator and Dr Bisanga both giving me good honest advice , right through to the clinical staff on treatment day all top notch a very caring bunch of people.
Allready in day four my calp is looking so much better , this is due to the way the grafts have been placed very neat and tidy unlike the flaky battle ground you see in my pre op pictures.
I am due to have my stitches removed in 6 days, Dr Bisanga has closed my strip very neatly and i am sure that i will have minimal scarring as possible with this type of closure.
Once again thanks to all at BHR you are a top notch clinic

BHR is the place for hair transplants, and they just prove it time after time, well done BHR.