Hair Transplant Repair: Refining Outdated Pluggy Grafts with Follicular Unit Transplantation (FUT)

This impressive hair transplant repair result was performed by Dr. Michael Beehner, who is a member of the Coalition of Independent Hair Restoration Physicians. To view this discussion and other hair loss topics, visit our Hair Loss Social Community and Discussion Forums. 

This 47 year old hair restoration patient presented several years ago having had three previous hair transplants with large grafts commonly known as “hair plugs”. He was quite self-conscious about it and wanted the hairline softened up and the bald area in back filled in some.

We performed two sessions over that period, totaling 3738 grafts (3070 follicular unit grafts and 668 double follicular unit grafts) comprising 9271 hairs. He was recently in for a touch-up session to make the hairline a little denser with follicular units and the below “after” photos were taken.

At each session we “cored out” a few of the hairs from many of the very dense plugs near the front edge. In all, we performed 74 of these small “cut-outs.” This is called the Lucas Method, in honor of Manfred Lucas, a German hair surgeon now deceased who published about this method. These hairs that are removed from these large plugs are then cut up into small grafts and used elsewhere.

Dr. Mike Beehner, M.D.

To see these and other high resolution images of this patient’s impressive hair transplant repair and add your comments to the discussion, visit, Old, pluggy grafts made more natural; 3738 grafts; Dr. Beehner.

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David (TakingThePlunge)
Editorial Assistant and Forum Co-Moderator for the Hair Transplant Network, the Coalition Hair Loss Learning Center, and the Hair Loss Q & A Blog.
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