I Want My Plugs Removed and Not Replaced – Hair Loss Information by Dr. William Rassman

Dr. Rassman:

I have approximately 110 plugs (from the late 1970’s) that were placed in the frontal hairline where your hair is receding according to your picture. Can the plugs be removed and not replaced without leaving obvious scars?

If not what is a viable alternative?

Yes, the plugs can be removed. There is no way that they will not leave some scarring. Each person is different with different skin types and skin textures that reflect light differently and produce different degrees of scarring. Plugs done in the 1970’s tend to have a great deal of skin taken with the hair. These skin discs will stand out because the flat nature of them with the associated scars, when placed into a smooth, rounded bald scalp, will reflect light such that the difference becomes very obvious. When you add the ‘plugs’ of pencil size hair in the normal scalp, attention is drawn to that area. Many times, if the plugs are lined up, they can be excised as a block, or they can be removed one by one. To determine the best approach, there is no substitute for a personal consultation to make the judgments that reflect your situation.

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