Repair work is possible more often than people fear — but the honest first step is measuring what donor is left.
Poor density from too few grafts or poor survival; an unnatural hairline that is too low, too straight or made of multi-hair grafts at the front; and donor damage from over-harvesting. Each has a different repair path.
Density can usually be improved if donor remains. An unnatural hairline can be softened by removing multi-hair grafts at the front and replacing them with single follicles — slow, meticulous work. Both are routine repair procedures.
Donor over-harvesting is permanent. If the back of the head has been stripped, no surgeon can put follicles back, and scalp micropigmentation becomes the realistic option for camouflage.
Densitometry of the donor, photographs of the recipient area under standard lighting, and an honest ceiling on what a second procedure can achieve. We turn down repair cases where the donor cannot support a meaningful improvement.
At least twelve months after the first procedure, so the final result is visible and the scalp has fully settled.