Methods to improve old results of punch hair grafting.

The author describes two new techniques for improving results in previous punch hair grafting patients. The first one enables reharvesting of punch hair grafts from previously maximally used donor scalp. The grafts are cut in two or three rows and the scars from the previous harvesting in between are excised. The thus created continuous donor defect is closed in two layers. The second one in the retransplantation of grafts previously transplanted to bald scalp with enough laxity to be reduced by serial scalp reduction. These two techniques make it possible to improve the results of the "old" punch hair grafting patients almost to the level they would achieve if they started with their surgical hair reconstruction today with the newest techniques of punch graft harvesting and scalp reduction.