REVISION HAIR TRANSPLANTATION IN CHICAGO, IL View this post on Instagram A post shared by Anil Shah MD (@shahaesthetics) on Jan 18, 2019 at 12:18pm PSTRevision Hair Transplantation Surgery is actually fairly common. Typically, revising a strip surgery (FUT) is a little more straightforward than revising patients whom have had a previous FUE surgery.With Strip surgery, as we can see in this example, we can see that there is a visible scar line across the back of the patient’s head. Typically, the hairs surrounding the strip or scar tend to be easier to extract. For patients who have had a previous FUE surgery, a revision hair transplant could prove to be tricky. What can happen is the grafts can be over-mined and sometimes if the surgeon is implementing a handheld FUE, they will be creating issues that include scar tissue, creating some shock loss, and other issues.One of the main advantages of the ARTAS technique, especially in revision surgeries, is that the system has lots of built-in safety measures. It creates an irregular pattern so that it’s very hard to detect where the hair has been harvested. And it’s much harder to see that transitions between harvested areas and not-harvested areas. This can be done without having to take more hair or less hair from the donor area. In addition, you can dial the parameters so you can go into this tough tissue, either with a firmer punch or sharper punch to really extract the hairs safely.This system is so sophisticated that it will pick up scar tissue and automatically mark it. In this example as seen through the microscopic lens of the ARTAS Robot, you can see that the area has been marked. Now that the ARTAS system has detected this, it automatically prevents the surgeon from taking more hair. The ARTAS Robot does this as well with areas that have been grafted, making revision transplant surgery much safer and much improved results.Other factors to look at in revision surgery are the quality of the hair, type of hair, and other issues. Patients with revision surgery should consider the use of SMP, which Scalp Micropigmentation, to help cover up previous scars, and also to cover up areas where they can be either hyperpigmentation or lack of donor density.The use of regenerative techniques such as PRP treatments and growth factors can also play a role in helping hairs recover faster, and also potentially mitigate incidents of shock loss.