Evaluation of various therapies for damaged scalps due to hair and fiber implants.

Thatching (simple interrupted suture implant) can be corrected by removing the interrupted sutures. To date, no method has been devised to totally eradicate the problem of multiple suture implants; this is particularly true for knotted-fiber implants. Various corrective methods have been discussed. These techniques were performed to counteract the damage caused by implant procedures. The techniques and their ensuing complications are based on the author's experience with 127 patients. In selected cases, autograft punch and excision with rotation flaps appeared to be the most cosmetically acceptable surgical approach to the hair and fiber implant problem.