Design revision, resetting the direction and angle of growth
Density can be sufficient and the result still look off. Most often it comes from the direction the hair grows and the shape of the line.
- Duration
- Varies by graft count
- Recovery
- Daily life in 1 day · sutures out after 10–12 days for strip
- Anesthesia
- Local anesthesia · sedation available
Design revision is a revision procedure that redesigns the direction and angle of previously transplanted hair and the shape of the hairline.
If transplanted hair has settled and still looks off, the cause is usually not the amount but the direction. Hair grows from the scalp at a consistent angle and flow, and when placement works against that flow it will not settle however it is combed.
The shape of the hairline works the same way. A line as sharp as a ruled edge is visible head-on. Placing sparsely at the front and more densely behind, so the boundary blurs, is the basis of a natural look.
MOLIV starts by confirming what feels unnatural. Whether it is direction, angle or the shape of the line changes how much has to be cleared, and it changes where the remaining donor supply is spent first.
Effects
- Hair growing against the flow is redirected to match the hair around it
- The angle at which hair stands from the scalp is lowered, reducing the sense of it lifting
- A hard-edged hairline is redesigned as a softer line
- Coarse hair clustered in the front row is redistributed
Recommended for
- Transplanted hair grows in a different direction and will not settle when combed
- The hairline reads as a hard straight edge and looks unnatural
- Coarse hair is clustered in the front row and shows
- Density is adequate but the result does not look natural
Process
Identifying the cause — We separate out whether direction, angle or the line itself is creating the problem.
Assessing the donor area — We confirm what can still be harvested and set priorities.
Redesign — Direction and line are redrawn to match the flow of the existing hair.
Surgery and follow-up — Clearing and placement are carried out, and we review the course together.
Precautions
- Some previously placed follicles may need clearing, which reduces the donor supply available
- If not enough time has passed since the earlier surgery, it is better to review the course first
- Rather than changing everything at once, the work is often staged in order of priority
Related FAQ
How long after the earlier surgery can a revision be considered?
Transplanted hair takes time to settle, so it is better to judge once the course has become clear. The timing depends on the extent of the earlier surgery and the current state, so we confirm it together at the consultation.
Do the previously transplanted follicles have to be removed?
Where the direction is badly off, or coarse hair is clustered in the front row, some are cleared. Anything cleared has to be replaced from the donor area, so how far we go depends on what supply remains.
How does this differ from density revision?
Density revision fills in what is missing; design revision resets the direction and line of hair that is already there. Both are sometimes needed, and we separate them at the consultation.
How does recovery progress?
Mild swelling may appear for the first 2–3 days, and scabs fall away naturally over 7–14 days. Transplanted hairs shed temporarily between weeks 2 and 8, new growth begins around months 3–4, and the result matures over 6–12 months. The head doctor reviews your progress together at each follow-up visit.
What graft survival rate can I expect?
It varies with scalp condition and the treated area, but through a process designed to minimize follicle damage from extraction to placement, you can generally expect a graft survival rate of 95% or higher.
When can I wash my hair?
Gentle washing usually starts on day 3–4 following the method we guide you through, and from about a week on you can wash as usual. We help you with the first wash in person when you visit.
We start by confirming what feels unnatural
Whether it is direction or the shape of the line changes what the surgery needs to do. Let us look at the current state together.