This man had the ugly, pluggy hair transplant procedure that was common in the mid 80s. Unfortunately, many, many people think that this is the standard and that if they have a hair transplant, this is what they are going to look like. I spend a great deal of time trying to explain away these types of results, telling prospective patients that today’s standards are so natural that you can not tell them from a person who did not lose their hair. Now with that said, here is a patient that has had some repair work for his old-style hair transplants. Unfortunately, he did not have enough donor hair to fix it the way I would have liked to do it, but what he shows here is much better than what he had when he first came to see me. I asked him if he would talk about the good, the bad, and the ugly and he sat down with me to talk about what it’s like for someone who has this kind of ‘old’ hair transplant work, how difficult it is to fix, and what the limitations are for someone looking to fix a bad job.