May 18 2017, 12:39 pm PT | Posted in: Hair Loss Causes
The patient in the top view is 4 days after ~1850 graft FUE procedure. Clearly the transplants are barely detectable at this time. Even immediately after the surgery, there was no pink color to his scalp even just one day after the surgery because his skin was ruddy in color. The second patient (C) is 18 hours following a 1600 graft FUE procedure with us. His skin is fair and very sensitive so that a bright pink color appeared immediately after the surgery. This is rare and present only in small number of people, particularly those who have very sensitive, fair skin. As this patient is from out-of-town and went home after his hair wash, I will not be able to demonstrate the appearance of his recipient area in the 4th day, but most people like him usually retain a mild pinkish color for up to a week after the transplant. His surgery caused an increased blood supply to the skin surface. This a particular type of skin which is easily hyperemic when traumatized with a surgery. If this happens to you and you know you have this type of skin, you should consider wearing a hat for the week or until the pink color goes away. To find out if you have this type of skin, I suggested a simple scratch test by running your fingernail slightly dug into your forehead for a distance of about 2 inches (don’t break the skin just scratch it). If you have this type of skin, this scratch will appear bright pink and it will stay for hours, possibly the rest of the day. If the red scratch disappears in less than an hour, you will not have to worry that you will be unusually pink after the surgery.
Now, compare the woman on the middle (D) on the right whose skin was more ruddy and one day after the surgery there was only a little pink color to it. Within 3 days, all of the pink color was gone. The patient on the third row was a lady with fair skin who was also pink the day after the surgery, but the picture shown below at 6 days, does not show any pinkness as it disappeared as I would expect. The last two pictures (row 4 and 5) are patients one day after surgery and two days after surgery. Please note that there is no redness present and in the bottom patient 2 days after surgery, even I could not find where the grafts were placed. This is what normally happens.
Also note that there is no crusting with any of the patients because we are very fastidious about our washing procedures after surgery.