At 17, taking Dutasteride puts you at risk of becoming sterile, since it is one of the known complications of this drug. Are you sure you want to do this? Dutasteride is not FDA cleared for hair loss.

Fin to Dut switch at 17 from tressless

This is another Turkey patient who was over-harvested. The amount of hair taken from the donor area exceeded what the donor density would support, a common problem when FUE grafts are pushed higher and higher. To make matters worse, the non-permanent zone was harvested as well, so many of the grafts that were harvested are not permanent and will eventually fall out if they grow at all.  The only solution, a good one for the donor area scarring, is Scalp Micropigmentation, but it will not address the non-permanent hair that was transplanted.

over-harvested4

You may slightly notice if hair loss has stopped or slowed down. The drug will be having an impact. The only way to find out what is happening is to stop the drug, and if you do, you may shed a great deal of hair that may not return. Therefore, stopping Finasteride may not be a good idea. This is a difficult place to be, but you almost always must stay on the drug, and in up to two years, you will almost certainly get value from it.

9 months of fin.. from tressless

Screen Shot 2018-02-16 at 9.30.18 AM

A female had a hair line advancement surgery, then she lost her hair behind the advanced hairline. The scar from the hair line advancement is shown above. The black line is where she now wants the hair line to be placed, so that it hides the scar from the previous surgery. Hair loss, a known complication of this type of surgery produces (1) further recession of the hair line, (2) visualization of the scar from the surgical incision, and (3) often more corner hair loss, not uncommon in women who have facial surgery or just age. The treatment for this is a hair transplant which can cover the scar, restore a normal hairline, and fill in the corners to make a perfect feminine concave hairline.

 

I am sure your surgeon has photos of you immediately after the surgery, so go back and see him/her and compare these photos to what you have now.  Maybe you just washed better and took off the crusts from the area shown by the arrow, and it won’t show in the immediate post-operative photos.

bald spot 6 days po

This patient had multiple strip hair transplants, and the surgeons who did this did not keep all of the scars in one place. As a result, the patient ended up with a terrible scarring complication, as shown in these photos.

Dr. Tony Rustio from Brazil (trained in SMP by me) repaired this man with Scalp Micropigmentation (as shown in the photo below to the right). Great job Dr. Ruston. The redness you see here in the patient reflects that the photos were taken on the day of the last SMP procedure. The the redness can be expected to be gone in a day or so.  Here are more similar patients from our website: https://scalpmicropigmentation.com/scar-covering/

massive donor scarringRepair with SMP of masive scarring in donor

The cause of pitting is the placement of the grafts below the flat skin edge.

Cobblestoning occurs when the skin disc on the graft is too large and is often placed just above the skin surface.

These are technical details that result in catastrophic problems for the patient.

I am sure that this possibility was discussed in your informed consent document, and it should have been discussed with by your doctor. If it does not come back in 12 months or so after the eyebrow transplant, I would assume that it is lost. If I were your surgeon, I would bring you back to surgery and make it right with you at no charge, as I always attend to complications that occur as part of any surgery I do.

The last press release can be found here: https://replicel.com/20170314-2/.

More on the technology can be found here: https://hairlosscureguide.com/baldness-cure-by-2018-shiseido-a-japanese-cosmetic-company-believes/

Stem cells and donair site from tressless

After a hair transplant, some people develop these yellow pustules as a reaction to the retained hair spicules in the scalp left over from the transplant.  These spicules are a foreign body, so your immune system isolates them and pushes them out by draining them. If you only have a few once in a while as you said, it is best treated with warm soaks. This will cause the pustules to ‘pop’ open and drain spontaneously.  This problem rarely occurs after the first 3 months following a hair transplant.

pustule1

First, I would advise you to go back to your doctor and ask him/her the very same question you asked here. A good doctor will either give you your money back or redo it, that is, if you trust your previous surgeon to do it right the second time at no charge to you. Eyebrow transplants using scalp hair requires a special skill in identifying the ‘bend’; that is natural in each transplanted hair. So when put in by the surgical team, the natural curve of the hair must be placed to take advantage of it as it is placed.  It must also be placed laying flat, consistent with your natural eyebrow hairs.  Too many surgeons without considerable experience can’t seem to get either of these techniques right, and if they don’t, the eyebrow hairs stick out rather than lay flat as they should.

The best and only way to repair this donor area is with Scalp Micropigmentation, which makes it look like you have hair where there is none. This technique does not add hair, but will accomplish the goal of scar coverage and camouflage. These photos suggest that you had too many grafts removed by the FUE based upon your donor density. The hair that was harvested exceeded the areas of “safe” donor hair that is considered permanent. Considering that you received 5,000 grafts, very few people can support this magnitude of harvesting without donor depletion.  This problem was 100% predictable. Your surgeon should have known better and told you to expect this type of balding in the donor area, unless your surgeon was greedy about making money from you or just plain ignorant.

overharvested donor area

In a single hair pull like you are discussing, the hair usually returns within 6 months. However, a few reports indicated that it did not return, so then a hair transplant is the solution.

I have reported this here before on BaldingBlog: https://baldingblog.com/?s=hair+pulled+out&x=0&y=0

hairpulled out

Yes, however, doctors find that oral Minoxidil is a poor anti-hypertensive agent. Today, most doctors do not use oral Minxodil to treat high blood pressure. The use of oral minoxidil has been shown to increase hair on the head. In countries like India, Minoxidil is often used to treat balding.

This is a terrible complication. This is called central necrosis, which means that all the skin in the area that you see has died. You need an experienced surgeon to take care of this. This is not an easy situation. It will take months just to get the infection under control, and the skin to cover the defect. He’ll need a lot of work to be able to look normal again.

This is caused by the placement of too many wounds (grafts) in the area, using an instrument that made wounds that were too large, and causing a loss of the blood supply in the area of the scalp that is very sensitive to blood supply interruption. Many patients came to me over the years with this type of complication from inexperienced surgeons. It takes a great deal of wound care by an experience team to treat this kind of problem. Hopefully, you can afford a good surgeon or plastic surgeon with the experience to manage this situation.

central necrosis 2