I was wondering, I looked at a post on newhair.com about two post operative examples where they had minimal to no scabbing/crusts. After my hair transplant I was instructed to wait 24 hours before washing, I washed gently by pouring baby shampoo mixed with water over my head. I did this daily. Now at 8 days post-op, I have quiet a bit of scabs still. The scabs that fell off also shed hairs. I was reading on Wikipedia an article about hair transplant and it stated “Scabs adhere to the hair shaft and increase the risk of losing newly transplanted hair follicles during the first 7 to 10 days post-op.” This has me concerned, as I have bald spots throughout the hair transplant and was shedding scabs as early as day 4. I read through your posts and you had mentioned that you try to reduce scabs as much as possible. Will my prolonged scabbing at day 8 effect my outcome? I washed my hair 3 times today and let it soak but the scabs are still not falling off yet. And as I mentioned, there are bald patches where the scabs came off with the hair.
The key is to wash it the very next day and use a surgical sponge filled with shampoo, rolling the sponge over the recipient area over and over again until all of the crusts are off. Pouring soapy water alone will not work. The Wikipedia report came from a medical article I wrote which you can read here: https://newhair.com/wp-content/uploads/2018/11/mp-2006-graft-anchoring.pdf
Below is an example of what a post operative patient should look like one day after surgery (2150 grafts) with good washing techniques as discussed above. If he keeps washing his graft area, the terrible crusting seen without washing will never develop.
In a 2009 article written by Dr. David Perez-Meza reflecting upon Dr. Tony Mangubat’s two cases of problems following a hair transplant, the connection between smoking and complications from a hair transplant or any plastic surgery to the face, is significant (see attached article below).
Still a other article mirrors these claims: J Surg Res. 2009 Apr;152(2):224-30. doi: 10.1016/j.jss.2008.02.066. Epub 2008 Mar 31 concluding that: “Nicotine has a limited vasoactive effect in the skin and subcutis unlikely to be explained by smoking, which distinctly decreases tissue blood flow, oxygen tension, and aerobe metabolism independent of smoking status“.
This does not negate the effects of smoking just the direct connection between the causes seen and the presence of nicotine suggesting other causes in the cigarette smoke produce problems in wound healing.
https://www.mirror.co.uk/3am/celebrity-news/elton-john-agonising-hair-transplant-20543997
Have you encountered patients that have had side effects that lingered for a few months after dropping the drug, like me? If so, did they get better?
They usually got better. You should think positive as the Nocebo effect is real
I have been suffering from an undiagnosed case of hairloss for almost two years now. The thinning occurs only in front of the ears in a circle around it and slightly on the nape. No thinning crown and my frontal hair line has been stable for years. No cases of hair loss in my family. The thinning started about two years ago and hasn’t really changed (for better or worse) since then.
I’ve been to FIVE different dermatologists and none could tell me ANYTHING. “Ive never seen that before”, “I can’t help you”, “It’s probably not what you think (male pattern baldness)”
The trichogram that was taken has showed no signs of male pattern baldness on other parts of the head. The results did not show anything suspicious. Tests for nutrient deficiency also didn’t show anything, but that’s been a long time ago so if you have any specific nutrients under suspicion let me know. I do not respond to Minoxidil. A two-times-daily treatment of nine months brought no growth whatsoever.
I don’t believe that topical finasteride is superior to the oral finasteride. From what I have read, the question has always been, ‘Is it as effective to the oral finasteride‘.
I’ve tried rogaine in the past and it surprisingly worked really well. I stopped due to having shortness of breath. I was able to take in air but it felt like a low amount would go in from what I would breathe in if that makes sense. I never had shortness of breath associated with chest pains or anything like that, which is described by others. It just seemed that everything would be fine until a month of use. Then I would experience the shortness of breath. For example, if I was walking the shortness of breath would start to kick in.
I was wondering if you know anything I can do or take to offset this from happening? I tried every other day and even 2%. But eventually, after about a month I would experience the same issue. Thank you for your time.
Rogaine (minoxidil) when absorbed by the body is both a hypotensive agent and is a known medication to cause heart damage. Sounds like you shouldn’t use it. Check with your doctor
This is something you don’t want to say when you think that you are balding (but that is normal for many men). What is much worse is if you had a BAD hair transplant. A BAD hair transplant is even worse because it is absolutely not normal and every one will know what you did isn’t normal looking. Look at the video above (follows this post) and tell me if you would be covering your head up with this man’s result?
If you used finasteride for a year and it slowed or stopped your hair loss and then you stopped the drug, you would play ‘catch-up’ hair loss and could lose all of the hair you would have lost while you were on the drug.
Yes, if you used finasteride for a year and it slowed or stopped your hair loss and then you stopped the drug, you would play ‘catch-up’ hair loss and could lose all of the hair you would have lost while you were on the drug.
These pictures are highly suggestive of value; however, had this man has a HAIRCHECK instrument test, he would have an absolute measurement of the gain or lack of gain from the drug finasteride. This is why I always do a HAIRCHECK test on all of my patients who are put on finasteride, (see here: https://baldingblog.com/24-year-old-male-receding-hairline-no-change-hair-loss-past-year-haircheck-test/)
I love doing Scalp Micropigmentation (SMP) because at times, the results are instantaneously amazing as it was today. Leave aside some mild pink color to the area of the scar that was just treated (it will be gone tomorrow), he was blown away by the disappearance of his scar from two hair transplant procedures in the past and the apparent fill-in of his crown with just the SMP pigments. Scarring like his is unusual and occurs in only a few patients who have stretchable skin (with high elastin collagen). He said his crown looked as good as if he has another hair transplant today with instant growth.
I don’t have a bald ‘spot’ though and temples are not receded much. Its diffuse in the whole NW6 area. I fear I don’t have the donor to get the desired results in the long run as the loss is not stabilizing.
You should see someone like me, who can assess your donor area with good quantitative numbers so you will know for sure, what you should and should not do. Don’t be your own doctor, your hair and your hairy life is too important.
These pictures are highly suggestive of value; however, had this man has a HAIRCHECK instrument test, he would have an absolute measurement of the gain or lack of gain from the drug finasteride. This is why I always do a HAIRCHECK test on all of my patients who are put on finasteride, (see here: https://baldingblog.com/haircheck-test-how-it-is-done-video/)
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