Folliculitis Decalvans is a terribly aggressive disease. I have seen this appear in a couple of patients over the past 27 years in practice and it is difficult to manage. I would consider an alternative like Scalp MicroPigmentation which will not be aggravated by this disease.
See here: https://scalpmicropigmentation.com/bold-shaved-look/
You seem to keep your hair cut short and that means you would be an excellent candidate for this procedure as it will cover all of the scarring on your scalp.
What you are seeing is terrible post operative washing. You should have washed off all of the crusts on the day and the day following the surgery. When this is done correctly, within three days of surgery, you can resume full activities, heavy exercises if you wish.
The recipient area requires daily washes to keep it free of crusts. I generally recommend the use of a sponge and supply my patient with a surgical sponge to fill with soapy water and press on the recipient area daily. By repeating this daily, all crusts can be washed off without any fear of losing grafts. If any crust are present, use a Q-tip and dip it into soapy water and roll it on the crusts. That will lift them off without dislodging the grafts. Never rub them, just roll the Q-tip on the recipient crust. I like to see no evidence of any crusting in the recipient area and the crusts from the donor area gone in 7-10 days with daily washing.
I am 26 and I lost a lot of hair giving me a huge forehead. How many grafts will this take?
First, what I need is a frontal picture with your hair pulled back and your eyebrows lifted high so that your forehead creases. That shows me the anatomic point that allows me to determine the proper place of the hair line. Once I know this, I can give you a recommendation on the number of grafts you would need for a hair transplant. Keep in mind that fine hair takes more grafts than coarse hair. In addition to the picture, I would want to know the thickness of the hair in the back of your head.
A patient wrote: “Minoxidil does strip the hair color. I am on my second bottle of women’s Rogaine and I have noticed that it does remove the dye from the hair roots when applied along the part. My stylist has stopped coloring my hair because the Rogaine strips the color off.”
Is it a case that the hair is going to shed anyway post surgery and should I wait until I experience hair loss before using Mixoxidil?
It is not automatically expected that you will have hair loss after forehead reduction surgery. It is a complication of this surgery and something that you should speak with your doctor about as this complication is not uncommon in women over 40. Minoxidil might help but maybe not. So a discussion with your doctor is appropriate. Forehead surgeries in women can cause hair loss and we consider that a complication of the process.
That is a lot of grafts for the balding area. At nine months, I would expect to see 90 percent of the growth already out. I doubt that many more grafts will come in but waiting a full year is a good idea. If you are still concerned at one year, go back and see your doctor and discuss your expectations and your doctor’s expectations for what was done. With 5,400 grafts, the team of technicians must be very efficient and fast, not leaving the grafts open to the hair for more than a few seconds in placing them or they will die and you will get dead grafts placed.
No, Dandruff is common and more pronounced after a hair transplant because skin turns over more frequently (skin shedding). If you are concerned about the growth and you are at least eight months since the surgery, then go back and speak with your doctor comparing your expectations to your doctor’s expectations.
This is a problem when the direction was placed in the wrong angle. You may have to get FUE on those hairs that are misplaced and then re-implant them in the proper direction. ?
There are studies which say that DHT in blood is increased during and after orgasm for a short period of time. So is it not possible the habit of excessive orgasms over a prolonged period of time can hasten MPB?
Hair loss does not respond to fluctuations in our hormones.
The best treatment for scalp scars is Scalp MicroPigmentation. I have extensively published on this technique and on the website you can see many examples of patients who had this done for scars of all types. Below is a typical example of a patient who had a scalp scar treated with Scalp Micropigmentation and you can see more examples of this here: https://scalpmicropigmentation.com/scar-covering/
https://www.hairlosstalk.com/interact/threads/latest-patents-from-dr-george-cotsarelis.108549/
I had a surgery some years ago for gynecomastia and am now considering a hair transplant. The doctor tells me that if I take Finasteride, I can prevent shock hair loss. Will this cause my gynecomastia to return?
If you had Gynecomastia (breast lumps or breast enlargement in men) from a non-Finasteride related cause, then taking the drug should not produce a recurrence of the problem for you even at traditional doses and your risk for developing it is about the same as anyone who never hair gynecomastia with finasteride.
My hair was transplanted and I think it looks bad. What do you think?
I think that your hairline is too high and far too harsh and abrupt. You can actually see the hairline abruptly start from your forehead with no softness present. You can draw a line where your hairline is, I always talk about an undetectable hairline and the way you know if your hairline is completely normal is that nobody looks at your hairline when they speak with you. I tell my patient that if ever anyone stares at their hairline or comment about how nice the transplant looks, my work would be a failure. You are actually in a good situation as the hairline is so high that a new hairline can be created in the normal position and bury the hairline you have so that no one will ever see it. Just get a good hair transplant surgeon who will build a normal hairline lower than the one you received just like the photo on the right which is superimposed upon your photo.
The safe zone for donor FUE measures no more than 3 inches high and the bottom of this area is at the bony prominence of the skull in the midline. It does seem that the zone has been respected in the middle; however, there is a suggestion that the left side, it may be larger than 3 inches.
