A typical female hairline is rounded and the leading edge should have a no-hairline hairline. This means that the transition zone should be built between your forehead and your thicker hairline so that there is no beginning of the hairline that looks like a ‘line’. Your picture on the left should be compared with a hair transplanted no-hairline hairline on the right below. Note the rounded soft nature of the hairline on the right which was completely transplanted, including the temple peaks and an advancement of the middle hairline about one inch, while the photo on the left is straight enough to draw a line connecting the hairs.

There appears to be both a widening of your scar and possibly some necrosis in the wound with over-active granulation tissue reaction to it as the necrotic skin appears to be shedding. A surgeon should clean up this wound and you will have to eventually address the scar that will be there.

This patient clearly had FUEs grafts placed too close together which resulted in a loss of blood supply to the donor area near the ear. After it healed, there was a scar clearly present where the necrosis was seen postoperatively.

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Have you come across any studies which go on to show with considerable evidence that the bodybuilding supplement creatine can promote/speed up hair loss/mpb? There seems to be a lot of “broscience” when searching around, and I’d like to hear the thoughts of a professional.

Over the many years in this business, I have seen supplements that contain steroids (some labeled and some not labeled). I remember an article (didn’t save it) where the FDA caught some supplement company of putting steroids in with the Creatine, and not labeling it. They broke the law.  Creatine, by itself, should not cause hair loss.

I am 23. For the past 5 months I have been suffering from hair shedding, itchy and flaky scalp, and growing spots of thinning in my crown area. I believe it is due to MPB. Prior to this, I never noticed any hair loss and no one in the family has experienced hair loss except an uncle on my dad’s side who started to thin in his 40s and still has a considerable amount of hair in his 50s now. I saw 2 dermatologists – one 2 months ago and another a week ago – and they both were not convinced that I am suffering from MPB rather stress related hair loss (telogen effluvium?). They said this because my hair loss is still not entirely noticeable. Instead, the nature of my new job (I work in investment management working 12+ hours) and had a breakup with my ex girlfriend 7 months ago would have triggered it. However, I am not convinced due to the fact that, and as pointed out to them, the hair loss is predominantly in my crown area and more importantly I have noticed hairs of different sizes and thickness falling out (or hair miniaturization). So I was wondering if I can get a third opinion on this matter and whether or not to seek consultation from another dermatologist as I would like to begin treatment of some kind early if it is MPB.

See here:  https://newhair.com/baldingblog/value-haircheck-bulk-measurements-two-patients-seen-today/

Stress, in individuals with the genes for hair loss, will develop miniaturization on the path to losing hair. The single best way to make the diagnosis is with a HAIRCHECK instrument which will show, over time, how much hair bulk you lost. If you treat it successfully, this test will show improvements that your eye may not pick up.

You should wait until all of the crusting (scabs) are off and the recipient site has healed before using your turban.

If I were your doctor, there would be no crusts because we give our patients hair washes after surgery, so you would be cleared to use a Turban in 10 days without any crusting.

You have what appears to be one or more small areas of necrosis which, when healed, will produce a scar without hair growth. This is usually a failure of the surgeon’s technique for creating recipient sites.

These are scabs (crusts) from the recipient site grafts. They should have been washed off within the first day and the following day after the surgery.

Now, you must wait 12 days to remove them. You should leave shampoo on the area for 10 minutes then gently rub it with your fingertips. As the scabs loosen, they will come off slowly. Repeat this twice a day until they come off.  Don’t pick them off.

Your donor area may show some donor site depletion from the FUE. This is not unusual if you had many grafts harvested.

The average African American hair density is generally low, so it limits the FUE procedure to about 1500 FUE grafts.