The circles show where the hair loss has progressed since his hair transplant. I tell 21 year old men who want a limited hair transplant to wait until at least they are 25 or they will be back every year as the hair loss progresses as shown in these photos with the circle just one year after his hair transplant at 21 (not done by me, of course). By the time he is 25, he might have a lot more balding present (you can see some crown loss now showing up) and if he had a hair transplant every year from the age of 21, he would use up his donor hair. With patchy hair transplants done every year, the doctor makes money and the patient slowly develops an abnormal look without a plan. That is why I stress the need for a MASTER PLAN for hair loss on EVERY balding male who is thinking about hair transplants. Imagine at age 36, he might look like this: https://newhair.com/baldingblog/need-master-plan-think-hair-transplants-photos/
This is a highly unusual persistent frontal juvenile hairline with balding behind it on the left and a patient with parts of his juvenile hairline on the right. The surgeon who saw this patient suggested that his lower remnant hairline be removed with a laser and the new hairline be placed where he drew it on the man’s head on the left. The patient on the right, had his hairline created about 1 inch above the remnants of his juvenile hairline. I do not agree with this strategy. I would transplant the entire head, retaining the juvenile hairline and restoring the sides which are missing on the left and filling in the missing hairline on the patient on the right. I would transplant behind it. These men had a look which has always been with a low hairline and they would most likely want to retain their original look. Doing laser removal will not work 100% so these man will end up having a half dozen laser procedures over a year to get out maybe 95% of these frontal hairs, not a good decision.
Too many people shop for price on a hair transplant. I just spent some time on the phone with a man who had a bad hair transplant and sent me photos of his hair growing in the wrong direction. When that happens, it is often very hard to fix, as each hair that is growing in the wrong direction may have to be removed. That could be difficult because of the scarring from the hair transplant. Add to that, the donor site that was depleted from the poor surgery and you will realize that you can’t get that hair back. The donor bank of hair only allows withdrawals, never deposits. This is why I put this photo up, because everyone knows that Elephants live a long time, like humans. I personally don’t think that an elephant with a bad hair transplant would care, but you would! Make sure when selecting your doctor that you do so because of his/her skills and experience, not because it is a bargain as this photos shows.
In a separate picture not shown for confidentiality, I was able to look and measure the proportions of the face. You seem to have possibly two problems. (1) you may have thinning and I would have to examine you to determine this and (2) you have a very large forehead, much larger than the distance between your nose and your chin, a measurement I use for proportionality. If you just have fine hair, then you might have a surgery to consider reducing the size of your forehead. If you have thinning as well, then a diagnosis must be made as to the cause?
You should have washed off these crusts on the day after surgery, but now that they formed, you will have to wait a full 12 days before trying to wash these crusts off by leaving the shampoo on for 10 minutes at a time. Once these crusts are water logged and it is past 12 days, you can gently rub them off. Repeat twice a day until the crusts are off.
The patient on the right has 3250 grafts 6 days prior to shooting these photos. Notice, all you see is a small beard growth and he went to work within a day of the surgery. This is the way it should always be.
This article is written by a cancer survivor about her feeling about herself and how she coped with her problems.
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.