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All Scarring related posts

 

I had fue into strip scar, 300 grafts were implanted to the scar. I slept 17 nights on my stomach post-op. I’m aware of the graft anchoring study from 06, but it was on a virgin scalp. My question is that was that 17 nights post-op enough for the grafts to secure in the scar? My doc said one week is enough and then I can start to sleep normally. The grafts were all singles and doubles. I’m white male, 26yrs.

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I agree with your doctor. A week should’ve been fine. Once the eschars are gone, the grafts are stable.

Tags: hair transplant, fue, scarring, sleep

 

Hi Doc,

I had a FUE done with 3000 grafts exactly 8 days ago (photo attached).

My concern is that there seems to have been a lot of scabbing or crusting (what is the difference between the two anyway?).

The scabbing/crusting started coming off in places near the restored hairline and it now looks like a river delta (i.e. lines where there is no hair/crusting/scabbing with pockets of crust/scab/hair).

Is this normal? Or is it due to trauma (e.g. scratching) or bad surgery? I know when I am awake, I do not touch the area (I have worn a bandana lightly from the day after the surgery, but only for a few days and first 2 nights). Sometimes at night, I inadvertently brush my hand against the recipient area and wake up.

My doctor advised me to start washing once a day from Day 2 onwards with a spray bottle with a mixture of baby shampoo and water (and rinsing with plain water from the spray bottle) which I have done.

Should I be trying to get rid of the scabs/crusts with light finger pressure when shampooing or should I wait for the 10th day before trying any of this? It is difficult to see the hair due to the black scabs/crusts, but the transplanted hair is there.

Thanks!

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The crusting is very bad, which means that your management of your scabs was not good. We rarely, if ever, see this degree of crusting. How is the scabbing in the donor area at the back of your scalp?

Be very careful not to rush to take these crusts off. Use a shampoo and leave it on for 10 minutes and then gently, very gently rub in the shampoo. The crusts will slowly loosen and eventually they will come off. Give it another 10 days and hopefully the problem will be gone.

The scabbing/crusting (interchangeable words) is pretty intense, but hopefully there is no problem with the grafts because of it. Of course, follow up with your surgeon if you are concerned.

Tags: hair transplant, aftercare, hairloss, hair loss, surgery, crust, scab

 

my son got a big scar on his head from one ear to other due to head operation. his age is just eight years. can hair grow on on that area?

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Hair won’t regrow on its own into scar tissue in most cases (depending on the wound closure technique done). I don’t know what kind of operation he had or how big the scar is, but when he gets older a hair transplant could be an option. I wouldn’t expect any non-surgical treatment will get the hair to regrow on the scar tissue.

At 8 years old, I wouldn’t suggest a hair transplant as the route to take just yet, but if it’s something very bothersome you can take your son to a surgeon to see what options might be available.

Tags: scarring, scalp scar, hair loss, hairloss, hair growth

 

If I don’t require to have a lot of grafts placed on my scalp, and I want a strip surgery, can the doctor cut a small strip of hair, lets say, 3-4 inches in length so the linear scar is not big and doesn’t go from ear to ear?

My other question, if a person doesn’t require to many grafts placed on the scalp, why do the surgeons still cut a long strip that is from ear to ear?

Thank you

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This is one of the things the doctor should go over with you during a consultation. There are many patients who do this! Requiring a small number of grafts will give you a shorter scar. Some patients wait a year after their first small surgery for another small surgery, and they end up with a single short scar (replaced from the old). Many patients are not informed about this opportunity prior to coming to see me, but learn of the option during the first consultation. This is a part of the Master Plan we create with every patient.

On the flip side… if you want to have as many grafts as possible in one surgery, a larger scar is necessary to obtain the grafts needed.

Tags: hair transplant, hairloss, hair loss, scarring

 

Dr.Rassman/Dr.Pak,
Thought you might be interested in the following – ReCell Spray-On Skin

This technology was recently used to great effect here in the UK on a young child suffering from second-degree burns – Second Degree Burns Are Healed With ReCell Skin Spray

Do you think ReCell could be adapted for use in hair transplant surgery?

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Interesting find, but scarring from hair transplant surgery has more to do with the tension created by the cut on the scalp (not a burn on the tissue or tissue damage). So I don’t think the product would have a great effect on hair transplant scars.

Tags: recell, scarring, scar

 

Ive shaved my head, have scar from hair transplant, that’s ok but how can I conceal the pits on top of my head, I can’t explain away that besides saying fell into cactus

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The pits you are seeing, assuming that you had true follicular unit transplants, are probably the result of too much skin left at the surface of the graft. I make a point to cut off as much of the skin as possible without damaging the hair grafts at the time of surgery. When follicular unit extraction (FUE) is done, most surgeons do not trim the skin edge, leaving more skin present in the graft. These bits of skin in the graft can cause the type of pitting you are referring to.

Unfortunately, it can not reasonably be fixed. Some doctors suggest dermabrasion (filling down the skin with a rasp), but this just produces other types of deformities, often worse than the pitting you are referring to.

Tags: hair transplant, pitting, scarring

 

Hi. I have had 2 transplants including one with NHI. Both went well with great results however in both cases my scar was wider than most results I have seen (my scalp is not tight) and my scar is still very pink (at the back of the head but not on the sides) 18 months out from my last procedure. I will be getting further procedures at some stage & am wondering if it is likely that my scar will eventually fade (do you have patients that have scars that stay pink?) & if you have any recommendations for reducing pinkness after future procedures (any particular creams or potions?)

Thanks!

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If you are one of our patients, you should come in for a visit when you are in the US, or send me a photograph and then we can speak over the phone.

Yes, there are treatments for very red scars that persist for long periods of time such as topical steroids. Their chronic use, however, could produce problems if it gets absorbed into the body with prolonged use, but for a short term use (a week), it should not be a problem. Most of the redness will continue to fade over time.

Tags: hair transplant, redness, surgery, scarring

 

I don’t mind shaving my head in future when hair loss develops, but not now. What I want to have is a hairline to frame my face even if I shave my head.

Is there any technique performed by any surgeon which does not leaves VISIBLE scarring on the back of your head? If I want my head shaved in future, what do you advice me?

I’ve thought of FUE + (ScalpMicroPigmentation on the tiny dots) when I finally shave my head. What do you think about it?

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Not everyone will have very visible scarring, but any wound to the scalp will leave a scar to some degree. Just to what degree you will scar, I have no way to know.

The combination of follicular unit extraction (FUE) and Scalp Micropigmentation (SMP) does work… but with that said, you need to be evaluated by a real expert to know where you stand.

Tags: smp, fue, follicular unit extraction, pigment, hairloss, hair loss, hair transplant

 

Thank you for the time and effort you put into answering all of our questions. My question regards scarring. I have heard some people say that scar tissue forms where the hairs are implanted during a transplant, and that this can result in bumps or raised spots on the hairline. Is this true? If so, is it common? If not, why don’t scars form where the hairs are implanted? After all, a wound of sorts must be made to implant the hair, so how would do you prevent hundreds or thousands of scars from forming after a hair transplant?

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With the technique we pioneered, we do two things that minimize recipient site scarring —

  1. We make very small wounds in the skin, essentially slits that approximate the size of the grafts. These heal very fast.
  2. When preparing the grafts for implantation, we cut off the skin disk at the skin level. To minimize the skin disk, we remove the top layer of the graft skin from the surface of the graft. This prevents the skin from surviving the transplant which could, in some individuals, produce the bump seen in recipient areas. The same process is done with grafts taken from strip surgery.

When doctors use grafts that have a larger surface area than what I described above, the bumps you referenced get more prominent. We have seen from the old days when plugs were done and the graft sizes ranged from 3-5 mm across, the skin always was deformed. Clearly the more skin that survives at the top of the graft, the more detectable will be the existence of the transplanted graft.

Tags: hairloss, hair loss, hair transplant, scarring

 

I recently had a FUE procedure to place hairs into my wide strip scar. How long do I need to wait before having SMP done to blend the scar?

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Generally speaking, you should wait at minimum 2 to 3 months until the area has healed. Scalp MicroPigmentation (SMP) would not affect hair growth or hair loss.

Tags: smp, scarring, hair transplant, hairloss, hair loss, pigment

 

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