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Cobblestoning, Ridging and Folliculitis

R

roughride

Valued member
Hi guys, I've had two FUT hair transplants, the first in June 2014 and another one in July 2015.

Although I went to a highly reputed coalition doctor, my first hair transplant didn't work. Only about 20% or so of the grafts actually grew. And I was left with a lot of scarring on the recipient area and experienced lingering redness, which lasted for around 8-9 months.

Now I am 3 weeks post op from my second surgery, and want to make sure everything looks good as I wouldn't be able to cope with the expense, time and emotional impact of another failed hair transplant.

My scalp is still red, and I am concerned I might be developing any or a combination of the following: cobblestoning, ridging and folliculitis? Can anyone help? I really want it to work this time.

Thanks a lot for your help!

J.





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janna

janna

Valuable Member
It looks to me like you do have folliculitis. Have you spoken to your doctor and sent them your photos?
 
Westcoaster

Westcoaster

member
From what I've viewed online it would appear you have folliculitis and quite a bit of redness. Did you go with the same doctor for both transplants? If so, what reason were you given for 20% growth from the first procedure?
If you could provide pre operative pictures from the first surgery and this recent one a better understanding of what's happening with your hair/scalp can be made.




 
Prohairclinic

Prohairclinic

Prohairclinic FUE and SMP
Was this a procedure where the implants where placed between existing hair?
 
bullitnut

bullitnut

4 awesome repairs with SMG
I would speak with your doctor if it were me, please let us know what they say....does look like folliculitis i agree with the other comments. How many grafts did you have on both procedures dude?
 
R

roughride

Valued member
Hello Janna,
Thanks for your reply! I appreciate it.

Yes, I sent my doctor the pictures and he told me to "keep calm", said I was too anxious.

He prescribed Tetralysal 300 mg (Lymecycline) twice a day for 1 week and then once a day for another 7 weeks.

He also told me to apply Betaderm (Betamethasone Valerate) on my face, as well as Bactroban (Mupirocin) on the recipient area and inside the nostrils.

Is this how you treat folliculitis in your clinic? Also, does having folliculitis now means that the outcome of my hair transplant will be poor (i.e. suboptimal growth)?

Many thanks!

 
R

roughride

Valued member
Hi Westcoaster,
No specific reason was given other than that I have an oily scalp and that I might have had a very mild case of seborrhaic dermatitis (although, in reality I NEVER had any flaking/dandruff both before, during and in the period after the procedure up until today).

He also mentioned I might have had a bad reaction to "adrenalin" which they used during the transplant.

No, I didn't go to the same doctor as I thought his answers were very vague and I didn't feel prepared to risk it again.

I will post pre op pictures soon. Have to get them from my clinic.

 
R

roughride

Valued member
Hi prohairclinic.
Yes and No.
My first procedure was to an attempt to lower an extremely high hairline. I've always had a naturally big forehead, which became more prominent as I started thinning. So hair was implanted in an area where there has never actually been any hair before.
The second procedure covered the same area, where only about 20% of the grafts from the previous procedure had taken.

 
R

roughride

Valued member
Hi Jessop,
I am still in conversation with both my current and my previous doctor and don't feel comfortable sharing this information right now as I don't want to cause harm to their reputation or imply that something was done wrong.
Once I get all relevant facts, I will share them with the community.
 
R

roughride

Valued member
Hi bullitnut,
I had about 3000 grafts from first procedure: 2500 on hairline and temples / 500 on crown
and
2750 grafts from the second procedure: 2000 on hairline (but no temples, since strangely this area produced excellent growth first time) / 750 on crown.
 
I

irishhobnob

member
I had folliculitis which took a 7 day course of antibiotics to clear up.
It was way worse than yours although your redness is on par.
 
Bigmac

Bigmac

Administrator
Staff member
It does look like folliculitis, what has your doctor suggested.
 
janna

janna

Valuable Member
roughride wrote:
Hello Janna,
Thanks for your reply! I appreciate it.

Yes, I sent my doctor the pictures and he told me to "keep calm", said I was too anxious.

He prescribed Tetralysal 300 mg (Lymecycline) twice a day for 1 week and then once a day for another 7 weeks.

He also told me to apply Betaderm (Betamethasone Valerate) on my face, as well as Bactroban (Mupirocin) on the recipient area and inside the nostrils.

Is this how you treat folliculitis in your clinic? Also, does having folliculitis now means that the outcome of my hair transplant will be poor (i.e. suboptimal growth)?

Many thanks!
No, it doesn't mean you'll have less than optimal growth. You're just experiencing some ingrown hairs. The medication isn't exactly what we prescribe but there's a lot of different antibiotics. Glad you're getting treatment for them. One other thing you can do is apply hot compress to the affected area 2-3 times a day to help clear them up too.
 
G

gahgah

member
roughride wrote:
Hi guys, I've had two FUT hair transplants, the first in June 2014 and another one in July 2015.

Although I went to a highly reputed coalition doctor, my first hair transplant didn't work. Only about 20% or so of the grafts actually grew. And I was left with a lot of scarring on the recipient area and experienced lingering redness, which lasted for around 8-9 months.

Now I am 3 weeks post op from my second surgery, and want to make sure everything looks good as I wouldn't be able to cope with the expense, time and emotional impact of another failed hair transplant.

My scalp is still red, and I am concerned I might be developing any or a combination of the following: cobblestoning, ridging and folliculitis? Can anyone help? I really want it to work this time.

Thanks a lot for your help!

J.





4967_031301_510000003.jpg





4967_031301_190000004.jpg





4967_031301_190000003.jpg





4967_031301_190000002.jpg





4967_031301_190000001.jpg





4967_031301_190000000.jpg

Any updates on this? Was it cobblestonning? Has it gone away? I'm one month post op and experiencing something similar. Thanks!
 
SADbutTRUE

SADbutTRUE

Valued member
Hang in there and try to stay positive,what reason did the doc say caused the poor growth the first time? it looks like the rest of your hair is in good shape, are you on meds?
 
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