poor growth in a specific area

[tracos]

Hi,
I had 2 HT in the last 3 years(the last was 2 years ago), that means 2500 grafts in the frontal area by FUE. In the left temporal area, where it was not hair at all, the transplanted hair grows very slow, and when it reaches 1 centimeter, it falls out and the cycle repeats.

I used minox but I stopped because of the redness, even sebhorreic dermatitis. Anyway, the minox was good for the transplanted grafts, except that area. I contacted the surgeon and he said it's a vascularisation problem in that area. After each intervention, the new hair falls out first in that specific area.

I'll try a 3rd procedure of 500 grafts in that area, but the question still remains. What if even after the 3rd procedure the poor growth still remains? The poor growth is in the same area after each intervention.

 

[SADbutTRUE]

welcome to the forum and thanks for sharing your story, this is the first I ever heard of anything like this .maybe some of the patient reps that post on here can give you some advice, hang in there bud,

 

[Bigmac]

Hi there, has your doctor not advised you to have a biopsy as it sounds as though there is a problem in that area, this is what I would do.

 

[sl]

I think proceed with caution as you don't want to waste grafts and going over the same areas even with a good surgeon is still harder to obtain growth as scarring is there even at a micro level from previous surgeries but repeat areas worked on are harder to get a good yield due to possible vascular issues as your doctor said also.

If going to the same or a different doctor then wise to have them inspect the skin now.

Seborrheic dermatitis is an inflammatory condition and can also effect growth so if you have it there then could be part of the problem and maybe a coarse of treatment may be advised on that if it is bad enough and deemed an issue but some will transplant into this also with no problem, it just depends on the severity of it.

A biopsy may also be wise and not expensive and probably worth doing if going for a third procedure just to avoid a cycle of the same problems but nonetheless have a personal consultation again before throwing more grafts at it.

 

[tracos]

Thanks for your opinions. I made a picture today, I post it here, and as you can see, when the hair is cut short, it's less visible, but when the hair grows, there are differencies in lengths and density. There are also others small areas with poor growth, but when it's about a small area, when the hair grows it's not so visible.
Could be a problem with the age, too, I'm 52 and the area with problems missing hair for more than 20 years. I'm from Romania, and I choosed the best doctor from here. For the extraction of the grafts he worked with another doctor, a surgeon, FUE with electrical punch, and the incisions were made by himself, a dermathologist specialised in hair problems and transplants in Austria and made HT for around 17 years(but for sure not as much as a doctor from US or Western Europe). When he made the last check up, he said nothing about a biopsy, even he can do it easily because he has enough technical stuff there. He looked with a kind of microscope conected to a computer magnifying the area and he said must to be a vascularisation problem and the sebhorreic dermatitis are slowing down the growth. I'll ask him to do it. Thanks again for your answers.

 

[Bastion]

Who was your doctor? It does not look bad.. You just have that area of concern right?

 

[tracos]

There are very few chances to be the doctor's fault because the problem appears on the same area after each intervention. I'm not a doctor, but I have a very common sense and I appreciated the care he has during the intervention. Now I understood one of the biggest problems in the HT: when there is native hair between the transplants there is a compromise, that means the doctor implants the same amount of hair on the sq/cm, because he dont know how much native hair in between will resist in time, but in my case I think he must put more in that area, otherwise there is a density difference. My problem is the fact that the hair did not grow enough in that area, there are cycles of anagen-catagen-telogen in a short time, the hair grows lets say 1 cm and it falls out, after 1-2 months began to grow again and so on. After the first intervention the cycle stopped after around 15 months, but because of the low density overall(1000 grafts is not much at all in a frontal area with very few hair like it was mine), I made another intervention of 1500 grafts, and after 2 years I'm here not yet stabilised.

 

[Bastion]

Maybe see another doctor for a second opinion, Hattingen hair have a clinic in Romania I believe.

 

[tracos]

Yes, but Hattingen they are harvesting by FUT, at least that's on their website. I'll ask them, in this time maybe they are doing FUE, also. I dont have much left in the donor area, maybe 1000-1500 grafts, that's why I'm concerned, also. Thank you for your opinions.

 

[sun123]

interesting read about the vascular issue . I wondered about the very same issue having had a recent hairtransplant into an area which lost its hair approx 12 years ago

 

[Bastion]

Just checking back in after giving hair loss a break.Did you find the cause of this problem? Did you go for a third Ht?I hope you did find a solution.