Small Red Bumps After Surgery

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Small Red Bumps After Surgery

Icon Post Targetby bighoopla » Tue May 04, 2004 3:05 pm

Dr. Cole,

About a week to a week and a half after my surgery, a few red and tender bumps formed on my scalp. They look like pimples, but don't seem to have white heads on them yet. It's been 2 weeks now and I'm concerned.

Here's a link to my pictures. Please take a look and tell me what you think.

http://www.bighoopla.com/brianhair.html

Thanks,
Brian
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Re: Small Red Bumps After hair transplant Surgery

Icon Post Targetby drcole » Tue May 04, 2004 4:01 pm

my belief is that you had multiple retained hair fragments that caused your bumps. it is ashame that you did not get them out in a more timely fashion. bumps can persist up to 6 months after a procedure and often conincide with the growth of new hair. having 2 pimples at this late stage (4 months after a surgery) is not too bad.

as is stated these bumps are more common in oily scalps. do you have an oily scalp?

most likely the antibiotics and coritsone did not do you any good. they do not prevent or treat this condition.

it is our hope that the grafts were not buired too deep into your scalp. this could cause a problem with pitting later on.

try posting a photo of the treated area on our forum and i will try to comment on the results.

most likely you can have another procedure and you most likely will have good growth. it is still early to tell though. don't be impatient. wait for 8 months before you make any decision whether to have more work.

i doubt you have chronic inflamation since the problem is getting much better and is a very common short term condition that generally leaves no permanent pathology to the scalp.
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Re: Small Red Bumps After Surgery

Icon Post Targetby forhair » Tue May 04, 2004 4:17 pm

Hi Andreas,
We look forward for your pic's,I have a question to you tho..
are you taking propecia or any other medication?
thank you
CXJohn

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Icon Post Targetby forhair » Tue May 04, 2004 4:36 pm

Thanks for the information Don,
i think its individual,some are healing fast(like me), and some very slow,in the end with a good surgeon you it will all disappear.
who was your Doctor and how are your results?
CXJohn

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Icon Post Targetby forhair » Sun Oct 03, 2004 10:29 am

Can you post a photo?
CXJohn

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pimples Vs. Cysts in hair transplant surgery

Icon Post Targetby drcole » Mon Oct 04, 2004 5:51 am

The pimples are simply a reaction to the retained hair fragments in grafts that are not growing new hair yet. Remember that the hairs are shed from the grafts about 2 to 3 weeks after a procedure. only about 10% will remain and continue to grow. 90% are shed typically. the hairs that are suppossed to be shed sometimes do not fall out. they sit in the skin and cause a reactive inflamation similar to pimples. Once the hairs are shed, the pimples resolve themselves. popping the pimple often pushes the hair out.

cysts can form, as well. these are either due to retained hair fragments or ingrown hairs. if they do not resolve, we need to resolve them for you. the ones that do not resolve generally result from pushing the graft deep into the skin or inserting the graft upside down. in other words, these are due to poor technique. retained hair fragments resolve by getting the retained hair out generally.

oily skin results in a much higher frequency of these bumps. i do not know why. the betadine shampoo did not damage the grafts. it simply helped to remove the retained hair fragments.

pimples also occur just prior to growth. this is quite common. as the new hairs begin to grow, some hit the surface and have trouble getting out. this too sets up an inflamatory response that causes pimples. popping the pimples solves the problem. the problem is typically self limiting. proper hygiene on your part will solve your own problem.
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Pimples post HT

Icon Post Targetby FITLocks » Wed Apr 13, 2005 2:04 pm

Hydrogen peroxide is not a good idea for optimal graft health. Avoid this. Try to squeeze or pop the pimples. Also you can add Neosporin.
CXJohn

Notice: I am not a doctor. My opinions are not necessarily those of Dr Cole. My advice is not medical advice.
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