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Small Red Bumps After Surgery

Get help with your pre & post op surgical questions and concerns.
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bighoopla
Posts:7
Joined: Mon May 03, 2004 11:46 pm

Small Red Bumps After Surgery

by 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

Anonymous

Re: Small Red Bumps After hair transplant Surgery

by Anonymous » Tue May 04, 2004 3:57 pm

Hi Dr Cole

l had a producer at clinic i sweden, new hair clinic.
They cenario happend to, except l was told to apply alo vera, acroding to them it was natural to happen red dots even after 4 weeks on your head.
So l did use alo vera and it werent improved.
l went to a dermatohligst and he suggested antibiotics and cortison-solution on the pumps. For 4 monts on a row l was eating antibiotics and using cortison, twice a week.
At same l started to brushing my scalp with a brush made of animal hair and l a schammpo that was made of hearbs instead of showering in water l used the herabs.
l and must say the condition is much better, but not compeltly helad. l still have to pimps on one side. my qesttion to you is have gotten chronic inflamation??
The dr at newhair clinic said it was 50% that l ever could l hair transplant agian.
l hope you dont mind l ask a question and l sorry for my bad english

Best regards

Andreas Krantz

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drcole
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Re: Small Red Bumps After hair transplant Surgery

by 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.

Anonymous

Re: Small Red Bumps After Surgery

by Anonymous » Tue May 04, 2004 4:15 pm

Hi dr Cole!
Thank you very much for replying!!! l really appreciate this.
l will try post a pics asp as get a hold of a digtal camera.
l dont have a oily scapl, more like a mixed of dry and oily.
l do, however have pitting at my hairline, but it also has reduce alot.
l have 2 or 3 hair follucarit on my left side, l hope spelled it right (hair follucarit=pumps).
Again l know its hard to give a opion without any pics, but l post as soon as possible.
l did my sugery at 1 august 2001, started treatmet at at mars 2003, l kow its long time but its due misledning of using the alo vera.
What would you suggest that l should do, any particular treatment l should start or just wait?

Again thank you very much for careing about my situation.

Best regards
Andreas Krantz

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forhair
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Re: Small Red Bumps After Surgery

by 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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Disclaimer:I am not a physician. My opinions are not necessarily those of Dr Cole. My advice is not a medical advice.

Anonymous

by Anonymous » Tue May 04, 2004 4:34 pm

I am a hair transpant patient with at least four proceedures performed (Sorry, getting old and do not remember how many). My skin is oily and I have had the small pimples appear every time.

It seems to me that this occurs just before my newly transplanted hair begins

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forhair
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by 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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Disclaimer:I am not a physician. My opinions are not necessarily those of Dr Cole. My advice is not a medical advice.

Anonymous

red bumps

by Anonymous » Sun Oct 03, 2004 5:49 am

Hi,

I experienced the same side effects about 2 weeks post-procedure. The recipient area appeared red and a bit swollen and there were several pimples with pus in them. The irritation dissappeared two to three weeks later after I had used betadine shampoo. Two months after the surgery, I am now concerned that these side effects might have damaged the implants. Is there a risk that this might have compromised later growth? I would be grateful for any information on this!

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by forhair » Sun Oct 03, 2004 10:29 am

Can you post a photo?
CXJohn

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

Anonymous

by Anonymous » Mon Oct 04, 2004 3:22 am

No,sorry, I did not take a photograph of it at the time. I can only describe it: redening, lightly swollen, and pimples with pus in them.

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pimples Vs. Cysts in hair transplant surgery

by 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.

Anonymous

by Anonymous » Mon Oct 04, 2004 7:00 am

Thank you very much, it is good to have this information. Seems like this was a normal skin reaction then, or is there any chance that the inflammation might have damaged the grafts?

Anonymous

by Anonymous » Tue Oct 05, 2004 3:20 am

Can I ask you another question on this? I understand that these pimples are just a reaction to retained hair fragments in the grafts and I assume that inflammation caused by this may be more widespread if a higher number of small transplants, i.e. follicular units, has been transplanted. But if this sort of inflammation occurs about 2 weeks after the procedure, is there a danger that this might have damaged the grafts or compromised later growth in any way?

Thank you very much in advance!

Anonymous

Post surgery questions

by Anonymous » Fri Dec 31, 2004 1:56 am

DR. John Cole,
How long exactly does the "recapillarization" process take in the new graft area after a follicular unit strip surgery? How many weeks or months? This would be the new grafts getting attached to the blood supply. How long after surgery do the new grafts take to get permanently attached so that they won't die and fall out? How long is the new graft area in a "delicate state" and how long does it take for it to become"normal" - like the state it was in before surgery? Also, I understand that about a month after surgery some pimples or cysts may pop-up from time to time. If a pimple is popped open and a little blood and dark- Icon QuestionIcon Question glob of tissue is seen, is this a graft coming out? What does losing a graft look like and what does the scalp look like if the graft is lost? Is there a way to tell without going to the doctor?

Anonymous

by Anonymous » Wed Jan 12, 2005 5:38 pm

I have also had a few of these red pimples after surgery. They are easily irritable so I prefer to get rid of them. Dabbing hydrogen peroxide on them appears to do the trick. Is this ok to do? Any better ideas?

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FITLocks
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Pimples post HT

by 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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