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When we graft hair to the thinning areas, the grafts go through a period of shock and they cease producing growing hair. This stunted hair growth will soon result in hair fall out from the grafts most of the time. I call this loss of hair "traumatic effluvium". Sometimes the hair does not fall out of the grafts. It remains even though the cells that produce hair are in a resting or dormant phase. These non-growing hairs are extruded from the dermal sheath that surrounds them, but they lie in the skin like a foreign body. The hairs will eventually stimulate some sort of foreign body reaction. This could be that the body simply walls the hair shaft off and it becomes a cyst like structure similar to a black head. Other times they become inflamed. when you pop the structure, the resting hair shaft is expelled and the problem solves itself. They must come to a head though before you can pop them. Like pimples, they often need to reach a mature state before you can expel the material inside and most importantly the offending structure, the retained hair spicule or fragment. I would apply a warm wash cloth to help the structure mature. when it is ready, you can express the hair. Do not allow the cloth to get too warm as you could burn your scalp. The recipient area is usually less sensitive after a procedure and you might not feel the warmth as well as you would had you not had the procedure. Test the cloth on your forearm first to check the temperature. Many people treat these with antibiotics, but this is probably over kill. if you would like a prescription for antibiotics, we will be happy to give you one.
I would be happy to look at them any time or you can send me a photo. These things tend to show up about the time your transplants begin to grow. Typically this is the third month. Try to remove any non-growing hairs. They will come out quite easily if you tug on them with tweezers or by grasping them between your thumb and index finger. They will come out like a needle comes out of hot butter. If you have to tug on the shaft, it is probably growing. We can do this for you if you like.
Also, scrub the top of your scalp with a wash cloth to get rid of the non-growing dormant hair fragments.
These will come out usually with the scabs, but with hair cycle biotin spray, the fragments do not come out with the scabs usually because the biotin spray helps to dissolve the scabs and make the scabs come off sooner, often before the hair fragments are ready to come out. This is a very common occurrence following a hair transplant. |
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