Day: January 1, 2023

I have shedding/thining all over my top of head with no family history of MPB. I have an intense burning sensation in my scalp that is very painful. I have gone to three different dermatologists who have perscribed topical steroids and still no relief of pain or from thinning. Nerologists perscribed amitriptyline for the pain but is has worked very little. Is there any rational explaination for this hairloss and pain?

You need to be evaluated by a hair specialist to determine the pattern and type of your hair loss. You may be experiencing a typical pattern baldness that is aggravated by other medical disorders. Some medical conditions such as iron deficiency or skin inflammatory conditions can accelerate the hair loss in pattern baldness. If this is the case for you, treatment of the underlying cause may stop or slow down your hair loss. The next step is to get to the root of your underlying problem. I think your primary care doctor and dermatologist are the best people to start with.

These photos show the resulting scalp necrosis caused by a bad hair transplant. During a hair transplant procedure, if the hair grafts are packed tightly next to each, there is not enough blood supply to feed the center of the scalp. The center of the scalp receives blood via small tributaries from larger blood vessels at the front, back and sides of the head. These tightly packed grafts have a chocking effect and prevents the area from receiving enough blood and the flesh ultimately dies.

This is a devastating complication reflecting poor judgement on the part of the doctor. The treatment for this is balloon expanders as described in this link from a previous post https://baldingblog.com/2017/06/02/necrosis-poor-hair-transplant-technique-treatment-works-2/

I have seen patients in consultation for this problem many times in my 27 years of practice in the field of hair restoration surgery. Fortunately, in the 15,000+ surgeries my medical group has done, we have never seen such a problem.

This patient had visible FUE scars that he wanted to conceal. To accomplish this, we performed Scalp MicroPigmentation on the donor area with great results. FUE is a terrific procedure but it does form many very small scars for each follicular unit that is excised. When too many FUEs are performed the donor area becomes bald and looks more and more depleted. That was not the case in this patient. Click to enlarge.

So i recently got an SMP (Scalp micropigmentation) which i was happy with at first but few weeks in the colors started fading and it turned blue and very blurry, contacted the clinic who did it and they refused to give me back my money but agreed to give me a free laser session removal for it, went and got one laser removal session 2 months ago, it was fine, still looks really blurry mess but it wasnt blue anymore, now today i got my second laser removal and after the removal i told them that i want the money back, ive lost my job, my 3 months of time, ive gone through such a big depression because of the botched SMP and the laser hurts like hell, ive never felt more pain, laser is literally 9/10 on pain scale, 10 would be passing out. But then they started saying how they did their job and its my skins fault and this has never happened before and its not their fault it turned blue which is full bullshit, its 100% their fault, my skin cant be any different, they still never mentioned anything about money and said ” we are doing what we can do make it better for u” and we will fix it for you and it will look great etc, but what do i do wrong do deserve going through multiple laser removal sessions and losing my job, time etc.

Would you guys pursue this and take legal action in this case or would you just say screw it?

Scalp Micropigmentation is a real art form. I have been teaching it for 9 years at medical meetings and many of the doctors who take the didactic course, don’t learn the practical side of it. When they do it, they produce people like you. Unfortunately, the legal recourse is very limited as few lawyers will want to take you on as the damages are limited. The key to the readers here is to learn from your experience and find a group of providers that have good Yelp reviews, and patients that they can show you their results before you dive in.

I have had more transplant in the past than I care to mention including the old fashion scalp reductions and have been stuck with weaves and wigs ever since. The SMP procedure is the most marvelous procedure ever. It got rid of all scarring from my transplants including the scalp reduction scar. I am a very successful businessman, who before I had the SMP put me in the prison of Wigs and the like. My confidence is now solid and the procedure has given me my, as Sinatra would say, SWAGGER back in life! It has been a life changing experience and I got a ‘get out of jail’ free pass for life.

This is a review of a Scalp MicroPigmentation performed at the New Hair Institute Medical Group. The following patient had a eye brow scar indent which he tried to mask with tattoos many years ago. He also had a hair transplant that did not work out well for him as he continued to lose hair. He did not want to have another surgery and just wanted to keep his hair shorter for a younger look. The problem was the hair transplant scar and the generalized thinning all over. He also was self conscious about his eyebrow thinning and eyebrow scar.

SMP was performed over his short hair cut (without shaving the head). In addition Juvederm was injected the the indent in his eyebrow scar to smooth out the edges. Finally, SMP was applied to his eyebrows for a full eyebrow appearance.

Hypothetical question: would it be safe for someone who had SMP done to undergo an MRI test? I thought most tattoo inks contain metal and thus, anyone with a tattoo could not get an MRI test. Just wondering if this also applies to SMP?

SMP is a form of tattoo. Tattoo pigment or SMP pigments may contain iron oxide. Iron oxide can theoretically interfere with MRI tests.