Month: January 2023

Yes, dot scars are a consequence of FUE. ALL cuts into the human body produces scars. If your surgeon used a small punch of .95mm or less, the scars are barely visible. Larger punches create larger white dots. Sometimes the scars just stretch and become larger. Fixing it can be effectively treated with Scalp Micropigmentation

I had a hair transplant surgery since one month and week before (on the 20th of June), my hair is full of white crusts as shown in the photos, they exist everywhere in my hair. They are itchy and annoying. They increase with time. I wash my hair every day with a shampoo but don’t dry it to avoid hurting the grafts. I don’t know if this because of the residual of the shampoo or what. How to get rid of these white crusts please? They are very very annoying. I am afraid they affect the transplanted hair. I need your help please. I tried to contact the doctor did the surgery and didn’t reply. I am sorry for your disturbance.

This is residual crusting and requires a more vigorous hair washing with your fingers and a good shampoo. At this time you can’t harm the grafts so be aggressive.

I fished up a photo from the internet of a patient that had FUE grafts in the frontal recipient area. Two things worth noticing: (1) the grafts are elevated and (2) there is skin in the graft that is as wide as the graft itself.

The skin will survive the transplant and the elevation will produce small, subtle white elevated bump surrounding each group of hair from the recipient area (called cobblestonning) and I believe that is what you may be seeing.

I do this differently than the doctor who did the patient in the photo, as I trim off the skin of the grafts before placing them and then place the grafts flush with the surrounding skin so that these white area are not present in our grafts. Click on the photo to enlarge it.

Hey Doc,

What exactly are those white ‘bulb’ sort of things that are at the tip of hairs that fall out? Most of my hair that fall out have that white bulb sort of thing. What are those?

Also, somewhere I read by a noted hair doctor that a white bulb means that the hair fell out in it’s growing phase, whereas a darker bulb meant that the hair was already grown or such. Is that true?

The white bulbs are likely sebum, a remnant of your oil gland that happened to come out with your hair. The darker bulb just came out without the sebum.

The best test to get is the HAIRCHECK test ( https://baldingblog.com/haircheck-test-how-it-is-done-video/ ) to get a good baseline for your hair loss so you know, when you repeat the test yearly, if you are controlling it or losing the war.

There is no difference between FUE and DHI other than marketing hype. The DHI folks have standardized the use of Choi-type implanters. Many other doctors do the same but are not entitled to join the DHI marketing organization.