Building Nails Were Used to Help Place Grafts

In the early 1990s when I pioneered small follicular units in large sessions, many doctors could not place the grafts with forceps in these tiny holes, so they purchase NAILS from a hardware store, and used them as dilators to open these little holes so that they could get the grafts into the balding area. This was barbaric, but the doctors who did this, did this because they had to. Their patients wanted large sessions of small grafts because it became the new Standard of Care that everyone wanted. I hope that they sterilized the nails before they use it. Dr. Brad Wolfe sent these to me as a reminder of things done in the past (not by him but by others).

Bumps on Scalp — Dermatologist Said It Was the Hair Follicles

Hi, I am a female and recently I have been experiencing these bumps on my head and they don’t itch, its just that I know they are there and I want them to go away and so i pick at them and pull the hairs inside the bump out. I am on Adderall for ADHD/ADD and I was wondering if that could have anything to do with this bumps. Also I am wondering if you know what these bumps could be. I also highlight my hair, and I am wondering if you think I might be allergic to the dye or if i could be allergic to the color shampoo I use. I have been to a dermotoligist and she said it had something to do with hair follicles. Thanks for your time!

You did not ask your dermatologist the right questions. Go back to her. If she said that the bumps were hair follicles, then you might have an infection (folliculitis) which she should have treated you for. I really can not tell what is happening to you, but I would be pleased to see you at no charge and give you an opinion if you wanted to come out to my offices in California. Whatever you do, stop picking on it and stay away from the hair dye that you are using to minimize the things it could be.


2006-12-08 10:22:10Bumps on Scalp — Dermatologist Said It Was the Hair Follicles

Bumps in donor area at 3 months

I have these bumps since I have had my FUE. What is happening to me?

You have what appears to be burried grafts from a faulty FUE technique. These are probably infected buried grafts which will probably require surgical drainage by an expert.


2019-09-14 07:53:35Bumps in donor area at 3 months

Bridging the Generation Gap

I’m 22 and my dad is very very bald. When i look in the mirror, I see my dad and his dad. I love my dad and grandfather, but i dont want to look like them. Much of my front hair line is gone and I am starting to look far older than i am. When I spoke to my dad about a hair transplant, he told me that I should just accept my fate and go on with life. He also said I was being immature and going bald was just a natural thing. I’ve lost my confidence with women and have become shy and less social in general. What can I do to change my dad’s opinion?

There is a generation gap here. I can not change what your father thinks, nor the years of whatever the relationship is between you and him. First, I would ask you to look at how the two of you relate on other issues. IF this communication situation is unique to the balding problem, I would be surprised. Good communication is important. I have seen these problems often. Sometimes it reflects cultural issues. Many young men who are first generation Americans, see a different world than their parents who still may have a foot in another culture.

Many times I ask the young man to bring his father or both parents into the office to meet with me. I will sometimes work it out that I see them just before an open house, where the parents can get some sense of what other people can do and how they can change their balding appearance. These open house events serve to tell those that attend, that the people who get hair transplants are normal people, working people, lawyers, doctors and professionals of all sorts. Meeting other transplant patients that come from such a world does a great deal to bridge the communication gap between generations. The key here is not to confront your dad, but to ask for his help in evaluating the modern day alternatives to balding. Controlling what he sees, meeting with a good doctor (not a salesman) and meeting successful transplant patients might change his mind, or make him slightly more open minded. As you are still young, take your time in the process for a transplant at this time may not be the right thing for you to do. Consider taking the drug Propecia and see if it stops or reverses the hair loss. That approach, may be the best approach for you, as it will show to your dad that you have maturity on your part and a cautious skeptical approach to the problem and the solution. He can be a good friend and assist your decision making in more ways that you might think. Be optimistic, and approach the entire process cautiously.

Calculating Lifetime donor supply

My question is, how many grafts can the average Caucasian person get from their donor via FUE? I don’t mean in one session; I mean in total over their lifetime. I saw different answers in different blog posts, some said at the very least 6,000, others said about 7,000, and yet others said that most people would become depleted after 5,000.
Depletion is a matter of residual hair bulk. Hair density and thickness make up hair bulk, so the coarser-haired people can afford to have more grafts removed from the donor area. For coarse-haired Caucasians with a typical Caucasian density of 2.2 hairs.FU, 6000-7000 grafts are an easy lifetime hair target in such an individual, while on the other extreme of fine hair and low density, 1000-1500 grafts might be the lifetime donor supply. Higher original density changes the equation in favor of more graft potential regarding lifetime hair. Not so simple, and that is why you need an experienced surgeon to do this for you.

Bumpy skin in recipient area

I had a hair transplant 8 months ago and I am bothered by bumps which are on the skin everywhere there is a graft. What can this be and will it go away?

Bumpy skin in the recipient area (called cobble stoning) reflects the types of recipient sites and the way the grafts were placed at the time of your original surgery. If the grafts were small, the wounds were very small and the grafts were left flat to the surrounding skin, then there should be no bumps present. See your surgeon and ask your surgeon about the problem that is clearly bothering you.


2020-08-07 10:22:46Bumpy skin in recipient area

Bumps on beard grafts, why?

Why do so many people complain about bumps/skin discoloration after beard transplants? Is this an unavoidable side effect?

Bumps in the skin should not occur if the grafts are trimmed of most of its skin and placed flush with the surface of the recipient area?


2019-05-01 06:45:47Bumps on beard grafts, why?

Burning Sensation on Hairline

My scalp on the left side of the hair line has had a feeling of burning off and on for the past 6 months and in the area the hair line is thinning and receding. I am 19 male and was just wondering if it is normal to feel pain if you are going bald geneticly.

Male pattern hair loss is not physically painful. The burning sensation may be secondary to an inflammatory process or an underlying medical condition. You should see a medical doctor for a correct diagnosis.

Bruce Willis Will Kick Your Ass

Apparently, this is pretty old, but I don’t think I saw it before so it’s new to me and worth sharing. Actor Bruce Willis was quoted earlier this year as saying…

“I’m a man and I will kick anybody’s ass who tries to tell me that I’m not one because my hair’s thinning.”

Strong words. There’s not much more to the article, but here’s the link for those interested:


2006-10-10 09:01:09Bruce Willis Will Kick Your Ass