Author: Dr. William Rassman

Your donor area was either over-harvested if you had an FUE or developed a scar from a strip surgery which, when it occurs, usually occurs in that location. You did not state if you had FUE grafts and if so, how many or if you had strip surgery. If it was FUE, the number of grafts for that area was too high. If it was a strip surgery, most likely the wound was closed too tight which will cause this type of hair loss.

We obviously see complications from both (a) too many FUE grafts for a given area of the scalp and (b) strip wounds that are too tightly closed. Most doctors and patients think that the donor area can stand almost any stress but in this post I suggested that stress (FUE or strip surgery) can cause hair loss by impacting the donor area blood supply. You should wait this out and in about six months after the procedure, the hair may return. Scalp MicroPigmentation is a good option for this problem if it needs to be treated.

See link below.

https://scalpmicropigmentation.com/scar-covering/

 

 

Your donor area is clearly over-harvested and this will be a problem that only scalp micropigmentation can solve, see here: https://scalpmicropigmentation.com/scar-covering/. Some doctors just don’t get it and many doctors think because they can perform a successful FUE, that they understand what they are doing. More and more doctor are entering this field today for the money, maybe good for them but not good for the victims they produce. They are not bad people, just ignorant doctors. You have to be sure that your surgeon is (1) well trained in this field, (2) have a lot of experience, (3) are actually doing the surgery and not delegating it to technicians (often for hire techs) very commonly done with the Neograft systems, and (4) meet actual patients so that you can judge the competence of the doctor through the eyes of a few patients that had it done.

To help doctors out, I wrote an article to define how a doctor can determine what is the safe limits to FUE (https://baldingblog.com/wp-admin/post.php?post=20123&action=edit) and when you get problems like this man in the picture below where he exchanged a bald top of the head for a bald back of the head, NOT A GOOD EXCHANGE!

Over-harvesting is a reflect of the total number of FUE grafts harvested, compared to your donor density, as defined here.

To find out if your donor area was over-harvested, ask your surgeon what your donor density was prior to the surgery. In addition, I believe that the surgeon went too low into your neck hair which is not permanent hair.

In these pictures, you can see the occipital notch on the scalp which is the bump about 1 1/2 inches above the bottom of the donor area which was harvested. To get numbers, for whatever reason, this patient will have non-permanent hair which will appear sometime in his future. The hair from this area is not permanent hair.

What you are showing is an infection, probably from buried grafts that were produced by a blunt punch when you had your FUE 3 weeks ago. Go back and see your surgeon and get this treated as you have what appears to be an infected donor area.

Hi i am considering scalp micro pigmentation for an over eager fue transplant by Maralklinik in Turkey. Will post pics below for advice. It’s been 18 months since and am open to all advice. Ps I reccommend never getting a transplant. But that’s another story for another day.

Be sure you get an expert and always ask to see some of their patients that had SMP as too many providers do it poorly and the best protection you have is seeing people who had it done yourself. We offer these experiences along with hair transplants at monthly open house events held at one of our two office in Southern California. See: https://scalpmicropigmentation.com/

4500 FUE grafts are most likely too many grafts for most men. The typical Caucasian’s limits are around 3600 grafts based upon an average donor density and medium weight hair. Without knowing your original donor density, I cannot tell, but I can predict that you will most likely have a see-through donor area. See: https://newhair.com/donor-area/

I would have to (1) know how many grafts you had taken and (2) see your same picture in another 3 months with the same hair cut. That will tell me if it is an over-harvested donor area. I would hope that the redness would be gone in a week or two.

4,500 FUE grafts is a high number of FUE grafts for anyone with a lower than average donor density.

If you are from India or South Asia, your donor density will not support that number of grafts and thus you have a depleted donor area.

Scalp Micropigmentation is the only solution to this problem (see: https://scalpmicropigmentation.com/scar-covering/).