More on Scarring – Page 20

July 18, 2007

I Want a Hair Transplant, But I Am Concerned About Keloids – Hair Loss Information by Dr. William Rassman

i am seriously considering a hair transplant on the sides of my hairline. i am a african american women who have had traction alopecia for quite some time now. i have a small keloid on my ear, and my dermatologist has been giving me injections to clear this up. he also told me that if i get any plastic surgery, there is a chance that i will develop keloid scarring. i do want my hair transplant, are there things that they can do to remove the keloid from the donor site?

Keloids are very rare on the scalp. Many people have stretched (flat) or hypertrophic (raised) scars, but actual keloids (they look like tumors growing out of a wound) are so rare that they are worth reporting in medical literature. You can test the donor and recipient areas with a punch wound and/or a needle and then wait it out to see if it forms keloids. That may be the best way to know for sure.

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July 5, 2007

I Want a Scar Revision – Hair Loss Information – Balding Blog

I was wondering if you would do scar revision for my donor scar. I don’t think I had a very good doctor. What would the cost of a tricho closure be approximately? I have seen your photos and some look great, I can hardly tell there is a scar. Thanks!

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We are constantly researching to come up with better methods to manage the donor area for improving the donor scars. Scar formation has to do with several factors — the surgical technique is only one of them. One important factor that patients tend to forget is their different healing potentials. Not everyone is a good healer and some patients develop widened scars regardless of the meticulous methods that are used. We usually do a scar revision for our patients with no cost to them. For those patients who are referred from other centers, we charge a minimum fee including a trichophytic closure, but we need to evaluate you with regard to the size of the scar, know how many surgeries you had, and determine the looseness of your scalp before we can tell you if we think that we can help you. You may call the office for a quote on our minimum fee — 800-NEW-HAIR. It is possible that this could be done over a telephone consultation.

June 20, 2007

Hair Loss Near Area of Brow Lift 2 Years Earlier – Hair Loss Information by Dr. William Rassman

(female)
I had an endoscopic brow lift approximately 2yrs ago, and now my hair has started to fallout in the area of the endoscopic surgery. I am also experiencing extreme tightness and a burning sensation under the scalp in this area of the surgery with hairloss. What can I do to stop this from occuring? Does this mean that there is nerve damage? Is there medication that I should review with my physcian that could alleviate the painfull sensation under the scalp and hopefully stop the hair from falling out? …Help!

Scarring and hair loss from a brow lift is something I see often. I may see more of this problem, not because it is common, but because I specialize in this problem. Hair loss and detectable scars are amongst the problems I treat. Small nerves are cut with certain types of brow lifts and these small cutaneous nerves which can produce pain usually disappear in less than a year (usually weeks to some months). Minoxidil may help hold the hair that is presently falling out. You might want to see me considering that you are in San Diego and Beverly Hills is only a couple of hours away.

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June 19, 2007

I Was Told Hair Transplants Wouldn’t Grow in Scars from Severe Burns – Hair Loss Information by Dr. William Rassman

Doctor:
I am a 17 year old male. At the age of 2, a boiling pot of water fell all over my body and left significant scars in my arms and head. About 1/3 of my hair is missing on my scalp; hair fails to grow in the maturing scars of my burn. Consultations with different doctors have concluded that it is not possible to get hair transplants in scars caused by severe burns because the hair will fail to grow. The only option I have is tissue expansions, but this seems like a lengthy and discomforting process. I would like to verify if it is true that hair transplants will not continue to grow overtime on scars caused by burns. Is this true? Does it depend on the scar? Are there other factors? Thank you.

Hair transplants will grow in some scars better than other scars. It depends how much infrastructure is in the skin (fat, blood vessels, stem cells, etc..) I have seen remarkable results from tissue expansion for large areas of scalp burns. The results are better with tissue expansion and as such has no comparison. Also, the course for tissue expansion is much shorter than transplants. Be open minded.

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June 8, 2007

I Want a Hair Transplant, But I Don’t Want a Noticeable Scar Around My Head – Hair Loss Information by Dr. William Rassman

How many years are we from a transplant without a noticeable scar (Donor Scar) around someone’s head? Im sure that a lot more people (especially people with shave fades or short hair) would get a transplant if there wasnt a large ugly permanant scar around their head.

The answer is NOW!

We have a follicular unit extraction (FUE) technique called the FOX Procedure that has been pioneered by me in the early 2000s, and was presented at the International Society of Hair Restoration Surgery (ISHRS) conference in 2002. In fact, a company in San Jose is currently working on a robotic system to accomplish this task. This technology was invented and patented by Dr. Pak and I back in 1998.

The FOX/FUE technique leaves virtually undetectable scars. It is important to understand that all surgical cuts will create a scar but the FOX/FUE technique involves extracting single hair follicles, one at a time, leaving a scar the size of a small dot. Since these dots are random and small, you would not notice the scar even if you buzz cut your hair. In other words, there will be no linear scar. If you look at this earlier posting, you will see a patient who had no detectable scar even with a shaved head.

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June 1, 2007

Transplanting Into Burn Tissue – Hair Loss Information by Dr. William Rassman

does hair transpalnt work if you had a 3rd degree burn on the back of your scalp the size of a silver dollar?

Yes. However, there may be a blood supply issue and the growth to a scarred or burned tissue may not be as optimal as normal skin. Alternatively, if the scar is small enough, you may explore the option of a scar reduction or other creative type of surgery in the hands of an expert who knows about scalp scars.

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May 8, 2007

No Hair Where Mole Was Removed from Scalp – Hair Loss Information by Dr. William Rassman

When I was about 16 years old I had a mole surgically removed from the back of my head because it was growing larger and the doctor said it could become cancerous. I am angry about this because I don’t know if it was necessary at the time or not. Anyway I am 22 now and no hair has grown in that spot since. I don’t under stand why but lately it has consumed me and I am extremely depressed and obsessed with it. Am I able to get a hair transplant and make the hair grow back? Also will I be loosing one bald spot and creating another one at the donor area if I can have a transplant?

Scars from removal of growths or just lacerations are common in the scalp. It depends upon the surgical technique and possibly more important is the general direction of the wound. Linear scars that run front to back tend to scar more than those that run side to side, but everything in the scalp can scar. With a good hair transplant surgeon, a decision can be made how best to address the scar. Some of these scars can be fixed with a simple surgical excision of the scar and proper closure techniques, while others may be fixed best with a small hair transplant (always works). See an expert.

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May 3, 2007

Regrowing Hair on a Scar – Hair Loss Information by Dr. William Rassman

I have this bump on my scalp for years so i decided it to get it removed. so now i got a scar and hair doesnt grow on it. can you regrow hair on a scar and if it can be done when u cut your hair will hair grow back again? please help

Scars can be effectively transplanted. The hair that grows is the hair that was moved, not the original hair that was there before.

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April 12, 2007

Scar Revision with Trichophytic Closure (with Photo) – Hair Loss Information – Balding Blog

This is a patient who had a scar from a strip procedure. The scar was unusually low from a previous surgery at another clinic, and while low donor scars like these generally give poor results on repair, we did a scar revision with a trichophytic closure. The results are outstanding in a single session from 8 months ago.

Click the photo to enlarge.

March 28, 2007

FUE and Scars – Balding Blog

i saw the ‘Follicular Unit Extraction’ video on ur website. i want to know whether the donner area will have any scars and weather the donner area will grow any hair in future. how about a person who wants to keep very short hair??

The FUE will produce scars that are punctate, which that means they look like very small dots. The hair can be cut very short, but not shaved completely. A shaved scalp will show these small dots.