Month After Eyebrow Transplant, Still Red with Bumps

Hi. Dr. Rassman,
I had an eyebrow transplant a month ago and still have redness and bumps like goose pimples. Most of the donor hairs have fallen out but I haved had a few pimples in the donor area. I still have not been out in public since (work out of my house) it looks obvious something was done to my face. Am I one of the few that this procedure might not work? I’m starting to worry, and I do see my doctor next week for a follow up. Your thoughts would be greatly appreciated. By the way I’m a 47 yr. old male with fair skin. (Swedish mostly). Thank you

The best thing is to follow-up with the doctor who did your eyebrow transplants. It seems you may have local irritation and may have developed local folliculitis, which can all be a normal part of healing or it can be an infection of the new follicles. There’s really no way for me to tell if there is something wrong from just a brief description without knowing what was done and how it was done (only your doctor knows this information) and what it looks like to my eye.


2006-10-10 13:37:45Month After Eyebrow Transplant, Still Red with Bumps

Blonde Men Can Lose a Lot of Hair and Still Look Good (Photo)

The color contrast between hair and skin color is very important in determining the fullness of your hair. This man has lost a lot of hair, but because he is light blonde, his hair loss doesn’t stand out like a newspaper print of black hair on white skin.


2019-10-31 13:25:36Blonde Men Can Lose a Lot of Hair and Still Look Good (Photo)

More questions on ‘hair plugs’

When you say pencil size from the 1980w, you mean the shaft of a pencil? Presumably this little bit of tissue had several follicles? When I heard the term in the past I thought they were little wigs you wore in the receded area!

A hollow drill was used in the back of the head that cored out a pencil size plug of hair. These were placed in the front in rows. Only a quarter of an area was covered with each of four surgeries with the idea that when eventually filled in, the four quarter patterns would cover the balding areas. Unfortunately, the idea was flawed, because after the plug was put into the scalp, it would contract squeezing the plug to a very high hair density. The the central part, would die off so that the plug looked like donuts. With these high density plugs surrounding a hole in the center, the unfortunate victims has a pattern of hair plugs that anyone could see within 20 feet. I, personally, can’t believe that the public accepted this result, but they did, maybe because they felt that a dolls head of hair was better than a bald head of no hair.

 

Body Hair Transplantation

Two different BaldingBlog readers had two similar questions…

Dr. Rassman,
recently some hair transplant surgeons reported very good results from body hair transplants. Other doctors remain more cautious and say it may yield good results in some, but not all patients. What’s your view on this?

Dr. Rassman,
Would you ever consider using bodyhair for some of the grafts in the scalp? I was wondering because it would seem a good way to increase density results. I am a bit paranoid about using only scalp hair to graft because I would not want to run out before getting decent density. I would think that you could mix in some sideburn or beard hair with regular scalp hair in the crown. What is your take on this. Thanks for your time.

Body hair has generally low densities (contrary to what it looks like on some men) so they do not make for a good donor supply in terms of quantity. A focus upon head hair should be primary. Then if you run out, moving to other body parts may be reasonable, especially as some studies are now appearing that indicate that this type of transplant works (leg and body to head or neck). What is still missing is the yield rates from the leg or body and the growth success from these areas.

As far as using sideburn or beard hair, this is an option in certain circumstances. They should only be considered as a last resort, when all usuable scalp donor hair is used. The other time that sideburn or temple hair can be used is when a patient is going to have a face lift and the sideburn/brow area is going to be excised as the brow is raised up.

Until the research information about body hair transplants is in our hands, it must be looked at as if it were human experimentation. A number of our patients have volunteered for this, so I am clearly interested in following the experience of others who I trust and then possibly get involved myself. I just do not want to sell hype and disappoint anyone.

I have performed one body hair transplant. The transplant was done from the abdomen to the eyebrows and it failed to yield hair in 10 months. I lost contact with the patient so I do not know if the transplant showed delayed growth or reflected some mechanism that caused it to fail. What I believe is that we need better scientific evidence on the following questions:

  1. Does it works reliably 100% of the time?
  2. If #1 is true, is that for all donor sites?
  3. What is the yield of viable grafts?
  4. What are the risks of body scarring / complications?
  5. Is it cost effective?

I would want to see many successful patients before I recommend it routinely for my patients.

While I can perform body hair transplants, I choose not to until they have been proven as a reliable procedure. If I make representations to my patients, I must be able to support what I say. If I embark on body hair transplants now (even on a limited basis), my patients must know the many uncertainties associated with the procedure. Until my comfort level is higher, I will not be doing body hair transplants.

Botched female hairline

This woman had a botched hairline from a hair transplant. Clearly the doctor did not understand that the female hairline shape is concave, so I put some marks on her forehead to show what might be a reasonable correction. Of course, the final design should be with the patient, one on one with the doctor. This is not even a good hairline for a man as it looks like Eddie Munster. Doctors who do this type of work, unfortunately, can’t be stopped other than by the patients who can take them to court for a lot of money and find a doctor like me willing to be an expert witness in any court action taken.


2020-08-08 09:49:25Botched female hairline

My barber found a bald spot, what is it caused by? (photo)

This looks like Alpecia areata, an autoimmune disease which impacts the hair. You should see a dermatologist and upon examination with a hand microscope he/she will see ‘exclamation mark’ hairs which makes the diagnosis. The a biopsy and a special treatment routine is needed.


2020-07-09 13:55:22My barber found a bald spot, what is it caused by? (photo)

Breast lump from finasteride, I think

I took finasteride for a year and developed gyno from it. When i noticed the lump in my left chest i stopped taking it. However, what happened was weird. After stopping finasteride for like more than a month, the hard lump in my left chest disappeared but at the same time a hard lump appeared in my right chest. My left nipple is still swollen and big though. But on pressing it i dont feel a lump.

I want to know whether this gyno will go back on its own or if surgery is must. I never had gyno before and i’m 100% sure its from finasteride.

If the lump remains, you should see a doctor. Breast cancer is very rare in men, but it does happen.


2020-11-03 09:20:24Breast lump from finasteride, I think

My Daughter Had a Bad Chemical Burn on Her Scalp When She Was Hours Old

I have a 11 year old daughter who has a bald spot in her head. She received this chemical burn when she was about a few hours old when she stopped breathing and they had to put an IV in her head. She has really dealt with this situation for the past few years but now she complains because she can only wear her hair one way. I have taken her to a dermatologist and they said that her follicules were dead and that she would have to have a hair transplant. I have been researching about microscopic follicular hair transplants and I think I want to have it done for her this summer. I really want to know if you think she is to young for this surgery.

Depending upon the size of the area, the treatment should be customized for that size and location. Some children develop very large areas of balding from such events and these may require more than a hair transplant. I would have to see photos of her to tell you what could be done (you can send them here and please reference this post in your email). Photos will remain confidential unless permission is granted to use them.


2008-05-19 08:39:56My Daughter Had a Bad Chemical Burn on Her Scalp When She Was Hours Old

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