Terrible Scar from incompetent surgeon (photo)

I got a hold of the operative note from the surgeon, and it was evident that the surgeon took out too much scalp and could not close the wound. The wound measured about 10 inches long and 2 1/2 inches high. When I first saw this patient the wound was infected and draining. He had asked his surgeon why his wound smelled so badly and was told it was normal. After a few weeks a pus draining on his pillow, he found me and came to my office. I leveled with him from the start and put together a plan so he knew what would happen to him. I treated the open wound and the infection over a few months. It finally healed with this terrible looking scar (something I expected and prepared the patient to expect). Working with Dr. Sheldon Kabaker, we placed a balloon expander in his head under the normal part of the scalp above the wound, stretched the scalp so that it would be able to cover this wound, and then, after 7 weeks of inflating the balloon twice a week in my office, we removed the scar and closed the wound. He looked great once it was completed with a wound that was barely visible. Unfortunately, he was ‘out-of-commission’ from a work perspective for about 5 months. He was a ‘high profile professor’ at a major university in Southern California and despite his education, he didn’t research his surgeon before selecting his initial doctor.

He ended up like he never had anything go wrong in the first place because when we fixed the scar, we also fixed his frontal hair transplant that were messed up by that same surgeon with hair we harvested from the expanded normal scalp. The take home message here is: Make sure that the doctor you select for your hair reconstruction procedure is credentialed and experienced, and knows what he is doing. Strip hair transplants are safe surgeries when done in competent hands. I am a god example of it, as I had three strip surgeries over 25 years to put hair in my bald crown and I don’t have a detectable scar.


2020-02-19 07:55:09Terrible Scar from incompetent surgeon (photo)

This is a transitional maturing hairline

I have been on minoxidil for 7 months now. I’m on my 2nd prp treatment and 2 weeks into finasterid 0.5 mg/day. Do you think fin will do any difference?

Your hairline looks good. What is the problem you see? I see that you are wasting your money and efforts including medications at this time. The arrows show where the hairline is moving into its mature position so it is thinning out to get there. I see some more movement from your older juvenile hairline to a mature hairline now which is what I think that you are seeing.


2020-08-03 13:31:33This is a transitional maturing hairline

Is this a Classic Mature Hairline?

Note that he wrinkled his brow so that the creases showed. His hairline in the midline is less than one finger breadth above the highest crease. I don’t see the corners so I can’t tell if the corners are receded or not. Certainly, a large center forelock is taking up most of the frontal hairline real estate if there is some corner recession. Without more photos, I can’t answer the question.


2021-10-15 21:16:52Is this a Classic Mature Hairline?