FollicularlyChallengedScar

wanthairs:

That is very interesting. So this was noticed when some of the unsatisfactory grafts were punched out for aesthetic or cosmetic reasons?

FCSM

Thanks for the great responses guys.

I guess I was kind of expecting an answer of 6 months being the generally recommended amount of time.

What is the minimum amount of time you should devote to scalp exercises if your laxity is not loose but also not considered too tight?

2 months, 3 months, 6 months, etc?

Also, can you decrease the amount of months necessary if you do them 2x a day?

What is the commonly referred to amount of time needed to get the maximum benefit from the exercises?

Dr. Lindsey,

Have you had any experiences treating erythematous scarring from a transplant failure?

If so, what laser or cosmetic treatment would you recommend or have experience using to treat persistent (more than a 1.5 year old) erythematous scarring in the hairline.

The hairline is also being raised in the patient, and the area to be treated does not contain any viable grafts for future use. The unwanted hairline area (hairline placed too low) has had grafts removed via punching them out and use of eletrolysis.

VersaPulse, Dye Laser, etc.?

Thanks for the response.

I will have to look them up.

Has anyone done an unsatisfactory or incomplete FUE restoration and switched to Strip in order to achieve full restoration?

Can a megasession strip still be achieved?

Any cases?

You always hear of the Strip+FUE combo but never a FUE+Strip combo?

Has anyone done an unsatisfactory or incomplete FUE restoration and switched to Strip in order to achieve full restoration?

Can a megasession strip still be achieved?

Any cases?

You always hear of the Strip+FUE combo but never a FUE+Strip combo?

Any reports of shedding after PRP treatment?

If so, is it suspected that the shed hairs will return thicker or return at all?

Thanks for the feedback guys.

Just was not sure if it was considered a "medicated" shampoo. I think tea tree helps keep any bouts of folliculitis at bay.

Also, I believe tea tree oil is in Nioxin Shampoos and Hair Cycle Shampoo, both of which are apparently safe immediately post-op.

Just trying to plan things out.

When is it safe to begin using Tea Tree Shampoos and Conditioners post-op?

Is this considered a medicated shampoo?

When is it safe to begin using Tea Tree Shampoos and Conditioners post-op?

Is this considered a medicated shampoo?

Is it really true that some clinics are using an older motorized FUE tool, that in addition to allegedly producing poor results, CANNOT be autoclaved.

If so, that is very disgusting and just goes to show you that some doctors out there do not have the patients best interest at heart.

Minimizing the risks of transmitting communicable diseases is of paramount concern for any clinic performing surgery in my opinion.

Who makes this disgusting tool that CANNOT be autoclaved and/or what clinics are suspected of using it?

Patients should stay away from such unsafe practices in my opinion if this is really happening.

This seems to be yet another reason why people should not have FUE done by clinics that are unwilling to discuss their tools and methods.

Thankfully, we have doctors like Dr. Feller willing to put his tools up for scrutiny and demystify the FUE practice by showing how his tools work and how they are maintained and properly cleaned for safety.

Is it really true that some clinics are using an older motorized FUE tool, that in addition to allegedly producing poor results, CANNOT be autoclaved.

If so, that is very disgusting and just goes to show you that some doctors out there do not have the patients best interest at heart.

Minimizing the risks of transmitting communicable diseases is of paramount concern for any clinic performing surgery in my opinion.

Who makes this disgusting tool that CANNOT be autoclaved and/or what clinics are suspected of using it?

Patients should stay away from such unsafe practices in my opinion if this is really happening.

This seems to be yet another reason why people should not have FUE done by clinics that are unwilling to discuss their tools and methods.

Thankfully, we have doctors like Dr. Feller willing to put his tools up for scrutiny and demystify the FUE practice by showing how his tools work and how they are maintained and properly cleaned for safety.

Dr. Feller,

A few of questions:

(1) Are you using the extracellular matrix with your PRP treatments?

(2) Do patients have to suspend the use of Minoxidil 5% prior to and post-PRP procedure? If so, for how long?

(3) In the past, I believe you mentioned that you may tweak the PRP Procedure to incorporate a missing feature. Have you made any additional contributions or changes to the PRP Procedure yet? If not, are you still working on refinements?

FCSM

So nobody has pondered using it in the untouched crown area ONLY immmediately (within in days) post-op?

Is it safe to resume the use of Minoxidil 5% in ONLY the crown area immediately after surgery.

I understand that it is advised to wait 1-2 weeks before resuming use in and around the recipient area.

But, what do doctors advise for crown usage?

Is it safe to resume the use of Minoxidil 5% in ONLY the crown area immediately after surgery.

I understand that it is advised to wait 1-2 weeks before resuming use in and around the recipient area.

But, what do doctors advise for crown usage?

Wouldn't the doctor or the patient have been able to tell if the wool cap (which I agree should not be worn immediately post-op) pulled out any grafts by the presence of any blood, scabs and/or grafts on the wool cap?

So, does anyone think it would be unsafe and damaging for the frontal recipient area to resume using Rogaine Foam in the mid-scalp and crown areas seven (7) days post-op?

Originally posted by Steve Gabel, M.D.:

A don't fee there is any problem wearing a bandana. A bandana actually provides some "breathing room" for the grafts so you are not getting the grafts sweaty which may lead to a localized superficial folliculitis. I tell my patients: keep it clean and don't touch the recipient site and the grafts will grow just fine.

But a bandana plus a lightweight beanie over the bandana could cause folliculitis?

So, if there is no irritation, then is it safe to assume all is okay with the grafts?

Thanks for sharing your time.

Originally posted by Steve Gabel, M.D.:

I feel it is extremely important for patients to keep their scalp clean after surgery. I provide patients with a spray bottle from the surgical procedure for two reasons: I want them to spray their scalp with the spray bottle to remove any blood or blood products that may have accumulated during the healing process as well as to keep the scalp clean. When blood and blood products accumulate on the grafts, a significant amount of crusting can occur which I do not think is healthy for the newly planted grafts. Once the blood products have stopped accumulating, I have them spray 1 to 2 times a day to keep the area clean.

 

The second reason I provide the patients with the spray bottle is for sterility purposes: during the case, we use the spray bottles to clean the surface of the scalp clear of blood. The spray bottles are exposed to blood products. Any instrument or supply that comes into contact with the patient is either new or been autoclaved. If we can't put the bottles in the autoclave, which insures that our instruments are sterile (the bottles melt ??“we tried this), then we have to throw the bottle out anyway. Therefore, I give my patients the spray bottle that we used for the procedure and we use new spray bottles for each patient. This insures that there is no cross-contamination between patients.

What day post-op do you have your patients discontinue use of the saline spray?

One week?

Bump!

Good question HairHope.

I was told that I could use it immediately after surgery in the crown and mid-scalp areas (non-transplanted areas), but I too am worried about diffusion of the Minoxidil down to the the grafted areas in the front or hairline area!

Any thoughts?

Is crown and mid-scalp area use safe immediately afer surgery?

Is there any danger in the first ten (10) days that wearing a loose bandana under a very loose and thin beanie could trap heat so much that it could kill the grafts?

Are the main risks just potential graft loss and bacterial growth in a warm and dark environment?

Would wearing this bandana/beanie combo for 4 hours or less pose any danger to graft survival on day 3 and after?

Is there any danger in the first ten (10) days that wearing a loose bandana under a very loose and thin beanie could trap heat so much that it could kill the grafts?

Are the main risks just potential graft loss and bacterial growth in a warm and dark environment?

Would wearing this bandana/beanie combo for 4 hours or less pose any danger to graft survival on day 3 and after?