wouldLikeMoreHair

hi @Malledive

did your ridging resolve on its own? Or did you get treatment for it? 

one more question-  after how long post op did your ridging and cobblestoning appear?

thank you!

@Gatsby yes i informed the doctor, i have scarring on my back (hypertrophic) and shoulders. And yes first procedure

man i hope so... anyway thank you 

@jjalay i have some hypertrophic scarring on my shoulders from acne. I say hypertrophic since they're raised scars but they never got spread around like true keloids 

hi all,

after a long time researching, I had my hair transplant done recently by a very reputable/popular doctor (not on this forum). 

Unfortunately according to the doctor, because I'm prone to hypertrophic/keloid scarring there is a high chance that I end up with some sort of ridging & tenting &  scarring.

I'm at a point where I'm really starting to regret having had this done if I'm going to end up with bad scarring. 

Is there anything I can do now while I'm recovering (still within the 1st week post op) to prevent scars / ridging from forming? or at least minimize chance of scarring? 

Would PRP help? stem cell therapy? 

thank you!

hi all,

are bumps like shown below always surgical error? or could a patient who is prone to scarring also be prone to them from hair transplant?

surgeon says the patient whose result is shown here was very prone to keloids which is why he got these bumps after the procedure. But I've read cobblestoning (if what's shown below is cobblestoning) is always surgical error so i wanted to check.

what about general scarring like this as shown below? recipient area does not look smooth.. is this dependent on patient skin type or surgical error? 

thank you! 

thank you everyone for your input, i think I need to make another post with pictures as I might not be referring to cobblestoning... 

@Rawkerboi what do you mean by the skin discs? 

Thank you everyone for your response. @Bhumik Shah MD I was wondering because some results from this particular surgeon shows a bit of cobblestoning, and I was wondering if that is any way related to the fact that he leaves the epidermis caps intact (and he has stated that he does not trim the grafts at all)

as the title says. Is cobblestoning purely a surgical error (incorrect depth control / too much tissue) OR is it also dependent on patient's skin type?

thank you

hi all,

is it a red flag if the surgeon does not trim grafts after extraction? leading to lot of tissue around the grafts when implanting as shown in the picture below (look like white 'caps')

suregeon's reasoning is that they don't want to trim away any of the healthy tissues that help in growing... 

It concerns me since I've read that too much tissue around grafts can cause too much trauma and cause cobble stoning, ridging etc. 

AND it seems that most world renowned surgeons (Pekiner, Rahal, Konir etc) all trim the tissue around grafts to a point where these white 'caps' do not show when they implant. 

thoughts? 

thank you!

was this woomchan? @nac321

@Cooper48 that sounds awesome thank you! 

hi @junior , not sure if you still get on but i had a quick question. 

how short can you shave your donor area before your FUE scars start to show? 10mm? 5mm? 

and do you know what punch size Dr Laorwong used for you?

thank you!

hi all,

from what I've read, apparently ridging can occur when the excess tissue isn't properly shaved off from the hair grafts, i.e. when the graft is too big for the recipient site. So you'd think this could only stem from surgical errors.. 

(sources:

https://www.bernsteinmedical.com/research/art-of-repair-in-surgical-hair-restoration-part-ii-the-tactics-of-repair/#:~:text=As discussed in the section,body's reaction to that tissue.

https://www.hairtransplantmentor.com/what-is-hair-transplant-ridging/) 

But the many doctors I've spoken to (and watched videos of) have told me that sometimes it just happens. Not from fault of the surgeon / techs, but just dependent on the patient's skin. And not only for patients that are prone to hypertrophic / keloid scarring, but it can happen to anyone. 

What could really be the cause of it? Can maybe adding too much density to the hairline area cause ridging / tenting? 

Also, I've found a lot more Asian patients with ridging issues than Caucasians. I wonder if Asians are just naturally more prone to ridging? (I've read that Asians scar more easily than Caucasians) 

If there is anyone that experienced ridging/tenting post-op:

• were you prone to scarring? 
• has it improved at all? either naturally or through medical procedures? 

thank you! 

example of ridging I found from a patient review:

oh this isn't my result, was looking at some results from a clinic I'm potentially considering. 

thank you everyone for your input 

Hmm ok. Do you think it'll improve, or will it stay forever ?

hi all,
while looking at some 1 year post op pictures by this clinic, I noticed these bumps(?) on the base of the transplanted hair. They're very small but are definitely noticeable in this lighting, especially when you compare the transplanted hairs to the native hairs on the temples (no bumps). 

Is this normal and to be expected? or would this be considered 'cobblestoning' that should have been avoided by the surgeon?  

image source: https://cafe.naver.com/common/storyphoto/viewer.html?src=https%3A%2F%2Fcafeptthumb-phinf.pstatic.net%2FMjAyMzA4MjFfOSAg%2FMDAxNjkyNTk4MjE1OTkw.bL9y1E2HmMrDskQj7ncJ50wG8Gy0BAyl_H_6lsspfaUg.WTS9JF1aueLLJHEniJHxni_gqSaaYf10Pw0jX8h7KS4g.JPEG%2FKakaoTalk_20230819_152423240_01.jpg%3Ftype%3Dw1600 

thank you!

thanks for the update @Gi29! did you like your final result? did more hair grow? 

Anybody here who has gone to Dr Bahk at motion clinic in Korea?

I know there are some YouTube videos with great reviews.. but I'm struggling to find any other info on Dr Bahk. Not much on here or reddit. 

Motion clinics website doesn't have a ton of good info I can use either.

Wondering if there are more people on this forum who have had good experiences with Dr Bahk. Thank you!

@Rahal Hair Transplant @Shadman really appreciate the response, thank you. 

so this wouldn't be considered 'row planting' where the result will be unnatural? 

hmm im getting mixed feedback, i was told by some people in a different forum that this is considered row planting. 

am i seeing things when i see this ' \\\' pattern in this HT?

oh this isn't me, i was just posting examples of 3 of his patients to see what the forum would think... 

a lot of the grafts that i can see are in this pattern '\\\'  Isn't that considered row pattern? 

hi all,

I've been reading mixed responses online regarding row implanting - some say it will lead to a unnatural look and you won't be able to buzz your hair since it will be noticeable that you had work done. On the other hand, I've heard that your natural hair also has some 'rows' and that as long as it's used correctly it will yield good results... 

The doctor that I'm considering also seems to do some row planting (although it does look like he mixes it up a bit towards the very front of the hairline) . His results seem really good for the most part, but I just wanted to check with everyone here. how does it look? 

more of his work...

and more

thank you!

@Gi29 do you have a 1 year update? can you please share with us? I'm also an Asian dude potentially looking at Dr Laorwong so your update will be super helpful 

thank you