Regular Member Dr. William Lindsey Posted August 14, 2012 Regular Member Posted August 14, 2012 (edited) This little boy was referred by a dermatologist a couple of years ago for a 50 cent piece size bald spot. Mom and I talked about options including excision of the area, FUE into the area, or a combination of both. They returned this summer as other kids have started making this little boy self-conscious about the spot. Given how dense his surrounding hair is, I frankly thought that just FUE-ing the area would not be dense enough particularly with a short haircut. So we agreed to excise the area and next summer we’ll re-assess and see if any additional work needs to be done. I told them that I’d expect that we’ll decrease his bald spot 50% or more with this procedure, but from the looks of the picture, I’d say we likely got 90%....assuming it doesn’t stretch back much. Note the size of the bald spot before excision. Then I excised about 3/4 of it so that I knew that I could get the area closed with minimal tension. Once it felt like it would close well, I then excised another sliver of it. On the white surgical drape, you’ll see the size of the original specimen (where the pink color is) and how quickly the lesion contracted down to a much smaller size. This is because people lose collagen-the springy connective tissue that holds your skin tight-at 1%/year of age. So he’s only lost 10% of his collagen and his skin contracts quickly. If you did this on a 70 year old, the specimen would barely shrink. Then a deep layer closure taking all of the tension off the skin edges was done, and then skin sutures were placed. He went swimming the next day and sutures were removed at day 9. I’ve recommended vitamin E applied twice daily and expect to do a scar check in a month. If it doesn’t stretch…we may be done, but I think we’ll likely need a small FUE case next summer. The little boy was easy to work with and was a real trooper. Hopefully his mom will come on and describe their experience. Dr. Lindsey McLean VA Edited August 17, 2012 by TakingThePlunge William H. Lindsey, MD, FACS McLean, VA Dr. William Lindsey is a member of the Coalition of Independent Hair Restoration Physicians
Regular Member Dr. William Lindsey Posted August 14, 2012 Author Regular Member Posted August 14, 2012 The software of this forum switched the number 3/4 to a ? in the description above. Dr. Lindsey William H. Lindsey, MD, FACS McLean, VA Dr. William Lindsey is a member of the Coalition of Independent Hair Restoration Physicians
Goosiegoo Posted August 14, 2012 Posted August 14, 2012 My 10 year old son was born with a shiny bald spot. I knew he would never have hair grow from that area. At first, it wasn't an issue but as he got older he became more self-conscious about it. He said he was ready to get it fixed and so we headed to Dr. Lindsey. Procedure was simple and painless. My son is happy with the results so far! We will have to wait and see if FUE is needed. If so, we will do it. Thanks Dr. Lindsey - You Rock!!
Senior Member RCWest Posted August 14, 2012 Senior Member Posted August 14, 2012 Dr. Lindsey definitely rocks! He is the best all around surgeon I've seen on this site. I love the interesting cases he presents week after week. Finasteride 1.25 mg. daily Avodart 0.5 mg. daily Spironolactone 50 mg twice daily 5 mg. oral Minoxidil twice daily Biotin 1000 mcg daily Multi Vitamin daily Damn, with all the stuff you put in your hair are you like a negative NW1?
Senior Member Sparky Posted August 15, 2012 Senior Member Posted August 15, 2012 Hi Dr. Lindsey, My friends son has a similar sized bald patch in the crown area, it had something to do with him being an IVF baby. He has had it cut out 3 times but there is still a patch about 3 times the size of this. I advised my friend not to get any more revisions done to his son, and that I had heard of this procedure called fue (he knows nothing about my hair!) He does have some hair growing in it but not much, do you think this was a good call considering the fact that he has all ready had 3 ops on it? I would of thought 4-500 fue will fill it in. One issue is he is only 7 years old, so I was wondering what would be the best age for this to be done? Regards Sparky My Hairloss Website http://www.hairtransplantnetwork.com/blog/home-page.asp?WebID=2198
Senior Member TakingThePlunge Posted August 17, 2012 Senior Member Posted August 17, 2012 Dr. Lindsey, I fixed the fraction in your original post. David - Former Forum Co-Moderator and Editorial Assistant I am not a medical professional. All opinions are my own and my advice should not constitute as medical advice. View my Hair Loss Website
Senior Member TakingThePlunge Posted August 17, 2012 Senior Member Posted August 17, 2012 Dr. Lindsey, Thank you for sharing yet another inspirational story. It's heartwarming when a doctor can put his surgical skills to such good use. Fixing this small defect will no doubt have an enormous effect on this youngsters life. Good work! David - Former Forum Co-Moderator and Editorial Assistant I am not a medical professional. All opinions are my own and my advice should not constitute as medical advice. View my Hair Loss Website
Regular Member Dr. William Lindsey Posted August 21, 2012 Author Regular Member Posted August 21, 2012 Sparky If they are able, have them come see me. I'd wait until the child can cooperate for the procedure awake whether that is age 7 or 15. IF its 3 times the size of this...almost certainly I'd push to do serial excisions and then FUE whatever is left. It might take 3 operations to get to that point though. Thanks. Dr. L William H. Lindsey, MD, FACS McLean, VA Dr. William Lindsey is a member of the Coalition of Independent Hair Restoration Physicians
Regular Member Dr. William Lindsey Posted September 18, 2012 Author Regular Member Posted September 18, 2012 Its been 5 weeks. Mom sent in these pics. Looks like we're making progress. First the redness is normal...particularly in a child. It will take what seems like forever for that redness to fade and the younger the longer it takes. Next he has a little shock loss on the edges even though I didn't use cautery. That should come back by next summer. ( I did the same cut on my son to take off a dime sized mole and it took 8 months to start growing back ) Lastly, it doesn't look like the scar is stretching. I'd have like to have seen him in the office but the patient had a math test and that took priority. Hopefully one day soon school will be a holiday day and they can stop by. Dr. Lindsey McLean VA William H. Lindsey, MD, FACS McLean, VA Dr. William Lindsey is a member of the Coalition of Independent Hair Restoration Physicians
Senior Member recedingboy Posted October 3, 2012 Senior Member Posted October 3, 2012 I work in a school and know kids can be bloody mean. Kudos Dr. Lindsey I hope you get the boy fixed up!
Regular Member Dr. William Lindsey Posted October 3, 2012 Author Regular Member Posted October 3, 2012 Kids can indeed be mean about stuff like this. For more info on that particular issue, search on this forum for the 2 kids that we did hair cases on who'd had radiation induced hairloss from cancer treatments. Its good to help out a kid with cases like these. Dr. Lindsey McLean VA William H. Lindsey, MD, FACS McLean, VA Dr. William Lindsey is a member of the Coalition of Independent Hair Restoration Physicians
Recommended Posts
Create an account or sign in to comment
You need to be a member in order to leave a comment
Create an account
Sign up for a new account in our community. It's easy!
Register a new accountSign in
Already have an account? Sign in here.
Sign In Now