Disaster Post 6 years of FUT

[npk21]

Greetings, 

I had done my FUT in 2014 of 3200 grafts, which we successfully done by Dr Radha (India), but due to scalpe psoraisis , there was a lot of itching and burning sensation, and with time I lost a lot of hair, neither the scalp has improved from itching condition and now even the hair loss is disaster.

1)Which doctor should i consult in Mumbai , I do not wish to travel out of city due to pandemic.

2) Should I go for Prp or FUE or FUT now?

Kindly check the photos and do let me know..

[ITA]

@npk21 I'm sorry, this is another case that confirms what I think, and that is that if the scalp is not healthy, there are no transplants that take, to be honest, you were very lucky that your transplant lasted six years,  my advice is to go to a trichologist first to try to heal your psoriasis, otherwise any other transplant you do, even top surgeons, will eventually end up like the first one.  Good luck.

[npk21]

There is no permanent solution for psoraosis.. All what i can do is keep applying ointment and reduce the burning sensation.. 

But...the hair loss is too much now...and hence i need a treatment for the same..

I just don't know which doctor should i visit for the same in Mumbai.

[Louisjams]

There are excellent treatments for psoriasis now in the form of biologics: talk to your doctor about these -

• ustekinumab (Stelara)
• ixekizumab (Taltz)
• secukinumab (Cosentyx)
• guselkumab (Tremfya)
• brodalumab (Siliq)
• certolizumab pegol (Cimzia)
• tildrakizumab (Ilumya)
• risankizumab (Skyrizi)

[UnbaldEagle]

Man, I'm sorry you're going through this. That was a great result. 

Well, good news is hair loss due to scalp psoraisis is not permanent, there's coal tar and steroid creams to alleviate the condition, also check out the ones Louisjams listed, and go see a good trichologist. 

BTW, it appears to me that the transplanted hairline remained more or less intact, whilst you lost hair in areas where you were not fully bald. Are you sure it's not MPB doing its thing too? 6 years is a lot of time. Are you on any preventive medication?

Edited December 10, 2020 by UnbaldEagle

[npk21]

Thanks a lot of this information...will definately show to a good trichologist soon.. 

I met few HT doctors in my locality, but they said that it will not cure and asked me to go for HT without taking any treatment for scalpe..

[npk21]

Sadly...I am not on any medication... 

But now i wish to get rid of this psoriasis and go for another HT session.. 

I just need a good doctor in India who can perform best FUE..

Or do you think taking PRP for few months can grow back hair on bald patch? 

[Britanium]

Hi

Have you consulted with Eugenix? They do some really good work. They are recommended on this forum too. 

[npk21]

Too expensive... They are very expensive compared to any other HT Surgeons in India

[1978matt]

I have a friend with psoriasis and this looks nothing like it to be honest.  To me it just appears you continued to lose more hair behind the first HT.

You could do a small session of 1000 grafts to check it grows ok, if there really is some kind of dematological condition.

[Britanium]

5 minutes ago, npk21 said:

Too expensive... They are very expensive compared to any other HT Surgeons in India

Even the lower tiers of their pricing? They also offer 20/30% discount for booking a few months in advance.

[npk21]

I don't know at which level this psoriasis is... But it gives a lot of burning sensation on my head and nose.. Will consult a trichologist soon for the same..

[npk21]

Not sure about any discount or lower tier, all what i heard was that it is very expensive.. Hence i thought of visiting someone else..

[Britanium]

2 minutes ago, npk21 said:

Not sure about any discount or lower tier, all what i heard was that it is very expensive.. Hence i thought of visiting someone else..

Definitely worth consulting with them and seeing what they can offer. 

[ITA]

1 hour ago, npk21 said:

but they said that it will not cure and asked me to go for HT without taking any treatment for scalpe..

Be wary of these ht doctors.

[Melvin- Admin]

That looks like scarring alopecia or LPP, you need a biopsy from a dermatologist. DO NOT get another HT without doing this first! 

 

watch this

 

[Doron Harati]

At HDC clinic we NEVER accept a paitent with psoriasis, unhealthy skin can only cause problems.

Sorry to hear this.

[npk21]

But is there any solution? Can i get my scalp cured?

[ITA]

@npk21 you have to be seen by an excellent trichologist, in any case your hair, the ones you had after the procedure, will never come back even after the possible treatment, then, when your psoriasis is totally healed (you must be sure), you can think  to a new ht.

[Melvin- Admin]

30 minutes ago, npk21 said:

But is there any solution? Can i get my scalp cured?

If you have LPP or scarring alopecia, yes you can get it treated. 

[Louisjams]

Do NOT go to a trichologist...you need to see a real doctor for psoriasis. Some dermatologists specialize in this, as psoriasis is a complex area. Find someone like that.

[PizzaWolf]

5 hours ago, 1978matt said:

I have a friend with psoriasis and this looks nothing like it to be honest.  To me it just appears you continued to lose more hair behind the first HT.

@npk21 I tend to agree with the above sentiment.

If you aren't taking any kind of DHT blocker, it was inevitable you would lose more hair. MPB and Psoriasis are separate conditions.

[CosmoKramer]

On 12/10/2020 at 2:31 AM, npk21 said:

There is no permanent solution for psoraosis.. All what i can do is keep applying ointment and reduce the burning sensation.. 

But...the hair loss is too much now...and hence i need a treatment for the same..

I just don't know which doctor should i visit for the same in Mumbai.

You may want to look into purchasing some 100% pure Emu oil to help with psoriasis. I used it on my scalp nightly after my HT and for up to a year or so and it helped ease any itching/dandruff issues. It’s a known natural anti-inflammatory and may help with psoriasis. 

Edited December 11, 2020 by CosmoKramer

[jolly]

On 12/10/2020 at 1:01 PM, npk21 said:

There is no permanent solution for psoraosis.. All what i can do is keep applying ointment and reduce the burning sensation.. 

But...the hair loss is too much now...and hence i need a treatment for the same..

I just don't know which doctor should i visit for the same in Mumbai.

you look relatively young , Dr. Radha  is a good FUT doctor , dunno how she accepted you for the surgery with psoriasis ? of course  under magnification she would have seen that the skin was not Normal and hence should have called off the surgery in my opinion OR at least informed you of the complications ?

I thought you did not need DHT blockers with FUT, as the grafts are taken from the very safe donor zones , unlike FUE where unsafe zones are always used as the area is wider .... Im surprised to know that you need blockers with fut also , or maybe the psoriasis made the hair fall out ?  anyways i suggest you better treat the condition before doing another procedure

[Mycroft]

2 hours ago, jolly said:

you look relatively young , Dr. Radha  is a good FUT doctor , dunno how she accepted you for the surgery with psoriasis ? of course  under magnification she would have seen that the skin was not Normal and hence should have called off the surgery in my opinion OR at least informed you of the complications ?

I thought you did not need DHT blockers with FUT, as the grafts are taken from the very safe donor zones , unlike FUE where unsafe zones are always used as the area is wider .... Im surprised to know that you need blockers with fut also , or maybe the psoriasis made the hair fall out ?  anyways i suggest you better treat the condition before doing another procedure

You take the DHT blockers not just for donor hair, but for your native scalp hair. This poster still had some of his native hair on top of his scalp, and a DHT blocker would increase the chances of keeping that hair.