Regular Member JoeFromFrisco Posted May 29, 2023 Regular Member Share Posted May 29, 2023 I had an FUE done over a year and half ago and notice a bunch of bumps on my head were the follicles where transplanted. I was told the bumps are normal and to use tretinoin which will help flatten them. I am no doctor but I am positive the bumps are not acne as they been there since day one of the transplant and I don’t feel tretinoin will flatten these bumps. It’s very embarrassing as the bumps can be seen with hair or if I shave my head. It looks like something you see on a kids doll or something. From what I read online, the bumps are called cobblestones and it’s an error on the doctor with the puncture incisions not deep enough or excess skin not taking off of the hair follicles. Can someone please confirm these are cobblestone and what can be done to fix the bumps? Should the doctor be responsible to fix these? I got the transplant done in Northern California, US. Thanks. Link to comment Share on other sites More sharing options...
Regular Member WoundedWolf Posted May 29, 2023 Regular Member Share Posted May 29, 2023 can you share your after surgery pics as well, yes bumps are visible it may be cobblestoning have you shown it to any other reputed surgeons ?? Link to comment Share on other sites More sharing options...
Regular Member JoeFromFrisco Posted May 29, 2023 Author Regular Member Share Posted May 29, 2023 Hi, I have attached some photos I took right after the surgery and the last two will be two weeks after the surgery. Sorry about the clarity of the photos, I used my iPhone. I haven’t been seen another clinic but I might just do that. I had relocated to Montana, do you know of any good ones out here? Link to comment Share on other sites More sharing options...
Senior Member Ajamilo Posted June 1, 2023 Senior Member Share Posted June 1, 2023 Sadly this looks bad since you can not hide it either when you grow out your hair. I have heard dermarolling should help a little bit but idk to be honest. Have you tried talk with a dermatologist? Link to comment Share on other sites More sharing options...
Regular Member WoundedWolf Posted June 1, 2023 Regular Member Share Posted June 1, 2023 (edited) these bumps are always tricky and nasty unfortunately, do meet a reputed HT surgeon in US i think konior is good, or any other good ones recommended by this forum, I also had minor bumps (do see my case ) but still not sure is it because of thick grafts or cobblestoning for me doctor said it was not cobblestoning, in your case I can see single grafts but then also bumps are there, from what i have heard it can be hidden using properly placed grafts around it (this was done in my case), I m currently on 3.5 months after my repair HT but still in certain lighting conditions i can see small lined bumps lets see if it improves in coming months In your case are these bumps visible in all lighting conditions and angle or only from a particular angle or lighting condition ?? Edited June 1, 2023 by WoundedWolf Link to comment Share on other sites More sharing options...
Regular Member JoeFromFrisco Posted June 2, 2023 Author Regular Member Share Posted June 2, 2023 19 hours ago, Ajamilo said: Sadly this looks bad since you can not hide it either when you grow out your hair. I have heard dermarolling should help a little bit but idk to be honest. Have you tried talk with a dermatologist? I have been using tretinoin which is not doing anything to the bumps, it’s just fading my SMP. Shouldn't the HT doctor be responsible for fixing this? Isn’t this considered malpractice? I got this done in California so I am sure there’s some kind of laws that protect us I haven’t spoken with a dermatologist but that’s not a bad idea. thanks. 1 Link to comment Share on other sites More sharing options...
Regular Member JoeFromFrisco Posted June 2, 2023 Author Regular Member Share Posted June 2, 2023 19 hours ago, WoundedWolf said: these bumps are always tricky and nasty unfortunately, do meet a reputed HT surgeon in US i think konior is good, or any other good ones recommended by this forum, I also had minor bumps (do see my case ) but still not sure is it because of thick grafts or cobblestoning for me doctor said it was not cobblestoning, in your case I can see single grafts but then also bumps are there, from what i have heard it can be hidden using properly placed grafts around it (this was done in my case), I m currently on 3.5 months after my repair HT but still in certain lighting conditions i can see small lined bumps lets see if it improves in coming months In your case are these bumps visible in all lighting conditions and angle or only from a particular angle or lighting condition ?? I seen your photos and I can barely see your bumps. I think you will be good once everything heals. unfortunately for me, I noticed these bumps a few weeks after everything started to heal. I figured it was part of the healing process. I can see the bumps with hair and with a shaved or low cut hair. I am hoping the HT doctor will make good and fix it or he might let his pride and ego get in the way and say it’s not cobblestones. It’s very noticeable and I can catch people looking at my scalp when talking with them. I don’t know what to do as my job doesn’t allow hats Link to comment Share on other sites More sharing options...
Regular Member WoundedWolf Posted June 2, 2023 Regular Member Share Posted June 2, 2023 4 minutes ago, JoeFromFrisco said: I seen your photos and I can barely see your bumps. I think you will be good once everything heals. unfortunately for me, I noticed these bumps a few weeks after everything started to heal. I figured it was part of the healing process. I can see the bumps with hair and with a shaved or low cut hair. I am hoping the HT doctor will make good and fix it or he might let his pride and ego get in the way and say it’s not cobblestones. It’s very noticeable and I can catch people looking at my scalp when talking with them. I don’t know what to do as my job doesn’t allow hats I think ur previous doctor wont be able to fix because he wont be skilled to do it (its a risk to go to the same doctor), you might have 1 shot to fix this now so take your time, do research thoroughly, have a consultation with Good HT surgeons only recommended ones by this forum, also see the other cases results from this forum to pick up a good HT surgeon... Link to comment Share on other sites More sharing options...
Bee9 Posted September 4, 2023 Share Posted September 4, 2023 Hello, Have you seen any improvement? Link to comment Share on other sites More sharing options...
Regular Member Malledive Posted September 5, 2023 Regular Member Share Posted September 5, 2023 Can you tell me to which doctor you went (private message is okay as well) Link to comment Share on other sites More sharing options...
Regular Member JoeFromFrisco Posted December 17, 2023 Author Regular Member Share Posted December 17, 2023 Sorry for the late reply. I went to Silicon Valley Hair Insitute. They are located in the Bay Area. Link to comment Share on other sites More sharing options...
Regular Member JoeFromFrisco Posted December 17, 2023 Author Regular Member Share Posted December 17, 2023 On 9/3/2023 at 10:29 PM, Bee9 said: Hello, Have you seen any improvement? Still the same. I am thinking of shaving my head and using a derma pen to smooth down the bumps. Link to comment Share on other sites More sharing options...
Senior Member BaldReaper Posted December 19, 2023 Senior Member Share Posted December 19, 2023 Hi, I think your cobblestoning is very minor, you can find these even in results of the most reputable surgeons Link to comment Share on other sites More sharing options...
Regular Member JoeFromFrisco Posted December 19, 2023 Author Regular Member Share Posted December 19, 2023 7 hours ago, BaldV said: Hi, I think your cobblestoning is very minor, you can find these even in results of the most reputable surgeons Hi, do you know what’s the process of smoothing out the cobblestones? Is this something I can do with a Dr. Pen (micro needling gun)? Cheers. Link to comment Share on other sites More sharing options...
Moderators Al - Moderator Posted December 26, 2023 Moderators Share Posted December 26, 2023 This looks rather minor and may possibly flatten out on its own after a few years. Al Forum Moderator (formerly BeHappy) I am a forum moderator for hairrestorationnetwork.com. I am not a Dr. and I do not work for any particular Dr. My opinions are my own and may not reflect the opinions of other moderators or the owner of this site. I am also a hair transplant patient and repair patient. You can view some of my repair journey here. Link to comment Share on other sites More sharing options...
Regular Member JoeFromFrisco Posted January 2 Author Regular Member Share Posted January 2 On 12/26/2023 at 5:00 AM, BeHappy said: This looks rather minor and may possibly flatten out on its own after a few years. I hope so because it’s very noticeable when the light hits it. Link to comment Share on other sites More sharing options...
Senior Member Ajamilo Posted January 12 Senior Member Share Posted January 12 On 1/2/2024 at 4:12 AM, JoeFromFrisco said: I hope so because it’s very noticeable when the light hits it. this thread is interesting Link to comment Share on other sites More sharing options...
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