5000 grafts transplant, folliculitis bad I guess. Dr prescribed doxycycline 100mg 2 times a day clindamycin 2 a day gel. Advice?

Question

Is this normal?, I talked to my Dr, he said some ppl has these reactions that this is normal, I had 2 transplants B4 and never happened like this, this is painful full of pus and very depressing, I know some zits are fine but you'll see Pictures what should I do, just wait or see another certified doctor in transplants , I started the treatment 16 days ago, and my head looks every day worse I'm scared, I already went to a dermatologist and they took a sample of the pus, I'm waiting for results

Jae Pak, MD · Answer

Having folliculitis can be an issue after a hair transplant surgery as one of the many risks.  It is an inconvenience and it is worrisome to the patient going through the process but these things do happen.The good news is that your doctor should be able to manage it and treat it. It is best to follow your doctor's treatment recommendations.The 5000 grafts is not normal.

Matt Tahsini, MD · Answer

Hello. I know you are freaking out about this and it’s understandable. However, it can be treated with antibiotics. If youve been on antibiotics for 16 days and are not seeing results I think you should return to your doctor. It’s possible you need to change to another antibiotic. Also a warm compress helps. I wish you luck.

Kongkiat Laorwong, MD, FISHRS · Answer

This is not normal, infection on recipient site, they need some drainage too.
You should take oral antibiotics a bit longer, may be 2-3 weeks.

Muhammad Jawad, MD · Answer

one of my patient came to us with same issue few years ago and we found out gram positive infection after swab and culture and responded very well to ciprofloxacin and metronidazole within few days.The reason for infection he was doing some self remedies to speed up healing after surgery..hisboutcome was excellent and he is happy now..
Consult your doctor and he will guide you better..

Cain R. Linville, MD, FACS · Answer

5000 grafts is certainly a lot!  But still, I'd trust your surgeon and agree with the recs to take antiobiotics both orally and topically and your body will heal it.  There isn't much else to do, and you obviously want to avoid traumatizing the grafts via surgery as much as possible.  They will drain here and there but it will get better.

Michael Meshkin, MD - Account Suspended · Answer

Folliculitis can be an issue in some cases after hair transplant. It is good that you are taking antibiotics. You need to be followed up with your doctor for further care to manage the problem.

William Rassman, MD (retired) · Answer

Yes, this is folliculitis manifested by redness and pimples that need to be drained. If your doctor prescribed you antibiotics, it is a good first step. I would tell my patient to be sure to use wet compresses on it a few times a day to facilitate the pustules to drain.

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5000 grafts transplant, folliculitis bad I guess. Dr prescribed doxycycline 100mg 2 times a day clindamycin 2 a day gel. Advice?

Answers (7)

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