Is this Cobblestoning? (Photo)

Question

I had a FUE procedure almost a year ago and noticed these small bumps on the hairline. If this is Cobblestoning? If so, what caused this and what can be done to repair this? I have my 1 year follow up coming up with the surgeon and was wanting to go over a 2nd procedure for more density but if this is a surgeon error I would like to know so that I don't go through with a 2nd surgery with this surgeon. Thanks in advance!!

Ross Kopelman, DO · Answer

Cobblestoning is a possible side effect that can occur after a hair transplant, especially with FUE (Follicular Unit Extraction) procedures. It refers to the appearance of small, raised bumps on the scalp, often resulting from grafts being placed too high or at the wrong angle during the transplant. While it’s not always due to surgeon error, factors such as improper depth, size of the grafts, or the healing process can contribute to this issue. Before proceeding with a second surgery, it’s important to bring up your concerns with your surgeon at your follow-up appointment and discuss the potential causes behind the cobblestoning you’re experiencing.
In terms of repair, treatments like laser resurfacing or dermabrasion can help smooth out the skin and reduce the appearance of the bumps. However, if you’re considering additional procedures to increase density, it’s crucial to ensure that any underlying issues are addressed first. If you're concerned about surgeon error, it might be worth seeking a second opinion to evaluate the situation before committing to another procedure.

Is this Cobblestoning? (Photo)

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Is this Cobblestoning? (Photo)

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Everything you need to know about FUE Hair Transplant

Our mission is to create a world where every investment in modern beauty is Worth It.