Very rough skin/poor yield after hair transplant. Is this normal? (Photo)

Question

Hello doctors, I had two FUT (strip) hair transplants (NOT plugs or minigrafts): June 2014 and July 2015. I am now 3 weeks post-op from my second surgery. The first surgery left me with a disfigured scalp, with a lot of pitting and large areas of cobblestoning. Redness lasted for ABOUT 8-9 months before subsiding. The rough skin never improved. The yield was very poor: only about 20% of the transplanted hair grew. Will my scalp improve (i.e. skin texture become less rough) over time?

Tim Neavin, MD · Answer

Thank you for the photos.  Are you prone to hypertrophic scarring?  This isn't the typical response from a HT. It is possible the grafts were placed improperly.  I'd recommend an in person evaluation with a board certified physician.

Jae Pak, MD · Answer

Redness and cobble stoning is not normal especially after 8-9 months.  A second surgery will not improve the skin.  You need a proper exam and diagnosis of what happened from the first surgery or you may repeat the mistakes in the second surgery.

Rashid M. Rashid, PhD, MD · Answer

For things to improve.  You should give it time and make sure to follow post op care carefully.

Jonathan Ballon, MD (in memoriam) · Answer

What you describe is highly unusual. It is not attributable to the method of donor harvesting, but rather to the technique used for preparation of the grafts and creation of the recipient sites. You could see a dermatologist, but it is unlikely there is any effective treatment for your situation.

Michael Meshkin, MD - Account Suspended · Answer

There are many factors that cause poor growth and pitting , the most important is poor grafting technique and surgery by the doctor and the staff. It is still too early to evaluate the result of your second surgery.

Very rough skin/poor yield after hair transplant. Is this normal? (Photo)

Answers (5)

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