it appears that the area is still slightly bloody follicles came out that looks like a tiny hole as you can see in the picture and im wondering if that's just the effect of the scab falling off or actual follicles that were attached to the dried blood.
May 14, 2015
Answer: Hair transplantation Dear theroom112, Thank you for your clinical post and photograph. Although difficult to tell from a photograph alone it appears as if there has been an area where there has been some inflammation around your transplanted follicular unit. As the scabs come off many patients see a hair shaft and are alarmed or concerned that the hair bulb itself has also not survived the transplant process. Quite often the hair bulb does survive and the shaft is shed with the scab. However, on occasion, especially if there is some degree of Folliculitis inflammation or small micro abscesses around the follicle, the follicle itself can be shed together with the hair shaft and the scab.You may have a small area where this has occurred. The acute management is gentle cleansing with diluted hydrogen peroxide and careful follow-up with your hair transplantation physician. Generally, this area will heal well and you will know over the next 4-8 months whether hair will grow in this area. It may be a small area that needs enhancement transplant procedure or the bulbs may have actually survived the inflammatory process and quite often are very surprised how hearty the follicular unit transfer process grafts are. In general, well over 90% of the transplant follicular units will survive even if there’s been a small degree of Folliculitis in the region. Post-operative treatments or low-level light therapy and topical nutrient shampoos and Minoxidil can be of some assistance. Most importantly at 10 days post-operatively see your operative physician and senior technicians to ensure that there is no treatable cause for the inflammation. Post-operative antibiotics is somewhat controversial in hair transplantation circles, however, several days of post-operative antibiotics can minimize the risk of bacterial Folliculitis which can lead to some follicular death. I hope this information has been of some assistance and best of luck. For more information, please review the link below. R. Stephen Mulholland, M.D. Certified Plastic Surgeon Yorkville, Toronto
Helpful
May 14, 2015
Answer: Hair transplantation Dear theroom112, Thank you for your clinical post and photograph. Although difficult to tell from a photograph alone it appears as if there has been an area where there has been some inflammation around your transplanted follicular unit. As the scabs come off many patients see a hair shaft and are alarmed or concerned that the hair bulb itself has also not survived the transplant process. Quite often the hair bulb does survive and the shaft is shed with the scab. However, on occasion, especially if there is some degree of Folliculitis inflammation or small micro abscesses around the follicle, the follicle itself can be shed together with the hair shaft and the scab.You may have a small area where this has occurred. The acute management is gentle cleansing with diluted hydrogen peroxide and careful follow-up with your hair transplantation physician. Generally, this area will heal well and you will know over the next 4-8 months whether hair will grow in this area. It may be a small area that needs enhancement transplant procedure or the bulbs may have actually survived the inflammatory process and quite often are very surprised how hearty the follicular unit transfer process grafts are. In general, well over 90% of the transplant follicular units will survive even if there’s been a small degree of Folliculitis in the region. Post-operative treatments or low-level light therapy and topical nutrient shampoos and Minoxidil can be of some assistance. Most importantly at 10 days post-operatively see your operative physician and senior technicians to ensure that there is no treatable cause for the inflammation. Post-operative antibiotics is somewhat controversial in hair transplantation circles, however, several days of post-operative antibiotics can minimize the risk of bacterial Folliculitis which can lead to some follicular death. I hope this information has been of some assistance and best of luck. For more information, please review the link below. R. Stephen Mulholland, M.D. Certified Plastic Surgeon Yorkville, Toronto
Helpful