Dark spots at penetration point of FUE hair transplanted grafts. (photo)

Question

I am 24 days post op of 3000 FUE grafts. Many of the hairs have a black spot at the penetration point of the scalp. My question is what causes this darkening of the base point of penetration of these hairs. Is it a cluster of hairs, is it hair growing back, is it dead hairs, if so will they grow back, or is it a poorly implanted hair? At this point it gives the appearance of "plugs" which of course is not the desired look... Thank you in advance for the replies.

Jae Pak, MD · Answer

If you are having issues after surgery, especially with "black spots" you should contact your doctor.

Michael Vories, MD · Answer

This appears to be early growth of the grafts.  Normally we see the permanent growth at 2-3 months post-op, but sometimes we do see early growth like this.

Craig L. Ziering, DO · Answer

It is difficult to say without more of a visual idea, it could be the remnants of the hairs that were transferred or it may be clogging of the sebaceous glands. It is too early to be getting new growth (that will begin to show 3-4 months post-op). My advice would be to have your surgeon evaluate it.

William Rassman, MD (retired) · Answer

You need to be patient. An FUE is treated just like a regular hair transplant with regard to the recipient area, but the donor area has open wounds which require daily washing with soap and water. Within 3 days of surgery, you can resume full activities, heavy exercises if you wish. The recipient area requires daily washes as well to keep the recipient area free of crusts. I generally recommend the use of a sponge and supply my patient with a surgical sponge to fill with soapy water and press on the recipient area daily. By repeating this daily, all crusts can be washed off without any fear of losing grafts. IF any crust are present, use a Q tip and dip it into soapy water, and roll it on the crusts and that will lift them off without dislodging them, but never rub them, just roll the Q tip on the recipient crust. I like to see no evidence of any crusting in the recipient area and the crusts from the donor area gone in 7-10 days with daily washing.

Dark spots at penetration point of FUE hair transplanted grafts. (photo)

Answers (4)

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