What’s Causing My Dry and Peeling Scalp Three Months after Hair Transplant Surgery?

Thu 19 Jan 2017

The following response to a question from our Hair Loss Forum and Social Community was written by forum member “Gillenator”:

After showering, I’m noticing that my scalp and forehead are dry and peeling. I’m now 3 months post-hair transplant, I use Johnson & Johnson baby shampoo and Rogaine Foam once every day before I go to bed.

What might be the cause of this? The weather probably or the Rogaine? Any ideas on how to solve this?

Part of what you are experiencing is related to the scalp healing and the shedding of the outer layer of scalp tissue. In addition, all minoxidil related products are loaded with alcohol based additives which can also dry out the scalp. Doubtful that the weather has much to do with this.

Try adding a shampoo and cr?me rinse enriched with aloe vera which can both soothe and moisturize your scalp. Any moisturizer will help. If the dryness persists, contact your doctor.

Gillenator
Supporting Hair Restoration Physicians: Dr. Glenn Charles, Boca Raton, FL – Dr. Jerry Cooley, Charlotte, NC – Dr. Jim Harris, Denver, CO – Dr. Robert True & Dr. Robert Dorin, New York, NY
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David
Editorial Assistant and Forum Co-Moderator for the Hair Transplant Network, the Coalition Hair Loss Learning Center, and the Hair Loss Q & A Blog.

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How Safe Are Temporary Scalp Micropigmentation (SMP) Pigments?

Tue 17 Jan 2017

This below question was asked by a member of our Hair Loss Social Community and Discussion Forums and answered by Nicole, the SMP and Micro-Pigmentation Specialist for Coalition hair restoration surgeons Dr. Ron Shapiro and Dr. Paul Shapiro.

I’ve been considering this option but those reports do cause worry. I came across this post from about 2 yrs ago in another forum about the bio-compatible membrane. Here’s the copy/paste of relevant post:

“Surely if the membrane is bio-compatible once the body’s immune system dissolves this membrane then the iron oxides will be exposed to the body. If the body disposes these compounds via the GI tract then they would show up via a feces analysis.”

It’d be great to see confirmation reports or something that says the membrane won’t be broken down while still in the body and that the particles are indeed in the urine/feces

The body will break down iron oxides in the same way it breaks down iron supplements. When iron oxides are introduced into the body in small amounts it will absorb them in the same way. It’s why women who are pregnant are not allowed to get permanent make-up (which is made up of mostly iron oxide pigment) because the body will absorb the iron in the pigment and they will not retain any color. It’s also why patients who have high levels of pigment rejection are asked to get their iron levels checked.

Hair Transplant Surgeon Dr. William Lindsey Demonstrates Eyebrow Repair with MFUE

Thu 12 Jan 2017

The following video was posted to our hair loss forum by Coalition Hair Transplant Surgeon Dr. William Lindsey:

Here’s an update on the eyebrow restoration on our lady who was in a car wreck and lost the central portion of her right eyebrow. She’s growing some already, will peak in another year, and may yet need extra hair. Like most females (recall I’ve done 3900 facelifts) it’s virtually impossible to get these ladies to come in without makeup. At a year, I’ll make her wash it all off, but today she has “school and kid duties” and won’t wash off her makeup.

The video includes her 3 month update and the video of the entire hair transplant surgery for those who missed it originally.

Dr. William Lindsey
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David
Editorial Assistant and Forum Co-Moderator for the Hair Transplant Network, the Coalition Hair Loss Learning Center, and the Hair Loss Q & A Blog.

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Will Pausing Propecia (Finasteride) for Three Weeks Cause Catch-Up Hair Loss?

Tue 10 Jan 2017

I have been taking Propecia for 18 months with no side effects.  Recently I had a blood test that showed my testosterone was 1141, which is high. I need to stop now for three weeks to repeat the test and I am really concerned my hair will fall out within the three weeks.  As soon as I get my results I want to start back at a half dose or maybe even 1mg.

My question is: Will I lose all my hair I gained over the last year in 3 weeks and will the hair stop falling again when I start back?

Taking a 3 week break from Propecia (finasteride) won’t necessarily result in significant and irreversible “catch up” hair loss. But, it’s important to note that there seems to be a lot of variability in the experiences of individual users. Unfortunately, the only way to find out how your body will respond is by stopping the drug.

That being said, I would not be too worried about this short interval.

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David
Editorial Assistant and Forum Co-Moderator for the Hair Transplant Network, the Coalition Hair Loss Learning Center, and the Hair Loss Q & A Blog.

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What Patients are Saying about the HairMax Lasercomb and Laser Therapy (LLLT)

Mon 9 Jan 2017

While the Food and Drug Administration (FDA) has cleared the HairMax Lasercomb  as a  hair loss treatment, controversy as to whether or not laser therapy is effective as a hair loss treatment still exists.  The makers of the handheld one diode  Hairmax Lasercomb, Lexington International LLC, claim that their product  increases the number of thick hairs on the scalp based on their 26-week clinical trials.  Yet, despite trials submitted to the FDA for both safety and efficacy, many patients and hair loss doctors alike are skeptics.

As the device’s name suggests, the HairMax Lasercomb combines a low-level laser with a comb. When drawn through the hair, the laser strikes the scalp to promote hair growth, according to the company.   The  laser comb is  sold on the Web for $545. It is the only drug-free  hair loss treatment  meant for home use in combatting hair loss that’s garnered  FDA clearance.  Since then, several other laser devices have come on the market, such as the laser cap.  The laser cap contains multiple diodes and when placed on the scalp, lasers from all direction target and penetrate the scalp, allegedly stimulating hair regrowth of miniaturizing hair follicles.

According to a press release from Lexington International, the makers of the Hair Max Laser comb   –

Follicular Unit Extraction (FUE) vs Scalp Micropigmentation (SMP) for Hair Transplant Strip Scar Repair?

Thu 5 Jan 2017

This question, from a member of our hair loss social community and discussion forums, was answered by Coalition hair transplant surgeon Dr. Glenn Charles:

Around six years ago I had a strip hair transplant surgery that left me with very wide scar. I have had two strip procedures: the first as mentioned 6 years ago, the second in December 2015 which has turned out great and has left a thin scar. I would like scalp or body hair placed into both scars and would also like to have some hair into my temple triangles too if possible. My main aim after the procedure would be to be able to wear my hair short with a nice frame to my face, so if future loss occurs I can still crop my hair fairly short, without using concealer on my scar.

I would love people’s advise, or anyone who has had a similar experience who has had follicular unit extraction (FUE) or body hair transplantation (BHT) into a scar and can now wear their hair short.

Did you ever consider scalp micropigmentation (SMP) into the scars? I’m always concerned about using donor follicles to go back into the donor area in younger patients who may need more transplants for thinning or balding areas in the future. Plus if you were not pleased with the results you could always have grafts placed into the scars.
 
FUE into the temporal areas does work well. Good luck!
 
Dr. Glenn Charles
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David
Editorial Assistant and Forum Co-Moderator for the Hair Transplant Network, the Coalition Hair Loss Learning Center, and the Hair Loss Q & A Blog.

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Highlights from the 2016 ISHRS (International Society of Hair Restoration Surgery) Scientific Meeting in Las Vegas

Wed 4 Jan 2017

In September of 2016, the International Society of Hair Restoration Surgery (ISHRS) held its annual scientific meeting in Las Vegas, NV. The annual meeting brings together many of the world’s leading hair restoration physicians and hair loss researchers to discuss advancements in medical and hair transplant surgery.

Background on the ISHRS

The International Society of Hair Restoration Surgery (ISHRS) is the most prominent professional organization for hair restoration in the world. Their primary mission is to educate hair surgeons ranging from the novice to the expert. Their website (http://www.ishrs.org/) provides useful information about hair restoration and profiles and contact information for its hundreds of worldwide physician members.

At the meeting, Dr. Ken J. Washenik replaced Dr. Kuniyoshi Yagyu as the acting President of the ISHRS for the coming year. Congratulations to Dr. Washeni for receiving this high honor.

Physician Recognition and Awards

Congratulations to the following award recipients:

Coalitionhair transplant surgeon James E. Vogel was awarded the Golden Follicle Award for his role in developing innovative hair restoration techniques and furthering the advancement of hair restoration.

Dr. Gholamali Abbasi won the coveted Platinum Follicle Award for outstanding achievements in basic science and clinically-related research in hair pathophysiology and anatomy.

Congratulations as well to Paul M. Straub for winning the coveted Manfred Lucas Award for his many contributions to the advancement of physician and staff education.

This year, the Distinguished Assistant Award went to Brandi Burgess of Carolina Dermatology Hair Center, home of Coalition hair transplant surgeon Dr. Jerry Cooley.

What Is the Ideal Hair Transplant Density?

Tue 3 Jan 2017

This question, from a member of our hair loss social community and discussion forums, was answered by Dr. Blake Bloxham, a staff physician from Feller Medical:

What is the maximum density you plant in your “as much as possible” hair transplant procedures?

I think you’re referring to the maximum graft number I would transplant in an “AMAP” or “as much as possible” procedure? Again, it really depends on the patient. In a strip procedure, it really comes down to how much I can safely extract from the back as a strip. I probably take a little more time than most in the morning figuring out my margins for the strip. The goal, in my mind, is to maximize the yield without compromising the closure. So once I know the maximum dimensions of the strip, the patient’s density determines how much “AMAP” they will really get.

For some, it may be 3,000 or 3,500. For others, it may be up to 5,000 or more. And I know there is some controversy when it comes to cases of this size, but I do believe it is ethical as long as it as done as an FUT — because of my views on FUT and how it preserves the donor.

Is the Hair Loss Treatment Scalp Micropigmentation (SMP) Safe for Patients with Scalp Psoriasis?

Thu 29 Dec 2016

The following response to a question from a member of our Hair Loss Forum and Social Community, was written by forum member “hairthere” who is a scalp micropigmentation practitioner:

Just wondering if having scalp psoriasis would preclude somebody from having Scalp Micropigmentation? Also I use a tar based shampoo to control the psoriasis which contains Alcohol & Salicylic Acid which I believe hasten fading. Does anybody know what the suitable shampoos are for people that have undergone SMP? Ideally there could be one that would be good for the psoriasis without fading the SMP?

I’ve worked on clients with psoriasis and haven’t had any issues, but the patches are usually small and contained. I know if left untreated the patches can get quite large which could potentially pose issues for SMP.

We provide all clients with a specially formulated shampoo post treatment made by Beauty Medical along with a healing serum. The shampoo is designed to raise the level to its normal PH which is slightly acidic. Once the client finishes using the shampoo provided they can return to using their normal shampoo. If you want an alcohol-free psoriasis shampoo I believe Neutrogena makes one called T-Gel.

“hairthere”
Owner/Operator of Ahead Ink
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David
Editorial Assistant and Forum Co-Moderator for the Hair Transplant Network, the Coalition Hair Loss Learning Center, and the Hair Loss Q & A Blog.

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Hair Transplant Surgeon Dr. Parsa Mohebi Explains How to Create a Perfect Hairline

Tue 13 Dec 2016

In the following video, recommended hair transplant surgeon Dr. Parsa Mohebi discusses how to create a perfect hairline:

In this video, I explain in detail the thought process that goes into designing the hairline and the various factors I take into consideration when determining the best approach to each individual’s hair restoration.

How low/high should the hairline be? How aggressive or conservative should I be? We have 8 different hair transplant patients in this video and each of them with a different set of circumstances that lead to highly individualized approaches to their respective hair transplants.

Dr. Parsa Mohebi
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David
Editorial Assistant and Forum Co-Moderator for the Hair Transplant Network, the Coalition Hair Loss Learning Center, and the Hair Loss Q & A Blog.

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