Huge blood clots appearing in the first week after the hair transplant.
I had a hair transplant with FUE method 3 months ago. 5 days after my surgery, when I took shower to clean the blood clots, an unusual red area appeared in front of my head in the right side (as it looks in the first and second attached photos). In the next days, when I took my daily bath, this read area became white (like the third attached picture). When my shower was finished, this area became red again once it became dry. After one week, one night when I took a common bath, this area was separated from my head as an extra white skin and my head in this special area looked natural and the hair follicles still existed in this area and grew for 3-4 days after that night (like the fourth and fifth attached pictures). 3 weeks after my surgery, the transplanted hair follicles started to fall out, but the follicles of the mentioned area fell out extremely (more than other areas). Now after 3 months that the transplanted follicles have grown back sparsely, the follicles of this area have not grown yet and I feel that a small concavity exists in this area. I am under huge mental pressure, please advise me. Is it possible that the follicles will grow in this area? Please let me know why this area appeared on my head in first two weeks after my surgery. Is it normal to have a huge blood clots appearing in the recipient area in the first two weeks after the hair transplant surgery?
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Thank you for posting this question. Hopefully we can help shed some light on what may be happening here.
It is always difficult to make an assessment based on images alone, but the pictures and story you are presenting here makes it sound like you may have experienced some post-operative necrosis.
Necrosis secondary to surgery typically occurs when blood supply to a region is compromised and causes some localized skin death. It is uncommon in hair transplant surgery, but can occur like this when too much trauma is caused in the recipient region of the scalp. This usually happens when too many incisions and grafts are placed into one area and the blood supply becomes overwhelmed or too damaged and can no longer supply that region. It can also occur when larger tools are used to make recipient sites (because they cause more trauma and tissue damage) or sometimes when an excessive amount of epinephrine (adrenaline) is used in the recipient region. It can also sometimes occur in conjunction with an infection as well.
The first thing I would do is see the doctor who performed the procedure. If you can’t see the original doctor, I would make him or her aware of the situation and see a doctor experienced with treating this issue in-person. It’s possible you may require some follow-up treatment here.
Typically the end result of necrosis is poorer growth in the localized region where it occurs. As long as the skin heals well and a new blood supply grows to the area, usually more grafts can be inserted back into this region so you aren’t left with a gap in your results. However, it is important to get the correct diagnosis and support you need before even thinking about what this may entail down the road. As I said before, do go see your doctor or an experienced doctor in-person.
And do keep in mind that this is just what it appears like based upon these images and your description. This could be something else and this is why it is imperative to see a physician. You can search the HTW directory for a doctor near you: https://www.hairtransplantweb.com/member-search/
I hope this helps.
Dr. Blake Bloxham
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