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  1. #1
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    Aug 2012
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    Default Post op Day #2 - FUE

    Hello everyone. I am day #2 after FUE for 700 grafts to crown area. So far so good I guess. Bleeding and oozing has stopped. Scabs are forming in recipient and donor area. I washed my hair for the first time this am with Baby shampoo in a cup and rinsed 5 times w/o direct stream of water.

    I am using benadryl for the itch and spraying both donor and recipient areas with Saline every 3 hours. I am also taking Keflex (2 days left) and a Medrol dose back ( 2 days left). I also restarted my oral Hair vitamins (MSM, Biotin, Fish Oil).

    My question is: Is there soemthing else I can/should be doing to the donor area. My post op instructions do not mention anything. I asked the Doc and he said Aloe Vera was fine if I wanted. In other peoples experiences did Aloe Vera or Bio Oil help reducing the FUE scars/hypopigmentation from the donor area or expedite the healing process? Any other thoughts/suggestions would be greatly appreciated. I will post pics and the whole story of the Doc and process in a few days. Thanks.

    J

  2. #2
    Senior Member
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    May 2009
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    Default

    You are using baby shampoo because you have been conditioned to believe the buzz work BABY means safe and gentle. If you research some of the ingredients in baby shampoo you will learn something different.

    The body heals from the inside out. It’s much more important to be concerned about what you are putting into your mouth as opposed to what you are applying to your skin.

    Hypopigmentation probably has more to do with punch size then applying aloe to you head. What size was the punch?

  3. #3
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    Aug 2012
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    Default

    Punches were between 1.0 and 1.25 and a 18 gauge needle was used for rec sites. Punches appear to be healing nicely. Small scabs and already closing up. Have been over all satisfied so far. Minimal swelling and bleeding. Just trying to be careful with crown grafts. As I said I am taking a Hair skin and Nail formula, MSM, and Biotin. Just wondering if any topical solutions would help the process.

  4. #4
    Senior Member
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    May 2009
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    Default

    Wow did you do any research at all?

    Why in the world would you allow a doctor to use a punch that large on your head?

    Do you realize that the surface area of that 1.25 extraction is 3 times larger then the area of a .75 punch which a skilled doctor is capable of using. Does this number mean anything to you?

    I'm not trying to make you feel bad but these are important points.

  5. #5
    Junior Member
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    Aug 2012
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    I asked a question hoping to get an answer not more questions. The general rule in skin surgery is that an incision smaller than 1.5 mm in size will heal without a visible scar to the naked eye. Therefore, in theory there should be no cosmetic advantage to a smaller incision than 1.25 mm in diameter or 1 mm in diameter and there could be disastrous results from smaller incisions in regard to hair shaft damage. Furthermore, the total number of hairs transferred by using smaller punches can be significantly less. The average scalp follicle is 0.42 mm wide from dermal sheath to dermal sheath. A two hair follicular unit averages 0.82 mm wide. This means you can use a 0.5 mm punch all you want, but the two hair follicular unit will not fit into it. In other words, you will need a little luck in your extraction process, a perfect incision, and no margin for error. You will have a lower yield and an inefficient procedure. A 0.75 mm punch will work, but the incision must be perfect. Humans are not always perfect. A 0.8 mm punch will work on the 2 hair follicular unit also, but the human must also be perfect. The 0.9 mm punch provides a larger cushion and we have used it quite often for 2 hair grafts, but it is not possible to use it on every patient or every 2 hair graft. The 1 mm punch provides a larger cushion for human error and a very high yield with most grafts and in most individuals.

    Like I said mostly 1mm punches with some 1.25. The size of the punches are not my issue. I would rather have slightly larger punches then have him use 0.75 and get a 70% yield.

  6. #6
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    Aug 2012
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    Default

    The surgeon I went to I have confidence in and trust him and he has done over 1000 manual FUEs using various size punches. He has found that this is the most efficacious and relieable size and the cosmetic result is similar with a greater yield.

    Now - any suggestions on topicals?

  7. #7
    Junior Member
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    Default

    I do not mean to be too blunt but I posted a question - I appreciate your concern but just looking for some advice to get some inflammation and hypopigmenation under control. I did not research - a lot of it. Yield was important to me and the fact that clinical studies have shown no cosmetic difference b/t a .75mm and 1.25mm punch - why would I go smaller and lose more grafts? In this case size, to an extent, does not matter.

  8. #8
    Senior Member
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    Default

    Sorry but I disagree with you completely. A .75 - .85 punch in capable hands will yield at or near 100%. I hope you do not have white dotting but I do not believe that will be the case. The reply is not only for you but for the forum members they need to understand this.

    Plenty of pictures out there of heavy white dotting from 1mm punches all one needs to do is a little research.

    In my opinion topicals are of no value, when it comes to fue it's about punch size.


  9. #9
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    Mar 2009
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    Thumbs down

    Real nice King Topcat. A fellow hair loss sufferer comes here looking for advice after he's already gone through surgery and you give a lesson on punch sizes at this poor guy's expense. Shame on you!

    One thing you neglected to tell him was that your head is a virtual road map of bad decisions. You are a bitter man who wants to make everyone else feel as bad about themselves as you clearly feel about yourself. I cannot believe that after everything that you have been through that you would be this insensitive. This is an all time low, even for you!

    ThinninonTop, you don't have to defend your decision to this fool. I'm sure you'll be just fine. Stay positive, some of us are actually wish each other well on the board.

  10. #10
    Senior Member
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    If you had any sense you would know that the response is for forum members who are researching. There is no topical that can help conceal hypopigmentation from a punch that large. You are living in dreamland, the doctor should have told him this.

    Yes in the past I didn’t ask questions and only trusted the doctors, I was wrong. Others should learn from my experience along with what we see going on today.

    And if you would have read my initial response I gave him solid advice. It was he who as concerned about hypopigmnentation which seemed odd because it rarely happens with small punches and is not a concern.

    It is posters such as yourself Delphi which others should be leery of otherwise they could easily find themselves asking the same questions when it’s a little too late.

    Delphi I like the way you use the term King Topcat just like the Roger poster. Are you both the same person and do you both work for the industry or this forum. This is a shit business and you seem to be part of it by all indications. I could be wrong here but this is how the industry operates so pay attention boys and girls.

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