You are here:

Plastic Surgery/Dissecting Folliculitis Post Hair Transplant

Advertisement


Question
I have done Hair Transplant in beginning or March- 2013, in beginning for three weeks I was ok and didn’t face any problem of swelling or other.
After four weeks I feel there is redness and swelling in front area of my head which getting worse over my scalp especially on frontal aspect.  
I did CBC, LFT and Cholestrol- all the results are normal. As per my Dr Advice I start using
(clarithromycin 500mg bid, Roacutane 20mg once daily, Elocom- momentasone furate lotion bid)
Even after use of one week I didn’t feel any betterment. Therefore as per recommendation of another plastic surgeon I did incision for drainage for the abscesses.
After few weeks passed again I found on another area a one more abscess which again drain by incision  
, I am really worried about if i will get another. As of now i am using Rapidus and Zinnat tablets. Do you think it will help,

In such condition what you will recommend.
1. I use to have little sun exposure but for few minutes only, note more then 5 or 10 min.
2. I am using anti-dandruff shampoo.

As per my X doctor he is saying it is a hyperactive glands and may be a graft buried in the skin.

So in order to address that usually roacutane helps but at same time let's see what this drainage has done. May be he managed to remove that buried graft. Continue the med, but my experience is it will come back.

If you use the med Roacutane it takes about 6 weeks and usually it gets settled.
Actually I am not happy to use Roacutane as there is lot of side effects and most of Dr never recommend to use this medicine in Hair transplant treatment.

Kindly advice what I should do in this situation.
Thanks

Answer
Hello Mustafa Gul,
its usually because of grafts buried under skin,i do not recommend medications,its better to adress the individualswellings if and when they appear.
Dr.Ayyappan

below is some info regarding isoretinoin (roacutane,Accutane )


What is the most important information I should know about Accutane?

Accutane is used to treat a type of severe acne (nodular acne) that has not been helped by other treatments, including antibiotics.
Because Accutane can cause birth defects, Accutane is only for patients who can understand and agree to carry out all of the instructions in the iPLEDGE program.
Accutane may cause serious mental health problems.
Birth defects (deformed babies), loss of a baby before birth (miscarriage), death of the baby, and early (premature) births. Female patients who are pregnant or who plan to become pregnant must not take Accutane. Female patients must not get pregnant:
for 1 month before starting Accutane
while taking Accutane
for 1 month after stopping Accutane.If you get pregnant while taking Accutane, stop taking it right away and call your doctor. Doctors and patients should report all cases of pregnancy to:
FDA MedWatch at 1-800-FDA-1088, and
the iPLEDGE pregnancy registry at 1-866-495-0654
Serious mental health problems. Accutane may cause:
depression
psychosis (seeing or hearing things that are not real)
suicide. Some patients taking Accutane have had thoughts about hurting themselves or putting an end to their own lives (suicidal thoughts). Some people tried to end their own lives. And some people have ended their own lives.

Plastic Surgery

All Answers


Answers by Expert:


Ask Experts

Volunteer


Dr.Ayyappan.Thangavel

Expertise

CAN ANSWER:Dr.Ayyappan has more than 20yrs of professional experience in Cosmetic&Plastic Surgery.He has been teaching and training Plastic Surgeons in a prestigious teaching institute in India.Dr.Ayyappan can answer ALL TECHNICAL QUESTIONS,Give SECOND OPINION,Perform REVISION SURGERIES,He is an Expert in managing ALL COSMETIC&PLASTIC SURGERIES including complications by vitue of his huge experience in a University teaching institute attached to Government Hospital.Presently he is Director&Head SAL Hospitals International an accredited premier private hospital group.Dr.Ayyappan is gentle,kind and gives time to answer all your questions.

Experience

At present, I am Head ,Department Of PlasticSurgery SAL HOSPITAL&MEDICAL INSTITUTE& Director LaDiva Center ofExcellence for Cosmetic,Plastic,Laser&HairTransplant,MY FOCUS IS ON COSMETIC SURGERY WITH SPECIAL EMPASIS ON LIPOSUCTION,BODY CONTOURING,ANTIAGING SURGERIES,COSMETIC SURGERIES OFBREAST FACELIFT,RHINOPLASTY ETC.I HAD BEEN A CONSULTANT WITH APOLLO HOSPITALS FOR 4YEARS. Prior to that I was an Associate Professor with the Department of Burns & Plastic Surgery at B.J.Medical College & Civil Hospital, Ahmedabad, India. This institute is a 2000 bedded Government funded University Teaching Hospital. The Department has a30 bedded Burns Centre and a 70 bedded Plastic Surgery unit, performing a wide range of Plastic & Reconstructive Surgery including Acute Burns and Post Burn reconstructions ,Polytrauma, lower limb reconstruction , Hand ,Micro & Brachial plexus surgery, Congenital anomalies including Cleft surgery . I was on a sabbatical for a year, working as a Plastic Surgeon with Division of Plastic Reconstructive & Surgery, Prince of Wales Hospital (Chinese University of Hong Kong).During this period I had attended teaching programmes /academic activities and was appointed twice as an Examiner (Undergraduates) for the Chinese University of Hong Kong..I participated in a Curriculum Retreat ( Chinese University of Hong Kong) with the focus on the New Curriculum ,Clinical Assessment Methods& Quality Improvement (Sep 2005). I am Co-investigator for a research project titled “Towards skin reconstitution:a study of epithelial-mesenchymal(bone marrow)cell interactions in a three dimensional acellular dermal matrix” submitted to Research Grants Council (2006/2007). I have gained significant experience on the use of Autologous Bone Marrow in varied clinical situations which I had pioneered and in the process of publishing my experience over a period of 4 years.

Organizations
BJMEDICAL COLLEGE &CIVIL HOSPITAL(INDIA),Associate Professor Department Of PlasticSurgery. PRINCE OF WALES HOSPITAL(HONGKONG),Chinese University of HongKong,Specialist/ClinicalTutor,Division of PlasticSurgery. APOLLO HOSPITALS INTL,SeniorConsultant,Department Of PlasticSurgery. SAL HOSPITAL&MEDICAL INSTITUTE Head ,Department Of PlasticSurgery Director LaDiva Center ofExcellence for Cosmetic,Plastic,Laser&HairTransplant.

Publications
INTERNATIONAL JOURNAL-PUBLICATIONS: • ANTIBIOTIC PROPHYLAXIS -HOBSON’S CHOICE? IN BURNS MANAGEMENT. PUBLISHED IN BURNS JOURNAL (U.K) JULY/AUG1998 • AXIAL APONUERO –FASCIO- CUTANEOUS GROIN FLAP -,AN EXTENDED CONCEPT PUBLISHED IN JOURNAL OF CRANIO FACIAL SURGERY(U.S.A) SEP/2001. • SUPER SURAL FLAPS IN ACUTE TRAUMATIC HEEL RECONSTRUCTIONS PUBLISHED IN PLASTIC&RECONSTRUCTIVE SURGERY JOURNAL(U.S.A) JUNE/2002 • "MICROSURGICAL RECONSTRUCTION IN PAEDIATRIC BURNS .THE BRITISH JOURNAL OF PLASTIC SURGERY(2006) IN PRESS. • PEDIATRIC BURN PREVENTION:AN EPIDEMIOLOGICAL APPROACH Burns, Mar 2006. • DECOMPRESSION NOT ESCHAROTOMY IN ACUTE BURNS Burns, May 2006 . NATIONAL JOURNAL-PUBLICATIONS • NUEROFIBROMATOSIS –AN UNSOLVED RIDDLE PUBLISHED IN THE INDIAN PRACTITIONER.FEB/2001. • TOPICALLY APPLIED AUTOLOGOUS BONE MARROW IN HEALING OF CHRONIC NON HEALING RAW AREAS-INDIAN JOURNAL OF BURNS VOLUME 12/Issue 2001/Dec 2004.

Education/Credentials
Professional Qualification Title M.B.B.S {Bachelor Of Medicine & Bachelor Of Surgery} University University Of Madras Country India Month /Year April 1987 Speciality Professional Qualification Title Master Of Surgery{General Surgery} University Gujarat University Country India Month /Year January 1993 Superspeciality Professional Qualification Title {1} Master Of Chirugiae {Plastic Surgery} University Gujarat University Country India Month /Year March 1996 Superspeciality Professional Qualification Title {2} Diplomat Of National Board{D.N.B}{Plastic Surgery} University National Board Of Examinations Country New Delhi , India Month /Year December 1995 Superspeciality Professional Qualification Title {3} Member National Academy Of Medical Sciences{Plastic Urgery} University National Board Of Examinations Country New Delhi , India Month /Year December 2002

Awards and Honors
GOLD MEDAL CLINICAL SURGERY MADRAS UNIVERSITY 1985 MEMBER NATIONAL ACADEMY OF MEDICAL SCIENCES AWARDED IN 2002 GOLD MEDAL CLINICAL SURGERY MADRAS UNIVERSITY 1985 TOPPER OF MCh(PLASTIC SURGERY)UNIVERSITY EXAMS UNIQUE DISTINCTION OF BEING AWARDED “MEMBER NATIONAL ACADEMY OF MEDICAL SCIENCES(PLASTIC SURGERY)”IN 2002 REVIEWER OF REPUTED INTERNATIONAL JOURNALS…PRS(USA),BJPRAS(UK)

©2016 About.com. All rights reserved.