Dennis had been dealing with folliculitis decalvans for many years, and Dr. Sanusi Umar describes his condition as a very severe form of the disease. Dennis also had acne keloidalis nuchae, creating a difficult combination of scalp conditions after years of previous treatment.
Years of Treatment Before a New Plan
In this Bumpinator chapter, Dr. Umar reviews the long treatment history behind Dennis’s case. Dennis had undergone different approaches over the years, including injections and Accutane, also known as isotretinoin.
The severity of the case narrowed the available options. As Dr. Umar explains, “Other possible treatment modalities are just not feasible.” He specifically notes that laser treatment would not work in this situation.

Why Dr. Umar Chose Surgical Excision
With other treatment modalities considered unsuitable for Dennis’s case, Dr. Umar decided to proceed with surgical excision. The video states that the affected area was successfully removed.
Dennis was also among five patients featured in an article by Dr. Umar published in a medical journal. Within this chapter, that reference places Dennis’s treatment within Dr. Umar’s documented clinical work while keeping the focus on the specific decisions made for this patient.
The Athena Suture Kit in Dennis’s Treatment Plan
After the excision, Dr. Umar says his team deployed the Athena Suture Kit. He describes it as an invaluable piece of the puzzle in the plan for Dennis.
The short chapter stops at this stage rather than revealing Dennis’s later outcome. It establishes the extent of his folliculitis decalvans and acne keloidalis nuchae, the treatments he had already tried, and the reasoning that led Dr. Umar to surgical excision. Dennis’s later transformation is reserved for what comes next.

Watch the Chapter
Watch Dennis’s Bumpinator chapter: YouTube Short
Take the Next Step
Watch the related short on Instagram or TikTok
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Medical Disclaimer
This article describes one patient’s experience and is provided for educational purposes only. Individual conditions, treatment plans, and outcomes vary. Nothing here should be interpreted as a guarantee of results or a substitute for evaluation by a qualified medical professional.
Further Reading
- https://dru.com/bumpinator-docuseries-meeting-dr-umar-folliculitis-decalvans/
- Umar, Sanusi et al. “A Retrospective Cohort Study and Clinical Classification System of Acne Keloidalis Nuchae.” The Journal of clinical and aesthetic dermatology vol. 14,4 (2021): E61-E67. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8142833/



