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PIILIF and Persistent Bumps After Hair Transplantation

Persistent inflammation can look routine on the surface. Dr. Sanusi Umar explains why negative cultures, a poor response to antibiotics, and continued bumps may justify a closer look at the scalp’s underlying biology. By Sanusi Umar, MD Stubborn, inflamed bumps after a hair transplant are often treated as infection, simple

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A Second Chance for a Complex Keloid

Robert had already undergone four surgeries, including radiation therapy. His experience shows why complex keloid care may call for an individualized plan and collaboration among physicians. By Sanusi Umar, MD The contrast in Robert’s before-and-after images is immediate. Behind that visible change is a history of difficult treatment: he had

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Video: Acne Keloidalis Nuchae: When Bumps Persist After Hair Transplant

Persistent bumps after a hair transplant can invite a quick explanation. In this short video, Dr. Sanusi Umar cautions against automatically labeling every bump as routine folliculitis or infection and points instead to the possibility of underlying inflammatory scalp biology. “Do not assume it is routine folliculitis or pimples.” Dr.

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Video: Retrograde Alopecia: Why PIILIF May Matter

Retrograde alopecia is often associated with pattern hair loss. In this short video, Dr. Sanusi Umar explains why that visible pattern may not tell the whole story and why PIILIF may be relevant in some patients. “Think retrograde alopecia is just advanced pattern hair loss?” Dr. Umar opens with that

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Video: PIILIF: When Redness Persists After a Hair Transplant

Months after a hair transplant, persistent redness can raise an important question: is the scalp still simply healing, or does the inflammation deserve a closer look? One of the most commonly overlooked patterns I evaluate is PIILIF. The question matters because some patients continue to show redness long after hair

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Video: Dandruff Hair Loss: When Flaking May Signal More

Flaking, scaling, or redness can look like ordinary dandruff. In this short video, Dr. Sanusi Umar explains why those signs may raise a different question when they occur with androgenetic alopecia or pattern baldness. “Dandruff by itself may just be dandruff.” Dr. Sanusi Umar begins with that simple distinction. The

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