For years, Jorge thought surgery had ended his battle with Acne Keloidalis Nuchae (AKN). Unfortunately, like many patients, he learned the hard way that removal alone doesn’t guarantee the condition won’t return. After a decade of painful bumps, failed treatments, and one unsuccessful surgery, Jorge’s scalp lesion came back. Out
Acne Keloidalis Nuchae (AKN) is often confused with keloids, leading to years of incorrect treatment for many patients. If you’ve lived with scalp bumps, inflammation, or recurring lesions, it might not be what you think. This is the story of Fred*, whose 16-year misdiagnosis left him in pain, until he
Dennis came to Dr. Sanusi Umar with two different scalp conditions. The short video focuses on the large plaque visible in his before image and the clinical decision Dr. Umar considered after Dennis had dealt with the problem for years. Two Scalp Conditions in One Patient Dennis came to Dr.
Three months after surgery, Raul Ramirez is shown from the back, the left back view, and through a full turn. The changing angles highlight one consistent detail: his scar is positioned within the new hairline so surrounding hair can help make it less noticeable during normal viewing. A result should
For Raul Ramirez, the goal of surgery was not to pretend the scar did not exist. It was to position and camouflage it within a new hairline so it would be far less noticeable from a normal viewing distance. A Different Goal for a Visible Scar When treating Raul’s acne
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
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
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
