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Medical Disclaimer

This content is for educational and informational purposes only and is not medical advice. Individual experiences and results vary. Evaluation and treatment should be individualized by a qualified medical professional.

Video: Marcus and the Challenge of Severe Keloid Removal

Jason Thompson — Thu, 01 Oct 2026 19:47:15 +0000

For Marcus, the treatment discussion reaches a difficult point: what happens when a keloid has become too large for steroid injections to flatten it? In this Baldcast chapter, Dr. Sanusi Umar explains that removal itself is only part of the problem. The larger challenge is reducing the risk that the keloid returns after surgery.

When Steroid Injections May Not Be Enough

Dr. Umar explains that when keloids reach the size shown in Marcus’s case, steroid injections are not expected to flatten them. At that stage, he says surgery is required. The discussion places the size of the keloid at the center of the treatment decision rather than presenting injections as a solution for every case.

Dr. Sanusi Umar discusses the treatment challenge presented by Marcus’s large scalp keloid.

Removal Is Only One Part of Keloid Surgery

Dr. Umar says the central problem with keloids is not simply removing them. He notes that tissue can be removed using different surgical methods, including a knife or scalpel, electrocautery, or laser. The more difficult issue comes afterward: preventing the keloid from coming back.

That distinction matters in a severe case. The procedure can address the existing growth, but Dr. Umar emphasizes that recurrence is the major challenge that must be considered when planning treatment.

The chapter connects severe keloid removal with the surgical planning needed when injections are no longer enough.

Why Recurrence Can Make Surgeons Hesitate

According to Dr. Umar, the difficulty of preventing recurrence is why many surgeons may not want to take on a patient with a keloid of this severity. His explanation shifts the question from whether the growth can be cut away to how the case should be managed with recurrence in mind.

For people dealing with a Keloid or bumps on the back of the head, this chapter illustrates why evaluation and treatment planning need to account for the individual case. It does not show Marcus’s later outcome or make a prediction about what happens next.

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Medical Disclaimer

This article is for educational purposes only and does not replace individualized medical advice, diagnosis, or treatment. Keloid treatment should be based on evaluation by a qualified healthcare professional. Individual cases and outcomes vary.

Video: John’s Acne Keloidalis Nuchae Treatment History

Jason Thompson — Wed, 30 Sep 2026 18:29:22 +0000

A history of scalp treatment can be as important as what is visible today. In this Baldcast chapter, John describes months of injections and medications, followed by a long period in which he stopped seeking care after feeling that nothing was improving.

Looking Back at Earlier Treatment

When Dr. Sanusi Umar asked what treatments he remembered receiving before they met, John began with a steroid injection given directly into a scalp bump after it started getting bigger. He also recalled being placed on different medications, although he could no longer remember their names.

John’s recollection was straightforward: “None of them did anything.” The point in this chapter is not to generalize from one person’s experience, but to understand the treatment history behind bumps on the back of the head and why that history matters when a patient is evaluated again.

John reflects on his earlier treatment history as Dr. Sanusi Umar guides the discussion.

Monthly Injections, With No Positive Outcome

Dr. Umar asked whether there had been a series of injections. John remembered returning about once a month. Over time, he said, “it just felt like it either got worse or nothing changed.” When Dr. Umar summarized that there had been no positive outcome, John agreed.

After about four months, he stopped going. His account shows why previous care cannot be reduced to a list of medications or procedures. How a person experienced that care, what changed, and what did not change can influence what happens next.

The chapter discusses prior medications and repeated injections as part of the guest’s treatment history.

When Frustration Leads to a Long Gap in Care

The break that followed was even longer. John estimated that he went about two years without seeing a doctor. “I just gave up basically on finding a cure for it,” he said. Dr. Umar responded by acknowledging how frustrating that experience must have been.

For people seeking evaluation for scalp bumps, including concerns described with terms such as acne keloidalis nuchae or bumps that won’t heal, this chapter highlights a practical point: the history of what was tried before is part of the story. The next chapter continues that conversation without assuming what later care or results may have been.

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Medical Disclaimer

This article is for educational purposes only and does not replace an individual medical evaluation, diagnosis, or treatment plan. Individual experiences and treatment responses vary.

Video: Acne Keloidalis Nuchae: Could Hidden PIILIF Help Explain CVG Scalp Folds?

Jason Thompson — Tue, 29 Sep 2026 17:31:04 +0000

Research led by Dr. Sanusi Umar raises an important question about acne keloidalis nuchae: could changes beyond the visible bumps help explain why some patients develop deep scalp folds associated with CVG? The findings point to PIILIF in clinically normal-looking scalp and reinforce the importance of examining the whole scalp.

Could new scalp folds be a warning sign? In the video, Dr. Umar revisits research that connected acne keloidalis nuchae (AKN) with cutis verticis gyrata (CVG), the deep scalp folds described in the study. The sequence he describes is notable: nape AKN came first, and CVG folds followed within about two years alongside widespread scalp AKN.

Acne Keloidalis Nuchae and the Appearance of CVG

Dr. Umar explains that in a 2022 study, his team identified CVG in three of 108 patients studied. In those cases, the AKN at the nape preceded the scalp folding, while widespread scalp AKN appeared alongside the later CVG folds.

The finding does not mean every case of AKN will progress to scalp folding. The approved caption makes that limitation explicit, while noting that new folds, spreading lesions, or drainage deserve a full-scalp assessment.

Dr. Umar emphasizes examining the whole scalp rather than limiting attention to the most visible bumps.

PIILIF in Scalp That Looked Normal

A subsequent study added another piece to the picture. Dr. Umar states that PIILIF was found in clinically normal-looking scalp in 100% of the AKN patients studied. The video describes PIILIF as an inflammatory and fibrotic state, while the accompanying research graphic defines it as inflammation and fibrosis around the upper hair follicle.

“PIILIF may be a common link,” Dr. Umar says. In the video, he presents the finding as a possible connection between AKN and CVG scalp folding, not as a certainty. The approved caption likewise says the later studies identified PIILIF even in scalp that looked normal.

A research slide summarizes the later finding of PIILIF in clinically normal-appearing scalp among the AKN patients studied.

Why Whole-Scalp Assessment Matters

The practical message is to look beyond what is most obvious. Dr. Umar says the finding highlights the importance of examining the whole scalp and “going beyond just the visible bumps.” That is especially relevant when new scalp folds, spreading lesions, or drainage are present.

The research raises a focused clinical question: whether PIILIF may help connect AKN with scalp folding in CVG. The video does not claim that every patient follows this course. Instead, it uses the research to show why apparently normal scalp can still deserve attention when evaluating the broader pattern of disease.

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Medical Disclaimer

This content is for educational purposes only and is not a substitute for individualized medical advice, diagnosis, or treatment. A qualified medical professional should evaluate new scalp folds, spreading lesions, drainage, or other scalp concerns in the context of the individual patient.

Video: One Year Keloid-Free After Treatment for Massive Ear Keloids

Jason Thompson — Sun, 27 Sep 2026 17:56:28 +0000

Massive ear keloids developed after piercings in this child, creating a treatment challenge that involved both removing the large growths and preserving the natural contour and appearance of the ears. One year after treatment with Dr. U, the follow-up documented that the treated areas remained clear of the massive keloid growth seen before treatment.

A Difficult Ear Keloid Case After Piercings

The case began with large keloids involving the ear after piercings. For Dr. Sanusi Umar, the treatment objective described in this chapter was not simply to address the growths. The plan also emphasized preserving the ear’s natural contour and appearance while treating the affected areas.

Before treatment, a large growth is visible around the lower ear in this Bumpinator case.

The One-Year Follow-Up

At the one-year follow-up, the video summarizes the outcome in a short statement: “keloid free for 1 year and counting.” The accompanying caption states that the treated areas remained clear of the massive keloid growth that had been present before treatment.

The follow-up is important because this chapter is focused on what happened over time in this individual case. It does not suggest that every patient with keloids, bumps that won’t heal, or a person considering earlobe keloid removal will have the same result. The supplied caption specifically notes that every keloid case is different and that long-term follow-up remains important.

At the one-year follow-up, the same ear is shown without the large growth seen in the earlier image.

A Result That Continues to Be Followed

This Bumpinator chapter documents one patient’s experience at a defined follow-up point. The one-year view provides a direct comparison with the earlier appearance while keeping the focus on individualized treatment and continued observation.

For viewers dealing with recurrent or persistent ear growths, this case is presented as educational content rather than a prediction of what treatment will achieve for someone else. Individual evaluation remains central to determining an appropriate plan.

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Medical Disclaimer

This content is for educational purposes only and does not replace individualized medical advice. Every keloid case is different, and individual results vary. Treatment decisions should be based on an appropriate medical evaluation.

Video: Dennis 4 Years After Surgery for Acne Keloidalis Nuchae

Jason Thompson — Sat, 26 Sep 2026 17:27:08 +0000

Four years after surgery, Dennis is able to look back on a long experience with acne keloidalis nuchae and folliculitis decalvans. In this Bumpinator chapter, the focus is the result he can now describe in his own words after years of dealing with the conditions and undergoing surgery.

Looking Back Four Years After Surgery

The chapter identifies Dennis as a real patient and shows his case four years after surgery. The supplied images place the earlier scalp appearance beside a later view, giving context to the before-and-after story that Dennis is now reflecting on.

An earlier view from Dennis’s case shows the back of his scalp before the four-year follow-up shown in this chapter.

A Long Journey With AKN and Folliculitis Decalvans

Dennis does not minimize the time behind this moment. “It’s been a long journey,” he says. The accompanying caption identifies that history as involving AKN and folliculitis decalvans. For people searching for answers about acne keloidalis nuchae, including concerns sometimes described as bumps on the back of the head, Dennis’s chapter stays centered on his individual experience rather than presenting his outcome as typical.

What matters most in this short follow-up is Dennis’s own assessment. After looking back at where he started and where he is four years after surgery, he says, “I’m happy with the results.”

Dennis is shown at the four-year follow-up that frames this chapter’s reflection on his surgical result.

Dennis’s Message to Others Looking for Help

Dennis closes with a direct recommendation based on his own experience: “I recommend this to anybody who needs help. Come to see Dr. U.” His statement reflects his personal view of the care and result shown in this chapter. It does not establish what another patient should expect, because treatment and outcomes must be individualized.

The video ends with the phrase, “Impossible is I’m Possible,” leaving Dennis’s four-year follow-up on a note of encouragement grounded in his own case.

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Medical Disclaimer

This article describes one patient’s experience. Individual results vary, and treatment should always be individualized. This content is for educational purposes only and does not replace consultation with a qualified healthcare professional.

Video: Dissecting Cellulitis: Planning Kevin’s Customized Scalp Pigmentation

Jason Thompson — Sat, 26 Sep 2026 17:04:48 +0000

Kevin was largely bald, and his scalp had been changed by disease, lesions, and scarring. In this chapter of The Bumpinator, Dr. Sanusi Umar explains how he planned customized scalp pigmentation to create the semblance of hair while working with the complex terrain left by dissecting cellulitis and Kevin’s scalp condition.

Creating the Semblance of a Shaved Head

Dr. Umar decided to use what he calls trigopigmentation to give Kevin the semblance of hair, with the goal of making him look like someone who had shaved his head. The challenge was not simply adding pigment. The design needed to blend with a scalp that had developed undulations, color variations, and scarring.

As Dr. Umar explains, the aim was to create something that would “camouflage it, and make it still look natural.”

Dr. Sanusi Umar explains the planning challenge created by Kevin’s complex scalp terrain and scarring.

Planning the Pigment and the Blend

According to Dr. Umar, considerable planning went into the choice of pigment and how it would be applied. The lesions had left scarring, while variations in the scalp’s contour and color meant the pigmentation had to be designed around what was already there rather than treated as a uniform surface.

That planning focused on blending the pigmentation into Kevin’s existing scalp appearance so the final design could visually absorb some of the irregularities instead of drawing more attention to them.

Framing the Hairline and Temples

Hairline placement was another part of the design. Dr. Umar says Kevin’s hairline was brought down and framed with a temple design intended to cover much of the abnormal-looking area on his scalp. This was especially relevant because the condition had already extended toward his forehead.

Kevin is shown as the chapter turns to the customized planning of his scalp pigmentation and hairline design.

A Customized Design for Kevin’s Scalp

The chapter shows why Dr. Umar approached Kevin’s pigmentation as a customized design problem. Pigment selection, blending, hairline position, and temple framing all had to account for the scalp’s existing contour, color variation, and scarring. The focus in this chapter is the planning behind that approach, without moving ahead to later results.

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Medical Disclaimer

This is one patient’s experience. Individual results vary. This content is for educational purposes only and is not medical advice. Treatment planning requires an individual medical evaluation.

Video: Festus, Faith, and Keloid Surgery: Hope Beyond the Stares

Jason Thompson — Fri, 25 Sep 2026 19:41:51 +0000

Before surgery, Festus held onto a simple hope: that one day he would feel like himself again. Living with severe, multiple recurrent keloids had also made him think about how others saw him. In this chapter of The Bumpinator, his faith and his hope for a different future come into focus.

Festus recalls sharing his testimony in church, where the congregation responded with gratitude for his surgery and care.

Faith as a Source of Hope

Festus describes his belief in God and his habit of reading the Bible. The story that stayed with him was Job, whose suffering and restoration became a point of personal reflection. Festus connected that story to his own desire to move beyond what he had endured and return to the person he believed he could be.

“I can’t wait to step out one day and nobody will stare at me,” Festus says. He adds that being able to go out without people looking at him strangely “would be a great day for me.”

A Testimony After Surgery

The chapter then moves from Festus’ hopes before surgery to a later church testimony about how his surgery was handled. He remembers people saying that as they thanked God, they also had to thank Dr. Sanusi Umar and his team for their work. According to Festus, people were “screaming” and “cheering and cheering,” and the pastor allowed the testimony to continue as the congregation shared in the moment.

The account is personal rather than a promise about anyone else’s outcome. For Festus, however, the church response gave him a public moment to speak about his experience and recognize the team involved in his care.

Religious imagery in the church setting reflects the faith that Festus repeatedly connects to hope in his own story.

Gratitude for Dr. Umar and His Team

Festus closes this chapter by thanking God for introducing him to Dr. Umar. His words bring together the themes that run through the short video: faith, the desire to be seen differently, gratitude for surgical care, and hope for what comes next.

His experience with keloid surgery is presented here through his own reflections. Although the supplied SEO terms include acne keloidalis nuchae and bumps on the back of the head, this chapter itself centers on Festus’ recurrent keloids, his faith, and his testimony rather than adding clinical details that are not stated in the video.

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Medical disclaimer: This content is for educational purposes and reflects one individual’s experience. Individual results vary. Diagnosis and treatment decisions require an individualized medical evaluation.

Video: UGraft Zeus: Adaptive FUE Across Different Hair and Skin Types

Jason Thompson — Thu, 24 Sep 2026 21:00:45 +0000

For a dermatologist hair loss specialist, FUE is not one uniform procedure. Hair angle, follicle direction, skin thickness, skin firmness, donor location, and whether the hair is shaved can change the technical challenge of graft extraction. I developed UGraft Zeus around a simple premise: when hair and skin characteristics change, the technology should be designed to respond.

Why I Developed UGraft Zeus

The difficult frontiers of FUE were not theoretical to me. They emerged from problems patients brought into my practice. Some patients with severe baldness needed donor supply beyond the traditional scalp, making efficient use of beard and body hair important. Some repair patients had already depleted conventional donor resources and also needed alternative donor areas. Tightly curled hair and tougher skin created another demanding FUE scenario. High-profile patients and others seeking minimal downtime also wanted options that did not require shaving the head.

Those different needs pushed me toward a platform that could work across regular shaved FUE, Afro-textured or tightly curled hair FUE, long-hair FUE, and body-hair FUE. The goal was not a separate answer for every donor scenario, but a more adaptable system.

UGraft Zeus was developed by Dr. Sanusi Umar as an adaptable FUE platform for varied donor scenarios.

A Skin-Responsive Approach to FUE

UGraft Zeus uses an Intelligent Punch and a skin-responsive driver designed to navigate differences in hair angle, follicle direction, skin thickness, and skin firmness during extraction. The short video demonstrates a simple donor-region selection, after which the system calibrates for the selected donor area.

That adaptability is intended to extend across traditional scalp FUE, tightly curled hair, long-hair procedures, and body-hair FUE. My work also led to a donor assessment and classification approach intended to help physicians anticipate FUE difficulty rather than discover it only after surgery has begun.

The UGraft concept was developed to respond to changing follicle direction and skin characteristics during FUE graft extraction.

One Platform for Different Donor Scenarios

The video presents UGraft Zeus as a patented FUE technology designed for multiple donor scenarios and describes it as the most multicenter-studied FUE device. The broader purpose of the development was to simplify a technology created for difficult cases so that other physicians could use the same platform across a wider range of patients.

FUE planning remains individual. A hair transplant before and after comparison cannot determine whether the same approach is appropriate for another person. Donor supply, hair characteristics, skin characteristics, and the planned procedure all require medical evaluation. Technology can be designed to adapt, but treatment planning still begins with the individual patient.

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Medical Disclaimer

This content is for educational purposes only and is not a substitute for individualized medical advice, diagnosis, or treatment. Suitability for FUE and treatment planning require an individual medical evaluation. Individual results vary.

Video: Mia’s Growing Confidence With Alopecia

Jason Thompson — Thu, 24 Sep 2026 18:43:43 +0000

Mia’s hair was growing, but in this chapter of The Baldcast, her family describes a change that reached beyond appearance. As her alopecia story continued, they noticed her becoming more outgoing, making more friends, and approaching other children with greater confidence.

A Change Her Family Could See

Dr. Sanusi Umar begins by noting the visible difference in Mia’s hair since he had seen her roughly two months earlier. He describes the change as “night and day” and says her hair was “really growing back with a vengeance.” The conversation then turns from hair growth to what Mia’s family had noticed in the way she was showing up in everyday life.

Dr. Sanusi Umar discusses Mia’s hair progress during the Baldcast conversation.

More Outgoing, More Comfortable

Dr. Umar asks what has changed for Mia in terms of happiness, eye contact, and how she presents herself to the world. Her family’s answer is direct: “She’s outgoing a lot more.” They also say she is making more friends and feels more confident when she goes to playgrounds and parks.

That confidence shows up in a specific way. Her family says Mia is now more comfortable walking up to other children and asking them to play with her. They also describe a change in the way she approaches other children, saying she no longer seems as worried when she does it.

Mia’s family reflects on how her confidence and social interactions have changed as her hair has grown.

When Progress Means More Than Hair

The chapter connects Mia’s visible hair progress with the changes her family is seeing in her social confidence. Their comments focus on everyday moments: making friends, going to the park, approaching other children, and asking them to play. For her family, those changes have become an important part of the story alongside hair restoration and hair growth treatment.

Dr. Umar responds, “That’s really great to hear.” The chapter closes on that encouraging note while leaving Mia’s continued progress for the next part of her story.

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