Hello Dr. Friedman,
From my late 20s to early 30s, I had four hair transplant procedures to address my frontal hair loss. These procedures did the job, well enough, but they also seem to tighten my scalp. Now in my 40s, I’m beginning to notice hair loss on crown, or a bald spot forming. I know that some of this is natural, genetic hair loss, but I also wonder if those four procedures may have tightened my scalp and reduced blood flow. So, I have three questions: 1). Can previous HT surgeries tighten the scalp to the point where it reduces blood flow? 2). And if so, are there exercises or something I can do to improve blood flow to my crown area? 3). Also, it seems like it might be too late but I read there are scalp massaging techniques that can loosen the scalp. Can you tell me more about them?
Dr. Friedman’s Answer:
Undergoing hair transplantation using the strip or FUT method, will cause a reduction in scalp elasticity creating a tightness sensation. Over time, the scalp typically will loosen slightly and the tightness sensation will decrease, but never disappear. The tightness does not cause a decrease in blood flow, and therefore is not the cause of your ongoing hair loss over the crown.
Scalp exercising may help increase scalp elasticity in some patients, but it requires daily stretching.
— Dr. Shelly Friedman, DO
Board Certified Hair Restoration Surgeon
Arizona’s Most Trusted Hair Loss Doctor
Named Phoenix Magazine’s Top Doc – Hair Transplant Surgeon