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AKN Surgery Results: Video Results After Surgical Removal By Dr Umar

AKN Surgery Results: Video Results After Surgical Removal By Dr Umar

AKN Surgery Results: Dr. Umar has helped many patients who suffer from acne keloidalis nuchae (AKN) with AKN surgery. Acne keloidalis nuchae is a severe type of type of folliculitis. This chronic inflammatory condition affects hair follicles and appears as pustules, papules, scalp lesions and scalp plagues. Dr. Umar tailors his surgical procedures to individuals with a variety of AKN nonsurgical treatments and AKN surgical treatments.

AKN SURGERY OPTIONS ADDRESSING SCALP LESIONS AND PLAGUES

Despite the difficult aspects for treating acne keloidalis nuchae, there are viable treatment options for each stage of severity. AKN surgical treatments include posterior hairline migration, serial excisions and trichophytic closure. Surgical AKN treatments are appropriate for the inflammatory condition when other AKN nonsurgical treatments fail. For advanced cases, Dr. Umar combines surgical excisions and trichophytic closure combinations.

 

Patient's AKN Bumps Before Surgery

Patient’s AKN Bumps Before Surgery*

AKN SURGERY RESULTS At SIX WEEKS FOLLOWING PROCEDURE

When acne keloidalis nuchae advances, the lesions grow larger. This causes pain, itching, pus discharge and possible bleeding in the region of AKN. African-Americans are those mostly affected with AKN, followed by Asians and Hispanic/Latinos. It rarely occurs in Caucasians. Acne keloidalis nuchae is a permanent, chronic condition that is difficult to treat.

This AKN patient had a flaky scalp with bleeding prior to AKN surgery. He was self-conscious due to its appearance and had inflammation and pain at the area. His scalp lesions would swell following a haircut.

Patient's AKN surgery results at six weeks after procedure by Dr Umar

Patient’s AKN surgery results at six weeks after procedure by Dr Umar*

VIDEO: Patient’s AKN surgery results at six weeks after procedure by Dr Umar

Results shown in the video and photos are six weeks after his AKN surgery. The AKN surgical treatment wound closed four weeks after procedure. The patient is satisfied with the AKN surgery.

Acne Keloidalis Nuchae| Successful Surgical Removal

Nape of head Acne Keloidalis Nuchae Treatment

Nape of head Acne Keloidalis Nuchae Treatment

Nape of head Acne Keloidalis Nuchae Treatment: Acne  keloidalis nuchae (AKN) is a chronic inflammatory condition that affects hair follicles. A type of folliculitis, acne keloidalis nuchae is more severe. It first appears as bumps on the skin anywhere hair grows. These bumps are either papules — similar to pimples — or pustules, which are filled with pus. It is also known as keloidal folliculitis or nuchal keloidal acne.

SYMPTOMS OF ACNE KELOIDALIS NUCHAE

razor bumps back of head before and after treatment

This patient had acne keloidalis nuchae (AKN) surgical treatment: before (left) and after (right).*

Symptoms of acne keloidalis nuchae usually begin on the back of the head and upper portion of the neck. Individual papules then join together horizontally, creating elevated, solid lesions that are greater than 1 centimeter in diameter known as plaques. Acne keloidalis nuchae areas lose hair due to the plaques, but there is limited hair growth surrounding the affected region. The aberrant hair shafts in areas affected by acne keloidalis nuchae break, and ingrown hairs result.

When acne keloidalis nuchae advances, the lesions grow larger. This causes pain, itching and a pus discharge in the region of those affected by advanced stages of acne keloidalis nuchae. African-Americans are mostly affected, followed by Asians and Hispanic/Latinos. It rarely occurs in Caucasians. Unfortunately, acne keloidalis nuchae is a permanent, chronic condition that is difficult to treat.

POTENTIAL CAUSES OF ACNE KELOIDALIS

Precisely what causes acne keloidalis nuchae in individuals remains unknown. The most probable hypotheses for the condition include:

Autoimmune Correlations

If the body’s immune system cannot properly decipher the difference between its own hair and foreign pathogens, it attacks non-threating hair shafts, follicles and sebaceous glands. The result is inflammation, and bacteria makes it worse.

Hair — especially when it is course and wavy — does not grow past the epidermis and instead grows down into the underlying dermis. This causes additional inflammation, followed by papules and pustules. This reverse growth triggers the body to respond to it as a wound and prompts an exaggerated healing response.

During the inflammation phase of the wound healing process, immune cells become conditionally deficient in energy and result in an over-recruitment of repair cells. In this “remodeling” of the injury, the rate of degradation of the extracellular matrix is slower than the stimulation of collagen formation, leading to adhesions, fibrosis and scar tissue.

Another hypothesis is that skin irritation from shaving or clothing cause hair shaft breakage. However, other studies found acne keloidalis nuchae was not caused by the autoimmune system.

Other Possible Triggers

Some physicians and scientists also theorize that bacterial infections, cyclosporine and mast cells may play a role in acne keloidalis nuchae. With bacterial infections, some classify it as a type of scarring alopecia in which bacteria-damaged hair follicles result in acne keloidalis nuchae symptoms.

Cyclosporine, an immune system suppressant drug, is another possible factor. It’s given to organ-transplant patients to prevent their immune systems from attacking the transplanted organ following surgery. Reports of Caucasian patients developing acne keloidalis nuchae after taking the drug have been reported.

Mast cells, when prevalent in the occipital region, are another possibility. Specialized cells of the immune system, a large number of them in this region may overreact to hair follicles.

Nape of head Acne Keloidalis Nuchae Treatment IN LOS ANGELES

Those affected with acne keloidalis nuchae have both non-surgical and surgical treatment options. Los Angeles clinics typically offer an array of methods to treat it due to dermatologists being familiar with the condition. The course of action depends on the stage of the condition.

Non-surgical Options:

  • Radiation therapy
  • Triamcinolone acetonide
  • Cryotherapy
  • Isotretinoin
  • Topical steroids
  • A topical antibiotic
  • Isotretinoin
  • Specialized shampoos

Surgical Options:

  • Excision with trychophytic closure
  • Excision with secondary intention healing
  • A combination of excision and grafting
  • Excision using a primary closure technique
  • Electrosurgical excision
  • Staged excision with primary closure
  • Excision using a primary closure technique

Nape of head Acne Keloidalis Nuchae Treatment: Excision with Trychophytic Closure

Dr. Sanusi Umar, a board certified surgical dermatologist, is able to permanently address this condition rather than simply treat it. He combines his background in hair transplant surgery with his expertise on acne keloidalis nuchae. His Los Angeles-based clinic, located in Redondo Beach, has helped many who suffer from the condition when other treatments failed. Dr. Umar tailors his surgical procedures to individuals with a variety of techniques including:

  • Posterior hairline migration
  • Serial excisions
  • Trichophytic closure

Despite the difficult nuances for addressing acne keloidalis nuchae, there are viable treatment options for each stage. For advanced cases, combined surgical excisions and trichophytic closure combinations can eliminate this condition. Nonetheless, always consult with a physician to determine the best plan for individual cases.

Nape of head Acne Keloidalis Nuchae Treatment

Acne Keloidalis Nuchae was removed through surgery to create an amazing improvement in this patient’s cosmetic appearance.*

Acne Keloidalis Nuchae Surgery Results For Bump on Back of Head

Acne Keloidalis Nuchae Surgery Results For Bump on Back of Head

Acne Keloidalis Nuchae Surgery Results For Bump on Back of Head

Acne Keloidalis Nuchae Surgery Results For Bump on Back of Head : Acne Keloidalis Nuchae is a chronic and progressive condition where hair follicles become inflamed.  The exact causes are not clear.  And it may even be the case that different patients have been affected by different causes. Among them include:

(1) irritation from clothing

(2) close shaving from hair cuts

(3) ingrown hairs that the immune system does not recognize

AKN often occurs in males of African descent.  Curly hair is likely to grow back into the skin, causing an inflammation reaction of the hair follicles.  However, the condition can also occur in males of other ethnic backgrounds who have straight hair.

Medications can help reduce some of the symptoms associated with Acne Keloidalis Nuchae: itching, swelling, pain and discharge.  Although drugs can be helpful in the early stages of the condition, they cannot clear away the tissue growth.  At best, they may flatten the lesions or reduce their size.

At first, Acne Keloidalis Nuchae manifests as bumps that look like regular acne. If treatment is not started right away, the lesions will get bigger in size and become large masses on the back of the head.

Surgery For Acne Keloidalis Nuchae

The successful removal of Acne Keloidalis Nuchae requires surgical excision.  The affected area is removed by the doctor.  The wound can be allowed to heal without closure and new skin will grow in its place. However there is a very high risk of the AKN returning.

Complete closure immediately after the surgery will restrict the normal range of head movement. Instead, the wound must be allowed to close on its own over the course of several weeks.

The results on this patient were achieved through serial tension stitching.  Although this resulted in a horizontal, linear scar, it can also be deliberately positioned to align with the posterior hairline.  With this strategy, the scar is far less noticeable.

Here are before and after images of his procedure. The results are seen eight weeks after his surgery.

Acne Keloidalis Nuchae Surgery Results For Bump on Back of Head - before and after photo

Acne Keloidalis Nuchae Surgery Results For Bump on Back of Head – before and after photo*

If you are interested in surgery to remove manifestations of Acne Keloidalis Nuchae,  fill out our online  form at the top of the page. Or you may also schedule a complimentary consultation by calling our office at 877-337-6424.

Patient's Acne Keloidalis Nuchae Scar Before His Surgery

Acne Keloidalis Nuchae AKN Scar Revision Results

Acne Keloidalis Nuchae AKN Scar Revision Results Acne Keloidalis Nuchae AKN Scar Revision Results : Before being treated by Dr. Umar, this patient was treated by another doctor for the removal of his Acne Keloidalis Nuchae tumor. This surgical intervention had failed resulting in the re-emergence of the lesion bumps. According to the patient, “it

Return of Acne Keloidalis Nuchae in Patient

Recurrent AKN Back of Neck Bumps Removal Surgery Results

Recurrent AKN Back of Neck Bumps Removal Surgery Results

Recurrent AKN Back of Neck Bumps Removal Surgery Results : When Acne Keloidalis Nuchae is left untreated, it progresses into more advanced stages that are characterized by large tumor like masses of tissue on the back of the head. At this point, surgical excision is the only way to remove these manifestations of the condition.

Recurrent AKN Back of Neck Bumps Removal Surgery Results

Patient before and after his second surgery for treating Acne Keloidalis Nuchae*

While surgery does offer immense hope for AKN patients, proper techniques must be used to prevent the recurrence of lesions.

Recurrent AKN Back of Neck Bumps  – Before Removal By Dr Umar

This patient underwent two surgical procedures before the back of his head was finally cleared of Acne Keloidalis Nuchae. During his first surgery, the affected area was excised. However, the physician allowed the surgical wound to heal through the formation of scar tissue as opposed to applying techniques that would allow the excision to close. This is referred to as healing by secondary intention.

However, six months after the procedure, the patient noticed new AKN bumps forming on the scar. He then sought the help of Dr. Umar for a second surgery to clear the reemergence of the new lesions.

Recurrent AKN Back of Neck Bumps Removal Surgery Results – The Procedure

The area affected by the recurrent AKN symptoms had to be excised. Dr. Umar applied specialized techniques that would allow the wound to close, resulting in a linear, horizontal scar that would be in alignment with the patient’s posterior hairline. The appearance of this outcome is far more acceptable cosmetically. The wound closure process took about two months.

VIDEO: Recurrent AKN Back of Neck Bumps Removal Surgery Results

As a result of this strategy, the patient was quite pleased with the results. One of his main concerns was the social discomfort he experienced from the Acne Keloidalis Nuchae tissue mass on the back of his head, since this was very noticeable. Clearing the lesions enabled him to feel more confident in social situations.

If you have recurrent AKN and have failed past treatment attempts, and think you may benefit from Dr Umar’s innovative techniques, kindly complete our free online consultation form

Surgical Treatment Gets Rid of Acne Keloidalis Nuchae Lesion

Acne Keloidalis Nuchae Before and After Surgery

This patient had Acne Keloidalis Nuchae for six years.  In the initial stages, the condition manifests as papules and pustules, which resembles acne on the back of the head.  However in later stages, these lesions develop into tumor-like masses. This particular patient tried prescription medication for six months. However it did not help. He complained

Acne Keloidalis Nuchae: A Common Condition for Black Men

Acne Keloidalis Nuchae (AKN), also known as ‘Acne Keloidalis’ or ‘Folliculitis Keloidalis’, is common among black men aged 13 to 25. Often confused with razor bumps, keloids or ingrown hairs, it is none of those things. It is generally an inherited condition. This disease almost exclusively develops on the back of the head, presenting as