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Fifth Cut, One Last Shot: Journey to Folliculitis Decalvans Healing After Setbacks

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Every story of healing begins with a moment of quiet exhaustion—the point where hope feels thin, but not gone. For Anwar, that moment came sixteen years into his battle with Folliculitis Decalvans (FD) and an underlying condition of Acne Keloidalis Nuchae (AKN). The condition had taken more than just his hair. It took ease, comfort, and the simple peace of feeling normal. Three surgeries came and went. Each time, he tried to believe it was over. Each time, the lesions returned.

Dr. Umar explains what his goals are in order to successfully remove FD from Anwar’s scalp. The surgery involves a complete extraction of the disease to prevent recurrence.
Dr. Umar explains what his goals are in order to successfully remove FD from Anwar’s scalp. The surgery involves a complete extraction of the disease to prevent recurrence.

When he met Dr. U—The Bumpinator—Anwar wasn’t chasing another promise. He was searching for an ending that finally held. Dr. U studied his scalp carefully, knowing the challenge ahead: to separate old scars from living disease and remove every hidden root that could reignite the problem. “I needed to find the right tissue planes,” he said, describing the delicate boundary between what must stay and what must go.

The procedure was performed under local anesthesia. Anwar stayed awake the entire time—alert, brave, and steady—as Dr. U worked with quiet precision. Layer by layer, the diseased tissue was lifted away, along with the fear that had followed him for sixteen years. This time, it wasn’t just a surgery. It was a reckoning.

Our patient’s father mentions how he sees his son as a champion because of how well he lives through his life positively with FD and AKN.
Our patient’s father mentions how he sees his son as a champion because of how well he lives through his life positively with FD and AKN.

His father, who had stood beside him through every setback, watched with quiet pride. “He’s a champion,” he said. For Anwar, those words meant everything. Through years of pain and recovery, he never let the condition define him. He kept moving forward—with faith, with patience, with courage.

Now, the story feels different. The lesions are gone, and in their place stands a man free to live without the constant reminder of his condition. Anwar’s journey shows that even after failure, healing is possible. All it takes is the will to try again—and the right hands to help you get there.

For medical details of this case, visit dru.com.

🎥 Watch Anwar’s Story
Watch the seventh chapter of Anwar’s transformation:

Take the Next Step
If you or someone you know is struggling with Folliculitis Decalvans, don’t lose hope. Early, thoughtful care can change the story. Learn more on dru.com and explore your next steps toward healing.

At The Bumpinator and The BaldCast, every patient is a hero.

Disclaimer:
This story reflects one patient’s personal experience and treatment by Dr. Sanusi Umar. Individual results vary. Always consult a qualified physician for personalized advice.