This patient first came to see Dr.Bumpinator after an eight-year struggle with Acne Keloidalis Nuchae – AKN. Before this, he tried a nonsurgical approach at a different clinic using steroid injections. However, this did not get rid of his bump lesion. He then decided to choose Dr.Bumpinator as his service provider, hoping to achieve a discrete and inconspicuous linear scar. With Dr.Bumpinator’s surgical method to produce the best Acne Keloidalis Nuchae treatment results, this patient would also be able to have his final scar covered with his own hair growth.
Before Photos – AKN Class I Plaque
Due to the size and location of this patient’s bump lesions, this patient was categorized as an AKN Class I Plaque, according to Dr.Bumpinator’s system of classification.
The patient’s AKN bump is vertically narrow and located in the upper nuchal region.
This patient’s AKN is classified as a Class I plaque, according to Dr.Bumpinator’s categorization schema.
Procedure Photos – Dr. Bumpinator’s Acne Keloidalis Nuchae Treatment Results – A Thin, Discrete Linear Scar
For this patient’s procedure, the most obvious starting point was to remove the actual AKN bump lesion through surgical excision. Dr.Bumpinator’s innovative surgical method would then result in a thin linear scar covered by the patient’s own hair growth.
Dr.Bumpinator at work to TERMINATE this patient’s AKN for GOOD!Using his trichophytic wound closure technique, this patient had the edges of his wound sutured on the same day right after his excision.
After Photos – A Well Camouflaged Final Linear Scar
Here are images of this patient’s outcome, taken 14 years after his procedure with Dr.Bumpinator. Due to the successful growth of hair through the final linear scar, it is not even obvious that this patient had undergone any surgical removal or that AKN was even a problem in the first place. Can you tell that he even had a procedure done?
AKN Patient With Thin, Unnoticeable Linear Scar
VIDEO: Acne Keloidalis Nuchae Treatment Results – No More Embarrassing Bumps
Watch this video to learn more about Dr. Bumpinator’s surgical journey and final scar outcome.
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Frequently Asked Questions – AKN Removal
Should I see a dermatologist get rid of my AKN bumps?
Acne Keloidalist Nuchae removal requires a specialized treatment approach. Many doctors (dermatologists included) lack the expertise required to eliminate lesions and keep them from coming back permanently. Patients are often prescribed drug medications, injections, topicals, etc. However, these will not actually get rid of the unwanted tissue. Although AKN can be excised using surgery, Dr.Bumpinator recommends classifying each patient case to determine specific protocols for removal. It’s important to realize that the end goal is not just to get rid of the Acne Keloidalis Nuchae bumps but also to leave behind the most natural-looking final scar. This will require more advanced surgical methods. You will need to see a true specialist.
Is Acne Keloidalis Nuchae the same as razor bumps?
AKN starts as tiny bumps, resulting from close razor shaves on the back of the head. However, what makes them different from ordinary razor (shaved haircut) bumps is how the person’s skin responds. Affected individuals have a genetic predisposition to produce prolific collagen as a reaction to ingrown hair. Their immune systems mistake the hair shaft as a threat. The collagen is intended to heal the damage resulting from these attacks. So really, AKN does start as what appears to be regular razor bumps. But the bumps themselves (in predisposed individuals) are really starting a progressive and chronic skin issue.
Does AKN come back after surgical removal?
It really depends on how the surgical excision and wound closure was performed. Bumps are more like to return if the surgeon does not excise deeply enough to remove the affected tissue. Also, they can come back if the wrong wound closure method is used. Dr.Bumpinator has developed methods that aim towards long-term and permanent outcomes that patients can be happy with in the end.
References
Umar, Sanusi et al. “Patient selection criteria and innovative techniques for improving outcome and cosmesis in acne keloidalis nuchae lesion excision and primary closure.” JAAD case reports vol. 5,1 24-28. 4 Dec. 2018
Los Angeles Man Gets Rid of Massive Bumps On The Back Of His Head Once and For All: He shrugged them off. It just wasn’t a big deal. According to Los Angeles native, who decided to become Dr.Bumpinator’s patient, it wasn’t the first time he’d seen these types of bumps, and just like before he expected them to go away.
These tiny bumps, he explained, formed along his hairline on the back of his head after his hair was braided too tightly.
Los Angeles patient admitted he initially ignored the bumps on the back of his head because he genuinely thought they would go on their own.
“Even that same day, I started noticing little bumps across my hairline,” he said.
Bumps after getting hair braided is typical. In fact, hairstylists and barbers sometimes inform their clients that the tightness of the braid may cause slight irritation or inflamed bumps on the edges of the hair. Some have called it barber’s rash.
Feeling uncomfortable and unwilling to suffer through the rigid tugging and pulling caused by the braids, the patient said he unraveled his braids. He didn’t think too much into it once the tension on his scalp was relieved and went about his typical routines.
Los Angeles Man Gets Rid of Massive Bumps On The Back Of His Head Once and For All
In this video, Dr. Bumpinator explains the importance of this patient’s case. Learn more about the details of his experience prior to his surgery.
Los Angeles Man Gets Rid of Massive Bumps On The Back Of The Head Once and For All
Los Angeles Man Gets Rid of Massive Bumps On The Back Of The Head Once and For All
The Bumps Kept Growing
The bumps, he thought would subside, eventually. But they didn’t. Cue the pain, drainage and neverending discomfort.
“I was treating them like regular hair bumps,” the patient explained. “Being a black male, you get hair bumps when you shave and I thought that’s what it was.”
Gradually, year-over-year, the bumps changed. Fifteen years since the day he untwisted his braids, the bumps fused into a large protruding mass that he hid with his long dreadlocks.
Mike grew his hair out to hide the large AKN bump.Because of his long hair , not a lot of people realized that Mike was struggling with AKN.
“For some reason,” he said. “Which is unknown, it decided to develop into something else.”
Trading Supersets for Hundred Mile coffee
The massive size of the bump restricted head movements. He could not find a comfortable sleep posture. That plus all the oozing of pus and blood from the bumps called for a career change. The patient’s work as a personal fitness trainer was severely affected by the slow trickle of pus, blood, and discharge from the mass on the back of his head.
“It would discharge out of the blue,” he explained. “And me dealing with people or [helping] them; I had to completely change everything.”
“It was embarrassing,” he added.
Pondering his next career steps, Mike decided to start working as a truck driver. His life, he said, changed again. Instead of being physically active, he spent 14 hour days driving trucks.
“Part of my lifestyle was active,” he said. “I’ve always been active, but the change in my physical life changed my life more.”
Misdiagnoses, Treatment Failures, The Hopeless Journey of a Los Angeles AKN Patient With Large Bump
The patient sought treatment to no avail. He was referred to a dermatologist, but every time he went to the clinic he was seen by a different dermatologist who was unfamiliar with his case.
“I was starting over every appointment with every doctor,” he noted.
Furthermore, each doctor went through a list of medications including steroids which were being injected into the lesions. Mike was baffled. He said the steroids were affecting his bone density and teeth. “It was a domino effect,” he added.
“The medication,” he said. “Was more damaging to me than the actual bump.”
Nothing was effective. In addition, he didn’t even have an actual diagnosis. At one point, his bump was diagnosed as a keloid. He also had surgery to remove a bump on the left side of the back of his head. Unfortunately, the surgery created a bald area without removing the problem.
“Inches of my hair fell out,” he added.
He wished he hadn’t done the surgery. “They didn’t even understand what it was,” he explained. “They didn’t take the time to figure out what it was.”
After that surgery, the patient explained the bumps came back even worse. He continued to take the medications. But nothing proved effective.
“Being on the medication and being in constant pain,” he said. “My wife noticed it was changing me.”
The patient said his frustration with the constant agony over the bumps made him more reclusive. He didn’t want to be around anyone he didn’t have to. No one, but his wife, knew he was struggling with the bumps on the back of his head. In the long run, his hermit-like behavior started affecting his relationships with his family and friends. He grew long dreadlocks to cover the ever-growing bump which by then had become a massive growth on the back of his neck.
Dr. Bumpinator and Dr Pimple Popper To The Rescue!
“It’s like having a pimple on the back of your head that won’t pop,” Mike said of the bumps. Even at night if he rolled over, he’d wake up in pain.
He needed a solution. Nothing was working and now at 19-years of grappling with the immensely 6.5 inches in length and 11 inches in width fused bump, something had to give. The balloon-sized bump needed to be popped or something.
So naturally, seeing and hearing about Dr. Sandra Lee’s ability to tackle some of the most stubborn bumps, he decided to seek her help. After scheduling an appointment and seeing Dr. Lee also known as Dr. Pimple Popper, “She basically recommended that I see Dr. Umar,” he shared. “She had seen things like it but said that he had more specialty in this. She is very upfront.”
As it turns out, Dr. Sanusi Umar also known as Dr. Bumpinator has had extensive experience dealing with the specific condition which is called Acne Keloidalis Nuchae or AKN and was happy to take on this gentleman’s case as a joint patient with Dr. Pimple Popper.
“The other doctors acted like they’ve never seen anything like it before,” Mike continued. “Dr. Sandra Lee and Dr. Umar seemed to know what I was dealing with – within minutes. Seeing Dr. Umar, he knew exactly what this was.”
After seeing Mike’s large AKN condition, Dr. Sandra Lee called Dr. Bumpinator to discuss treatment options and procedures to remove his bump completely
“I ended up in a little shell,” he shared. “I stayed at home and didn’t do the things that I would normally do.”
His Bumps Had A Name
He was surprised that Dr. Bumpinator wasn’t shocked at the sight and the magnitude of the lump. The patient added “I was so used to seeing doctors who rushed through my appointments. They simply didn’t know what to do about the bump.”
According to his interview, when he saw Dr. Umar (Dr. Bumpinator) at Dr. U Hair and Skin Clinic in Manhattan Beach, Calif “ he knew exactly what this was.” Bumpinator educated the patient on his condition and for the first time in 19-years, he had a real diagnosis. He told him he had Acne Keloidalis Nuchae, AKN, a condition that affects the back of the head when bumps and masses form. In addition, during his appointment, Mike was given actual treatment options. He was floored to even have such options.
In 19-years, this patient’s Acne Keloidalis Nuchae bump had fused into a massive lump measuring at 6.5 inches in vertical height and 11 inches in width.Dr.Bumpinator measures the length of a massive AKN bump
“During Dr. Umar’s first examination, I felt confident. He didn’t look shocked,” he added. “It was a breath of fresh air and I knew that I wasn’t going to continue this wild goose chase for help.”
Trying Not To Have Expectations
“I didn’t lose my faith,” Mike admitted.
Similarly, he didn’t want to get too excited that he’d finally found Dr. Bumpinator who was confident he could eradicate the monster that taunted him for so long. His wife, Mike said, was also happy, but hesitant, too.
“We’d been down that road before,” he shared candidly. “Where we thought we had something solid that could help, but it was hot air.”
Dr. Bumpinator’s Approach For Large-Size Acne Keloidalis Nuchae
Dr. Sanusi Umar, known to his patients as Dr. Bumpinator seen here performing massive AKN head bump removal on Mike. Dr Umar has spent a number of years researching and developing life-changing treatments to provide Acne Kelodalis Nuchae patients with a wide range of treatment.
Furthermore, the patient’s condition was so severe that the topical steroids, oral antibiotics, steroid injections, and previous conventional surgery were obviously not effective. He needed a more aggressive approach without all of the harsh pharmaceuticals.
First Dr. Bumpinator appropriately classified Mike’s AKN. Based on this classification which Dr. Umar himself has developed, he presented this patient with curative surgical treatment options using techniques and some tools he himself developed.
“He was upfront,” the patient recounted. “He knew how to deal with it and didn’t prescribe me medications.”
“He knew how to deal with it,” he emphasized.
AKN Surgery Procedure To Remove Large-Size Acne Keloidalis Nuchae Bump
Dr.Bumpinator and his team assess Mike’s Acne Keloidalis Nuchae bump before removing it.
During the patient’s surgery, Dr. Bumpinator removed the mass entirely along with all its discharging sinus tracks some of which were draining to both sides of the patient’s neck.
Mike’s 19 year old AKN bump left a huge, gaping wound. The challenge now, is how to close it and leave a natural looking appearance. Dr. Bumpinator at work, applying his Athena tension sutures which allows the AKN wound to gradually close on its own, over time.
He finished the surgery by using the innovative “Athena Tension Suture Kit™” to influence an optimal healing outcome as well as to minimize the size of the final scar. Dr. Umar had himself developed the Athena tension suture kits when the conventionally available tools proved ineffective with often the occurrence of tissue tears that lead to failure and scarring.
Without the Athena Kits, the patient would have required a more invasive multi-phase procedure called balloon expansion which has a very high rate of severe complications and required many months of downtime. The Athena Kits removed the need for that Dr Bumpinator explained.
Eight weeks later, with just one surgery, the patient’s AKN was gone. In addition, to camouflage the remaining scar to match his skin complexion, Dr. Bumpinator also performed tricopigmentation.
The side-by-side comparison of the patient’s look pre- and post-surgery is truly amazing! *
VIDEO- Monstrous 19-Year-Old AKN Bump Is NO Match For Dr. Bumpinator
Want to meet the patient and hear his feedback about his procedure? Learn more about this patient’s struggle with his large-sized, class 3 AKN bump and how Dr.Bumpinator terminated this lesion on the back of his scalp.
Massive Acne Keloidalis Nuchae AKN Bump on Back Of Head Removed by Dr Bumpinator
Massive Acne Keloidalis Nuchae AKN Bump on Back Of Head Removed by Dr Bumpinator
For the patient to heal, he shared, it took the two renowned doctors to communicate with one another. He said the level of respect both doctors have for each other, out of the entire experience, made a big impact on him. Dr. Sandra Lee’s coordinating care to have Dr. Bumpinator’s input changed this patient’s life.
“I was surprised they were willing to work together,” the patient pointed out. “Or at least to share information. All the other doctors didn’t.”
In his opinion, the patient shared, “They’re both good people. Dr. Sandra Lee could have easily gone a different way about it. And I was happy that Dr. Bumpinator was willing to cross-reference, talk and come up with a solution.”
His tumorous bump is gone. He’s bump-free – just like that.
Though it’s been only nine months since his surgery, it seems like so long ago. He’s sleeping through the night. And when he’s tossing or turning, there’s no bump to awaken him.
“It worked out in a good way and I’m pleased with it,” he said.
Perhaps the most life-changing result beyond being bump-free, the patient shared, was that he was finally anxious to get back to the life he left behind. “I have now quit my truck driving job,” he said enthusiastically. “and for the first time, I am beginning to work out again. I am getting back in shape.”
With tears in his eyes, he exclaimed, “I have my life back.”Dr. Bumpinator’s diverse treatment options for men dealing with AKN bumps on the back of their heads also means there are no limitations to viable treatments that permanently clear them. It’s just a matter of proper consultation and meeting with Dr. Bumpinator to find the best solution as not one case of AKN is the same. Want a free consultation with Dr. Bumpinator, himself? Click below to get started with a free consultation!
FAQ – Commonly Asked Questions About Removing A Large-Sized AKN Bump
I am a black man and would like to treat my AKN. Why won’t medications work to get rid of my bump?
Steroid medications will only address the inflammatory aspect of Acne Keloidalis Nuchae. Also, antibiotics will only help with any bacterial infections present. In short, what this means is that drugs can only treat symptoms that cause patients discomfort. They will not actually remove the tissue growth which comprises your bump. You would need a more curative treatment using published protocols.
How do I know if my Acne Keloidalis Nuchae hard bump on the back of my head will stop growing or not?
AKN is progressive and will continue to grow and evolve over time, as shown in this patient’s case. Although it is relatively unlikely that average AKN patients will have their bumps reaching this size, affected individuals should still be aware of the ongoing nature of their condition and plan for the removal of their lesion, rather than hoping that this skin disease will reach some type of stopping point.
References
[1] Plast Reconstr Surg Glob Open. 2019 May; 7(5): e2215 Published online 2019 May 16
“It’s incurable” – that’s what doctors and specialists said about the raging Acne Keloidalis Nuchae, AKN, on the back of his head. Defeated, Adalid from Anaheim, Calif. hid the big bumps on the back of the head by keeping his hair long and suffered in silence for approximately 12 years. It seemed that no matter the number of specialists he consulted, no one knew how to cure bumps on the back of the neck.
“They kept saying there was no solution for it,” Adalid said.
Adalid spent 12-years looking for a treatment and cure for his itchy and foul-smelling bumps on the back of his head. All the doctors he consulted told him his condition had no remedy or cure.
AKN is a skin condition that affects the majority of African American, Latino/Hispanic and Asian men. The condition itself starts as small itchy bumps along the back of the neck that eventually grow into painful, itchy papules and pustules. In severe cases, the bumps grow bigger, can thicken, take over the entire back of the head and cause patchy hair loss.
In Adalid’s case, the bumps formed along the nape of his neck and fused on the back of his head. He described them as large, itchy and foul-smelling lesions. With time, he grew frustrated with the lack of medical treatment.
Becoming his own Advocate
Taking the matter into his own hands, he began to deeply research AKN – the condition and alternative types of treatments. That was when he stumbled upon Dr. U’s Bumpinator videos and saw what many told him was impossible – a treatment… a solution … a cure.
Armed with hope for relief for the first time in years, Adalid called Dr. U Hair and Skin Clinic in Manhattan Beach, Calif. to schedule an appointment with Dr. Bumpinator, also known as world renowned board certified dermatologist, Dr. Sanusi Umar.
Before being seen by Dr. Bumpinator, Adalid’s bumps spread and got larger on the back of his head.
Dr. Bumpinator has spent a number of years researching and treating patients with AKN. His innovative and transformative treatment options have changed the lives of hundreds of AKN patients who, like Adalid, had given up on a bump free head.
Dr. Bumpinator Saves the Day: The treatment others said didn’t exist
Dr. Bumpinator provides all patients with every possible treatment option. In some cases surgery is inevitable, depending on the type of pustules and papules level of distribution throughout the scalp.
During the consultation Dr. Bumpinator examined the bumps and determined that the type of lesions were in the merged papules and nodules stage on the verge of entering Stage II of the distribution phase. Meaning the papules and nodules were expanding and covering a larger part of the back of his head than before. According to Dr. Bumpinator, “the papules and nodules were progressively getting worse.”
Dr. Bumpinator has characterized five common variations of Acne Keloidalis Nuchae.
Dr. Bumpinator has also identified four different stages of AKN that help determine the type of treatment needed.
The thing to remember, according to Dr. Bumpinator, every AKN case is different. Therefore type of treatment varies from patient to patient. In Adalid’s case, after discussing all his options with it was decided that the best option was surgery. While in surgery, Dr. Bumpinator used his specialty BAT excision method to create a clean, natural-looking scar and neck hairline with the use of tension sutures that directed the wound closure process. The BAT excision method als minimizes the chance of the bump returning.
Living Bump Free
Ten weeks following surgery, Adalid met with Dr. Bumpinator. Upon review, Dr. Bumpinator determined, for the first time in years, Adalid finally had the relief he sought – to be bump free. During the follow up, Adalid informed Dr. Bumpinator of his plans to cut his hair and keep it short.
Ten weeks after undergoing AKN surgery and treatment with Dr. Bumpinator, Adalid showed tremendous improvement and reported he no longer had any AKN symptoms.
“Now I just wash my scalp like nothing ever happened,” he said confidently.
Finally, bump free, Adalid told Dr. Umar that he was going to finally cut his hair.
Adalid's post surgery results
“I recommend it 100 percent, [because] of the results I have today,” Adalid said.
The most noteworthy outcome of his treatment was the permanent disappearance of lesions and malodorous pus weeping, according to Adalid.
“Definitely a confidence booster,” Adalid said. “It makes you feel better. Overall it’s something you don’t have to worry about anymore.”
Due to Dr. Bumpinator’s life changing treatment options to treat AKN, more men, like Adalid, are stepping out of the shadows. No matter the size of the bumps, Dr. Bumpinator is readily available to answer questions. Submit questions and treatment inquiries by clicking the button link below:
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FAQ
How do I know if my bumps on the back of my head are acne keloidalis nuchae?
Those bumps didn’t show up big on day one. AKN actually starts out as small bumps that with time grow larger. As they get bigger, they can have a variation of symptoms that includes bumps that ooze foul smelling pus, bleed, are itchy and are inflamed. If they do not subside despite the number of doctors and treatments a person has tried, they should consider consulting with a specialist that can appropriately diagnose the bumps. Though it’s not life-threatening, they can be quite irritating and embarrassing to have.
Besides surgery, what other alternative treatments are available to treat the bumps on the back of my head, AKN?
Before any type of treatment is recommended by Dr. Bumpinator, he determines the severity of the AKN. In some instances, he may recommend a combination of treatments. Ultimately, because not all AKN cases are the same, finding the best type of treatment may require a one-on-one examination and in some instances a biopsy of the bumps. Treatments can range from surgery, laser or radiation treatment. Read more about Dr. Bumpinator’s treatment options:
I Terminated My Back of Head Bumps, Thanks To Dr. Bumpinator : This patient started to notice small bumps emerging on the back of his head. Over time, instead of going away or subsiding, they continued to get bigger. Of course, these were no ordinary back-of-the-head razor bumps, but rather Acne Keloidalis Nuchae. He turned to Dr. Bumpinator for help.
Patient’s AKN Back of Head Bumps Before Removal By Dr. Bumpinator
The very first step taken by Dr.Bumpinator was to classify the patient’s condition to determine the right method for removing the bumps. This particular case is representative of an AKN class 2 plaque negative condition, making this patient eligible for surgical removal.
Patient is eager to for his procedure to treat the sizeable area on the back of his head affected by AKN bumps.
AKN Patient’s Procedure Photos – Dr.Bumpinator to the Rescue
Dr.Bumpinator successfully removed the AKN bumps, leaving behind a clean linear scar in discreet alignment with the patient’s posterior hairline. This was achieved by implementing two unique surgical techniques that he developed himself:
The use of tension sutures facilitates the wound closure process along with a more predictable timeframe
The wound edges will not meet and close on their own, especially with this large-sized excision. To help the process along, Dr. Bumpinator applied the use of tension sutures which pull the edges allowing the skin to produce new collagen along the right trajectory to promote proper closure.
Patient’s big day. With Dr.Bumpinator’s help, he is able to put an end to his AKN for good.Dr. Bumpinator applies tension sutures to help ensure successful and predictable wound closure
Before and After Photos and Video Testimonial- A Newly Found Confidence Replaces the AKN Bumps
Dr. Bumpinator’s procedure allowed the patient to finally be free of his AKN, once and for all. Instead of a bare area with bumps, there is now a cohesive body of hair, minus the AKN.
AKN type 2 patient before and after his Dr.Bumpinator surgical removal procedure
In his testimony, the patient shares that if he could rate his experience on a scale of 1-100, he would give his Dr.Bumpinator procedure a 500!
Watch his video below and listen to his feedback.
This patient is incredibly pleased with the outcome of his AKN removal procedure, performed by Dr.Bumpinator (Dr.U)
I Terminated My Back of Head Bumps, Thanks To The Bumpinator
I Terminated My Back of Head Bumps, Thanks To The Bumpinator
Interested in a free consultation with Dr.Bumpinator himself? Click the button below to schedule your free consultation now!
Frequently Asked Questions
Could laser have been used to help this patient?
The treatment chosen is influenced by the type of lesions you have as well as patient preference. To determine the best treatment for you, visit Dr. U for evaluation. This patient was a much better candidate for surgery, instead.
How would a person know if their bumps are AKN or not
There is no way for a person to know for sure, on their own. It is best to have them checked out by a doctor who specializes in AKN to avoid misdiagnosis. With prompt action, it is possible to prevent the condition from worsening.
