The Green Light: John Prepares to End Years of Scalp Inflammation (Part 1)

For seven years, John had lived with chronic inflammation across the back of his scalp. The recurring bumps, scarring, and swelling were caused by cicatricial folliculitis or acne keloidalis nuchae, a condition that damages hair follicles and leaves lasting scars. And it rarely travels alone. The clinic felt different that day. John sat beside his […]
The Green Light: Preparing John’s Body to Heal (Part 2)
Cicatricial folliculitis surgery preparation began long before John ever entered the operating room. Before the surgery could begin, something important had to happen first. John’s body needed to be ready to heal. Years of chronic scalp disease had left deep lesions along the back of his head. The inflammation surrounding the hair follicles had created […]
The Referral That Changed John’s Fight With Scalp Bumps

For years, John lived with pain on the back of his head. Not just irritation. Not just bumps. His scalp carried deep folds, inflamed cysts, and recurring swellings that refused to heal. The conditions layered on top of one another over time. Acne Keloidalis Nuchae created persistent bumps along the hairline. Cutis Verticis Gyrata formed […]
When the Bumps Finally Had a Name: John’s Road to Answers
The first bumps showed up quietly. John was just entering puberty. A teenager. At first, no one thought much of it. A few bumps along the back of the scalp could be acne. Or irritation from regular haircuts. Something simple. Something temporary. But the bumps never left. Year after year, they stayed. And slowly they […]
The Spark Returns After Chronic Folliculitis of the Nape (Part 2)
For years before meeting Dr. Sanusi Umar, John Picone was living with more than one scalp condition. He was battling acne keloidalis nuchae (AKN), cutis verticis gyrata (CVG), and dissecting cellulitis (DC). Each condition brought its own challenges. Together, they created a constant cycle of inflammation, swelling, and discomfort that affected far more than his […]
The Spark Returns: Chronic Folliculitis of the Nape (Part 1)
When John Picone first walked into the clinic, he believed the plan was simple. Dr. Sanusi Umar would remove the hardened bumps on the back of his head caused by acne keloidalis nuchae, also known as chronic folliculitis of the nape. Remove the problem. Close the chapter. But during that first visit, something unexpected happened. […]
Before the First Cut

When someone finally finds the right doctor for painful scalp bumps on the back of the head, especially those caused by conditions like folliculitis keloidalis nuchae, the emotion can be overwhelming. For John Picone, it was. The morning he was scheduled to see Dr. Sanusi Umar, he sat in his car and cried before he […]
When the Spotlight Feels Unwanted
By the time John Picone finally sat across from Dr. Sanusi Umar, he had already seen nearly everyone. Dermatologists. Primary care doctors. Specialists. Each visit came with a new theory. A new cream. A new pill. A new promise that this time, maybe, the swelling would calm down. Maybe the infections would stop. Some believed […]
From the Cliff’s Edge to Scalp Healing: John’s Transformation

Some moments split your life in two. For John, it was the day his car went off a cliff. He survived. But survival was only the beginning. When Trauma Lingers Beneath the Surface After the accident, the emotional weight settled in first. Depression. Isolation. A quiet sense that control had slipped through his hands. Then […]
The Physical Limitations of Severe Cicatricial Folliculitis in Daily Life

Once the Cicatricial Folliculitis reached Robert’s sideburns and scalp, every day was now an unpleasant experience. This was due to the discomfort associated with inflammation from the sideburns to the scalp, and the large lesions growing around his head. According to Dr. Sanusi Umar, the sheer size of these growths and where they are located […]