Abstract
Aim: The purpose of this article is to prove the importance of autologous fat transfer (AFT) in scarring alopecia. Methods: We present a complete clinical report of 21 cases treated with a combined procedure of AFT and hair transplantation (HT) done in the last three years. Results: The main findings of this study are the constant, early and more predictable hair regrowth after the hair transplant done on a pre-treated scarring alopecia. Conclusion: Tissue regeneration through AFT can significantly improve hair growth in the area of scarring alopecia, underlining, once again, the tremendous potential of this approach. Future studies may need to be carried out.
Highlights
For many years the relative advantages of autologous scar transplantation, compared to skin expansion, was the subject of controversy because the reliability of the two procedures appeared to be different [1]
We present a complete clinical report of 21 cases treated with a combined procedure of autologous fat transfer (AFT) and hair transplantation (HT) done in the last three years
How is it possible to achieve similar results to those achievable in non-scarring alopecia? When the greatest obstacle is represented by the qualitative impairment of the receiving tissue, the adoption of regenerative medicine plans represents a real and sustainable solution to recreate the right suitability of the scar tissue for surgery
Summary
For many years the relative advantages of autologous scar transplantation, compared to skin expansion, was the subject of controversy because the reliability of the two procedures appeared to be different [1]. In order to give a realistic introduction to this article, a brief digression is necessary: if a patient with cicatricial alopecia, (scalp, beard, eyebrows, etc.) wanted nowadays to find out which reconstructive options were available, his search would be difficult. Assuming he finds a few specialists with the highest expertise, he would most likely have to compare very different treatment plans. Many options often generate a great deal of uncertainty and the fear of not making the right choice This uncertainty can, in the worst-case scenarios, turn into a paralysing confusion and it is not uncommon to visit patients who have been living with their scars for years. This article wants to emphasize a reconstructive sequence that combines AFT and hair transplantation as an innovative and effective option
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