Abstract
Background Although stable cicatricial alopecia (SCA) secondary to surgical events of the scalp can affect patients' psychosocial status, hair transplantation onto postsurgical scar tissue on the scalp is challenging because of tissue stiffness and poor blood circulation. Objective In contrast to traditional surgical treatments, such as excision, local flap, and tissue expansion, follicular unit (FU) hair transplantation offers aesthetically pleasing results in the treatment of postsurgically induced SCA. Materials and Methods This study included 15 patients with SCA of the scalp due to postsurgical scarring. The patients underwent a single session of hair transplantation of approximately 35 units/cm2 density. The graft survival rate was evaluated 12 months after the procedure. The Patient and Observer Scar Assessment Scale (POSAS) was used to analyze the preoperative and postoperative satisfaction. Results The FUE hair transplantation had a mean survival rate of 80.67% (range 70-90%). The patient and observer satisfaction significantly improved after the procedure; the POSAS scores were 24.47 (range 16-38) preoperatively and 11.60 (range 7-18) postoperatively. Conclusion FU hair transplantation could be an effective method for managing scar tissue on the scalp and offers several advantages, including a high transplantation survival rate and satisfactory postoperative results.
Highlights
Because hair plays an important role in an individual’s social and psychological health, maintaining and preventing hair loss are major concerns of individuals of various ages and genders
Surgical treatment options exist, including tissue expansion, flap surgery, and hair transplantation; all of these procedures are widely performed with successful results [9,10,11,12]
We introduce an effective surgical method for managing postoperative small stable cicatricial alopecia (SCA) areas using follicular unit (FU) hair transplantatio, and present a series of cases with aesthetically pleasing outcomes
Summary
Because hair plays an important role in an individual’s social and psychological health, maintaining and preventing hair loss are major concerns of individuals of various ages and genders. Surgical treatment options exist, including tissue expansion, flap surgery, and hair transplantation; all of these procedures are widely performed with successful results [9,10,11,12]. Stable cicatricial alopecia (SCA) secondary to surgical events of the scalp can affect patients’ psychosocial status, hair transplantation onto postsurgical scar tissue on the scalp is challenging because of tissue stiffness and poor blood circulation. In contrast to traditional surgical treatments, such as excision, local flap, and tissue expansion, follicular unit (FU) hair transplantation offers aesthetically pleasing results in the treatment of postsurgically induced SCA. FU hair transplantation could be an effective method for managing scar tissue on the scalp and offers several advantages, including a high transplantation survival rate and satisfactory postoperative results
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