Complications with Hair Transplantation

Nadimi, Sahar

doi:10.1016/j.fsc.2020.01.003

Cited by 22 publications

(12 citation statements)

References 10 publications

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“…Hair transplantation gives a permanent solution for those patients (20,21). Hair transplantation is a relatively new and continuously evolving art, with several new advances, leading to more natural results for patients (22)(23)(24). Successful hair transplantation needs the adequate experience of the surgeon and staff, excellent lighting, using loupe magnification, adhering to sterile precautions, using proper instruments, and proper patient selection.…”

Section: Genetic Evaluation Resultsmentioning

confidence: 99%

“…Upon ligand binding, stem cells induce the proliferative phase of the hair follicle, producing the anagen follicular unit and facilitating hair regrowth (1,36). Hair transplantation is a relatively safe surgery and is associated with very few complications, however, it can seriously impact the cosmetic and psychological outcome for the patients (24).…”

Section: Genetic Evaluation Resultsmentioning

confidence: 99%

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Adjuvant measures and genetic evaluations to improve results of hair transplantation

Fattah

2022

Cell Mol Biol (Noisy-le-grand)

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Follicular unit extraction (FUE) has evolved dramatically as the most recent advancement in surgical hair restoration as it leaves a tiny scar and creates natural and pleasing results. This study aims to show the effectiveness of adjuvant measures and genetic evaluations in improving outcomes. Prospective analysis of 271 male patients with androgenic alopecia who underwent hair transplantation with FUE technique between August 2015 and February 2020 at our center was conducted. The mean age was 35.93 ±4.40 years. At one year postoperatively, patients were asked to fill up a questionnaire which included their satisfaction level, need for 2nd session, and complications. Informed written consent was obtained from all patients. Also, blood samples were provided from patients before the operation. RNA extraction and cDNA synthesis were performed using the RNX-Plus kit (Cinnagen, Iran) and Vivantis kit (Malaysia). Amplification of SRD5A2 and GAPDH genes (as internal standard) for measuring gene expression was performed by real-time PCR. Data were analyzed using the statistical package for social science SPSS V. 23. In the last 156 cases, the addition of 40 mg of Triamcinolone to the LA solution led to a dramatic reduction of the incidence of postoperative oedema, from 40% to 9%. Adding three sessions of PRP at 2nd, 4th and 6th months postoperatively resulted in an increased patient satisfaction rate with better hair density and thickness where the rate of highly satisfied patients increased from 64.5% to 83.7%. The addition of 40 mg Triamcinolone to the LA solution was highly effective in reducing postoperative oedema. Three sessions of PRP at 2nd, 4th and 6th months postoperatively were recommended. The results of SRD5A2 gene expression showed that the expression of this gene in satisfied (P = 0.049) and dissatisfied (P = 0.028) patients were significantly higher than highly satisfied patients, which means that the SRD5A2 gene expression had an essential role in the successfulness of hair transplantation. The increased expression of this gene could reduce the response to hair transplantation.

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Section: Genetic Evaluation Resultsmentioning

confidence: 99%

Section: Genetic Evaluation Resultsmentioning

confidence: 99%

Adjuvant measures and genetic evaluations to improve results of hair transplantation

Fattah

2022

Cell Mol Biol (Noisy-le-grand)

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“…Meanwhile, the FDA Manufacturer and User Facility Device Experience database provides insight on AEs to be aware of and appropriately counsel patients during consultation. 13,46,[53][54][55][56] Improved reporting of complications for physicians and nonphysicians may identify additional strategies to improve patient care and ultimately reduce malpractice lawsuits. The recommendations (See Supplemental Digital Content 1, Table S1, http://links.lww.com/DSS/A890) are based on an overall low case total and represent the author's suggestions based on the interpretation of the literature and individual case law.…”

Section: Discussionmentioning

confidence: 99%

Litigation Arising From Minimally Invasive Cosmetic Procedures: A Review of the Literature

et al. 2021

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BACKGROUND Minimally invasive cosmetic procedures are on the rise. To meet this rising demand, increasing numbers of physicians and nonphysicians are performing these procedures. Understanding malpractice trends and reasons for litigation in cosmetic medicine is important to establish safeguards for patient care and minimize liability. OBJECTIVE Perform a comprehensive review of the literature on litigation associated with minimally invasive cosmetic procedures and discuss strategies to avoid facing a lawsuit. MATERIALS AND METHODS The authors searched PubMed databases using a variety of keywords to identify studies of lawsuits arising from minimally invasive cosmetic procedures through December 2020. RESULTS A total of 12 studies of litigation meeting inclusion criteria were identified: botulinum toxin (1), soft tissue fillers (3), lasers (5), body contouring/liposuction (1), chemical peels/dermabrasion (1), and sclerotherapy (1). Principle factors associated with litigation included negligence, lack of informed consent, vicarious liability for action of delegates, lack of communication, poor cosmetic result, failure to inform of risks, inappropriate treatment or dose, and failure to recognize or treat injury. CONCLUSION Understanding malpractice trends and reasons for litigation in minimally invasive cosmetic procedures can strengthen the patient–provider relationship, establish safeguards for patient care, and may minimize future risk of a lawsuit.

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“…Surgical complications in the recipient area were surveyed and recorded, including "asymmetry," "bleeding," "cobblestone appearance," "crusting," "cyst," "edema," "folliculitis," "infection," "keloid," "necrosis," "pain," "paresthesia," "pruritus," and "shock loss," by referring to published literature. 14 The cosmetic outcome (objective outcome) was evaluated by 3 blinded, certified plastic surgeons, who graded the outcomes in a single-choice grading system from 1 to 5: 1, "very poor;" 2, "poor;" 3, "average;" 4, "good;" and 5, "excellent," through comparison of photographs between before and after surgery. Subsequently, their median value was judged as a grade for the patient's surgical outcome.…”

Section: Data Collection and Analysismentioning

confidence: 99%

Robotically Assisted Recipient Site Preparation in Hair Restoration Surgery: Surgical Safety and Clinical Outcomes in 31 Consecutive Patients

Kanayama

Kato²,

Mori³

et al. 2021

Dermatol Surg

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BACKGROUND Recent advances in robotic surgery have extended to hair restoration surgery, using a robotic recipient site creation device. OBJECTIVE This study aimed to assess the surgical safety and postoperative clinical outcomes of using this robotic system. MATERIALS AND METHODS Thirty-one men diagnosed with androgenetic alopecia, who underwent hair transplantation with robotic recipient site creation, were retrospectively reviewed. Their mean age was 38.7 ± 9.5 (range, 22‒67) years. RESULTS The total number of robotically created recipient sites was 36,273. The average site creation speed was 1,593 ± 544 sites per hour. Postoperative crusting (54.8%) was the most frequent complication in the recipient area, followed by pruritus (12.9%), asymmetry (6.5%), and folliculitis (6.5%). The mean score of cosmetic outcomes and patient satisfaction, scored on a 5-point scale, was 4.10 ± 0.54 and 4.13 ± 0.85, respectively. No significant differences in cosmetic outcomes and patient satisfaction were found between 3 operators. CONCLUSION The current device can automatically make slit incisions in the recipient area with speed and consistency noninferior to manual site creation. It is both safe and reliable for clinical use, and it is also easily managed by different hair surgeons without a long learning curve.

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Complications with Hair Transplantation

Cited by 22 publications

References 10 publications

Adjuvant measures and genetic evaluations to improve results of hair transplantation

Adjuvant measures and genetic evaluations to improve results of hair transplantation

Litigation Arising From Minimally Invasive Cosmetic Procedures: A Review of the Literature

Robotically Assisted Recipient Site Preparation in Hair Restoration Surgery: Surgical Safety and Clinical Outcomes in 31 Consecutive Patients

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