Hair Transplantation in Cicatricial Alopecia: The Role of Autologous Fat Transfer

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.

Efficacy of Autologous Nano Fat in Hair Transplantation By FUE In Cicatricial Alopecia.

“…In agreement to our study, Tesauro 19 Nevertheless, Ghazal 18 reported that the mean hair growth for group A was 83.76±7.06% after the follow-up period, 84.73±8.4 for group B and 83.70±3.29 for group C with no significant difference between the three groups as regards hair growth and this agreed with our study.…”

“…In agreement to our study, Tesauro 19 According to the study, scar tissue that has been previously treated can be transplanted with greater density, reducing the need for multiple hair transplantation sessions. These procedures yield satisfactory post-operative results for the patient and reduce post-operative complications.…”

Surgical Management of Scarring Alopecia

“…The scars should be fully mature that pale, soft, flat, and flexible with sufficient subcutaneous soft tissue and vascular supply [14][15][16]. If the scar is immature, hypertrophic or excessively atrophic, and located on directly muscle, bone or tendon with not enough subcutaneous tissue, various approaches including preoperative fat grafting, stem cell and laser treatment and combinations could be used to increase the quality, pliability and vascularity of scar tissue [2,12,15,[29][30][31][32].…”

“…Prosthetic wigs, tattoo micro-pigmentation, colored spray, dye and make-up can be used for non-surgical camouflage of scalp cicatricle alopecia, but not natural and available for facial scarring alopecia [14,28,29,33].…”

Infranatant Portion of Microfragmented Adipose Tissue: A Promising Source of SVF for the Management of Androgenetic Alopecia

“…The association of SVF and platelet-rich plasma (PRP) has proved to be an effective protocol in the treatment of androgenetic alopecia but the standard protocol of autologous regenerative treatment for AGA involves the injection of microfragmented adipose tissue in the scalp [24,25]. We limited this approach to cases of Secondary Cicatricial Alopecia (SCAs), where the engraftment of mature adipocytes was useful in order to recreate or enhance subdermal thickness [26]. In all other cases of AGA, we believe that the standard protocol does not meet the minimally invasive nature which is an essential requirement for patients seeking regenerative medicine treatments.…”