Use of Hair Grafting in Scar Camouflage

Barr, Lucy; Barrera, Alfonso

doi:10.1016/j.fsc.2011.06.010

Cited by 27 publications

(70 citation statements)

References 23 publications

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“…In our clinical study, the survival rate of the FU transplantations ranged from 70 to 90% with an average of 80.67%. This rate is lower than the average survival rate of 90% in normal scalps from our previous experience and previous studies [25, 30–32]. Furthermore, in some cases, the survival rates remained as low as 70%, which is much lower than the average in normal scalps.…”

Section: Discussioncontrasting

confidence: 70%

“…The traditional surgical treatment methods for such lesions include excision, local flap, and tissue expansion, which can result in additional scarring, an unfavorable hair growth direction, and vascular network compromises [1, 5]. Some reports have described successful cases of camouflaging postsurgical scar alopecia with hair transplantation [14, 25].…”

Section: Discussionmentioning

confidence: 99%

“…The concept of implanting hair follicles has not been widely accepted as a primary treatment for postsurgically occurring alopecia with the presumption that the graft survival rate would be low due to limited vascularity, tissue stiffness, skin thinning, and possible infection at the recipient site [27, 28]. Conversely, some previous studies have shown that, because of the small size and low metabolic requirement of FUs, hair grafts can grow well in scar tissue [13, 25, 29]. According to Shao, hair transplantation in 37 cicatricial alopecia patients with traumatic scars resulted in a 78% survival rate at an average of 13 months of follow-up [14].…”

Section: Discussionmentioning

confidence: 99%

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Treatment of Postsurgical Scalp Scar Deformity Using Follicular Unit Hair Transplantation

Yoo

Moh²,

Park

2019

BioMed Research International

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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.

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Section: Discussioncontrasting

confidence: 70%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Treatment of Postsurgical Scalp Scar Deformity Using Follicular Unit Hair Transplantation

Yoo

Moh²,

Park

2019

BioMed Research International

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“…Important considerations include wider spacing of grafts compared with regular hair transplantation of androgenic pattern hair loss because of the decreased vascularity over these scarred areas. Staged procedures can be done to increase density and improve coverage [8].…”

Section: Discussionmentioning

confidence: 99%

Follicular Unit Transplantation Versus Scalp Expansion in Management of Secondary Cicatricial Alopecia

Ads¹,

Saeed

Moossa

et al. 2020

The Egyptian Journal of Plastic and Reconstructive Surgery

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Background: The bad impact of cicatricial alopecia among population leads to increase the desire of correcting that type of hair loss. There are many methods of hair restoration, but the efficacy of each, its indications and the possible hazards hasn't yet been clearly identified. Objective: To evaluate the use of two different techniques for hair restoration in patients with secondary cicatricial alopecia. Either using follicular unit extraction (FUE) or scalp expanders (SE) to correct the deformity depending upon many factors (Inclusion & Exclusion criteria). Indications, operative time, Aesthetic outcome and complications are to be discussed. Patients and Methods: This study included 30 patients who were grouped into two populations. The first one (Group A) those who underwent FUE included 13 cases while the second group was SE (Group B) included 17. All of them were suffering from secondary cicatricial alopecia and they were grouped according to the surface area of the alopecia. Results: The mean value of the surface area of alopecia was significantly larger in the SE group than FUE group with a p-value <0.001. Post-operative recovery was nearly similar apart from being faster gain in group B and better hair density. Conclusion: In management of secondary cicatricial alopecia, many factors affect surgical planning. Both FUE and SE are very useful tools in managing those patients when properly selected and tailored to the patient.

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“…Scars in the hair bearing areas like eyebrows, moustache, beard or the scalp can be camouflaged by hair grafting. [59] SUMMARY Abnormal scarring remains one of the major problems faced by surgeons and their patients. Surgical treatment of a suboptimal scar should be undertaken only after it matures, ideally after a year.…”

Section: Lasers In Scar Managementmentioning

confidence: 99%

Scar revision

Sharma

Wakure

2013

Indian J Plast Surg

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Most surgical patients end up with a scar and most of these would want at least some improvement in the appearance of the scar. Using sound techniques for wound closure surgeons can, to a certain extent, prevent suboptimal scars. This article reviews the principles of prevention and treatment of suboptimal scars. Surgical techniques of scar revision, i.e., Z plasty, W plasty, and geometrical broken line closure are described. Post-operative care and other adjuvant therapies of scars are described. A short description of dermabrasion and lasers for management of scars is given. It is hoped that this review helps the surgeon to formulate a comprehensive plan for management of scars of these patients.

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Use of Hair Grafting in Scar Camouflage

Cited by 27 publications

References 23 publications

Treatment of Postsurgical Scalp Scar Deformity Using Follicular Unit Hair Transplantation

Treatment of Postsurgical Scalp Scar Deformity Using Follicular Unit Hair Transplantation

Follicular Unit Transplantation Versus Scalp Expansion in Management of Secondary Cicatricial Alopecia

Scar revision

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