Early-Onset Recipient-Site Necrosis After FUE Hair Transplantation Complicated by Pseudomonas Aeruginosa Infection: A Case Report

A 46-year-old male with androgenetic alopecia experienced early-onset recipient-site necrosis after undergoing a nine-hour FUE hair transplantation, complicated by a secondary infection with Pseudomonas aeruginosa. The patient, a heavy smoker, showed signs of necrosis by postoperative day two, which worsened by day ten. Treatment with conservative wound care and antibiotics resolved the infection, but resulted in residual scarring after 12 weeks. This case underscores the importance of recognizing patient-related risk factors, such as smoking and prolonged surgery, which can contribute to severe complications like necrosis, and highlights the need for early intervention to reduce tissue loss.