Extensive Donor Site Keloids in Follicular Unit Extraction Hair Transplantation

January 2017 in “ International Journal of Trichology ”

Shimona Garg, Anand Kumar, Ankita Tuknayat, Gurvinder P. Thami

follicular unit extraction FUE keloids triamcinolone acetonide intralesional injections pressure therapy silicone gel sheeting silicone gel flavonoids intralesional steroids 5-fluorouracil interferons cryotherapy steroid injections 5-FU

TLDR Hair transplant can cause hard-to-treat keloids in some patients.

The document discusses a case of extensive keloid formation at the donor site following a follicular unit extraction (FUE) hair transplant procedure. The patient, a 30-year-old male, experienced growth of reddish raised itchy areas over the occiput 8 months after the procedure. The keloids were diagnosed as FUE-induced and were found to be resistant to treatment with triamcinolone acetonide intralesional injections. The document suggests that hair transplant surgeons should be aware of this potential complication, especially in patients with previous keloidal tendencies. It also discusses preventive strategies for this difficult to treat complication, including immediate postoperative prophylactic measures such as pressure therapy, silicone gel sheeting, silicone gel, and flavonoids. Early intervention in potentially developing lesions with intralesional steroids, 5-flurouracil, interferons, and cryotherapy is recommended.

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Research cited in this study

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research Follicular Unit Extraction Hair Transplant

29 citations, January 2010 in “PubMed”

FUE hair transplants offer minimal scarring and are good for short hairstyles but are time-consuming and can be costly.

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Clinical studies by Dr. Barghouthi and Dr. Bloxham indicate that Verteporfin, when used with FUE and FUT hair transplantation methods, shows promise in hair follicle regeneration and minimal scarring due to its ability to inhibit Yes-associated protein (YAP). Microneedling at depths of 3-3.5mm, combined with Verteporfin, could potentially reactivate dormant follicles, although the optimal dosage and application method are still under investigation. Concerns remain about the DHT sensitivity of regenerated follicles, highlighting the need for further research to optimize trauma levels and Verteporfin concentrations to achieve effective and scar-free hair regeneration.

community Beard to Scalp Hair Transplants - are they any good?

in Transplants 6 upvotes 3 years ago

Beard to scalp hair transplants can provide 12,000-15,000 grafts for coverage, with fast recovery time. However, beard hair may grow curly and not suitable for frontal areas.

community COMPLETE OVERVIEW of the Treatment of androgenetic alopecia in men

26 upvotes 10 years ago

Male androgenetic alopecia is commonly treated with topical minoxidil and oral finasteride, both requiring continuous use. Other options include hair restoration surgery, dutasteride, light therapy, and camouflaging agents.

community So we have 20k dollars human like machines available but no new effective treatment for hairloss since finasteride :)

in Chat 237 upvotes 2 months ago

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community How is verteporfin doing in trials?

in Chat 9 upvotes 1 year ago

The conversation is about the progress of verteporfin in hair loss trials, with users expressing curiosity about its effectiveness and updates. Specific treatments mentioned include FUE (Follicular Unit Extraction) combined with verteporfin, with one reported case of donor area regrowth after a year, and three patients being monitored post-treatment by Dr. Bloxham with monthly updates on YouTube.

community 6 months after FUE. I know hair is longer and different light, but the resultat is amazing so far. Confidence is skyhigh!

in Transplants 3 years ago

User had successful FUE hair transplant with 3500 grafts, costing 3900 euros at Novohair in Berlin, gaining confidence. User lost hair due to chemo, family history of hair loss at 40-50 years old.

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research Harvested vs Estimated Follicular Units in Hair Transplantation

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Actual harvested hair follicles were fewer and differed in type from estimated, with older patients and those with multiple transplants needing more careful planning.

research Donor Hair Follicle Preservation by Partial Follicular Unit Extraction: A Method to Optimize Hair Transplantation

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