FUE Donor Site Ischemia and Necrosis

    January 2014 in “ Hair transplant forum international ”
    Çağatay Sezgin
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    TLDR Heavy smoking and other factors may lead to reduced blood flow and tissue death after hair transplant surgery.
    In 2014, a case study was conducted on a 39-year-old male patient who underwent follicular unit extraction (FUE) for hair transplantation. The patient, a heavy smoker with no known diseases, experienced donor site ischemia and necrosis, which healed with a scarring alopecia area. The study concluded that heavy smoking, thin subcutaneous tissue, prolonged pressure, and potentially increased blood viscosity could reduce tissue blood circulation, leading to tissue ischemia and necrosis in FUE harvesting. This was likely the first reported case of donor area necrosis after an FUE procedure. The study suggested that it should be routine to ask patients about these risk factors before the procedure.
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