Successful Hair Transplantation Following Repeated Lipostructure in a Case of Morphea En Coup De Sabre: A Multidisciplinary and Regenerative Approach

The document reports a successful case of combining repeated autologous lipostructure and hair transplantation in a 40-year-old woman with morphea en coup de sabre, a condition causing scarring alopecia. Over 5 years, the patient underwent four fat grafting sessions using the Coleman technique, followed by follicular unit extraction (FUE) hair transplantation with 1,600 grafts. The procedure resulted in rapid and stable hair regrowth, with excellent aesthetic outcomes and high patient satisfaction at 12 months post-transplantation. This case suggests that fat grafting can enhance graft survival by improving dermal quality and vascularization, offering a promising treatment for scarring alopecia in stable patients.