Hair Transplantation in Cicatricial Alopecia

    October 2021 in “ Cosmoderma ”
    Gillian Roga, Naveen Thomas
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    TLDR Hair transplants can work for permanent hair loss if the condition is stable and done carefully.
    The document discusses the effectiveness of hair transplantation in treating cicatricial alopecia, a permanent hair loss condition. It reveals that graft survival rates are lower in scarring alopecia (50%) compared to non-scarring alopecia (>90%). The success of the procedure varies among different types of scarring alopecia, with rates of 60% for central centrifugal cicatricial alopecia, 85% for morphea, 60% for pseudopelade of brocq, 72% for discoid lupus erythematosus, and 40% for folliculitis decalvans. The paper emphasizes the need to ensure the disease is inactive before surgery, assess the scalp's thickness and blood supply, and determine the incision's angle and depth. It recommends using 2–5% minoxidil pre and postoperatively to enhance blood flow and advises against dense packing of grafts. The document concludes that hair transplantation can successfully treat cicatricial alopecia under certain conditions.
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