Hair Transplantation in Cicatricial Alopecias

January 2013 in “ Hair therapy & transplantation ”

Zekayi Kutlubay Murat Kucuktas

cicatricial alopecia hair transplantation Follicular Unit Extraction FUE excision flap surgery tissue expansion blood flow minoxidil pentoxyphylline hair neogenesis autologous adult hair follicle cells ischemia tissue necrosis infection scarring alopecia hair transplant Rogaine

From the encyclopedia

Minoxidil →

An essential vasodilator with some anti-androgenic effects

Hair Transplant →

Hair transplantation moves DHT-resistant follicles from a donor area (back and sides of the scalp) into thinning or bald areas. The transplanted hair is generally permanent, though surrounding native hair can keep thinning.

Studysummary This review discusses surgical and future therapeutic options for cicatricial alopecia and reports no clinical results; the authors emphasize the need for more options for patients without active disease signs. Our plain-language summary of this paper — not a Tressless recommendation.

The document from 2013 reviewed treatment options for cicatricial alopecia (CA), a type of hair loss characterized by scarring. It differentiated between primary CA, with unknown causes, and secondary CA, resulting from trauma or inflammation. The document highlighted surgical treatments like hair transplantation, specifically the Follicular Unit Extraction (FUE) method, as well as excision, flap surgery, and tissue expansion. It emphasized the importance of blood flow in the recipient area for the success of hair transplantation. Additionally, the document mentioned the use of minoxidil and pentoxyphylline to enhance graft survival and the future potential of hair neogenesis using autologous adult hair follicle cells. It also acknowledged complications such as ischemia, tissue necrosis, and infection, recommending that patients without active disease should have access to more therapeutic options.

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Research cited in this study

7 / 7 results

research A New Approach to Treating Scarring Alopecia by Hair Transplantation and Topical Minoxidil

11 citations , January 2010 in “Indian Journal of Dermatology, Venereology and Leprology”

Hair transplant and applying 5% minoxidil solution can effectively treat permanent hair loss, but it may change hair direction in some cases.

research The Surgical Treatment of Cicatricial Alopecia

51 citations , July 2008 in “Dermatologic Therapy”

This article proposes two new categories of cicatricial alopecia—“unstable” and “stable”—and suggests surgical excision as preferred over hair transplantation, especially for unstable cases.

research Management of Primary Cicatricial Alopecias: Options for Treatment

98 citations , May 2008 in “British Journal of Dermatology”

This review discusses evidence-based guidance for managing primary cicatricial alopecias but reports no new clinical results, highlighting significant gaps in knowledge and the need for more quality trials.

research Follicular Unit Hair Transplantation

4 citations , January 2005 in “Elsevier eBooks”

This article discusses the key considerations and techniques necessary for successful Follicular Unit Transplantation in hair restoration surgery and reports no new clinical results.

research The Potential Role of Minoxidil in the Hair Transplantation Setting

31 citations , October 2002 in “Dermatologic Surgery”

This article reviews expert opinions on combining pharmacologic treatments like minoxidil with hair transplantation, reporting improved hair density and regrowth in patients with partially functioning follicles.

research A Comparison of Graft Implantation Techniques for Hair Transplantation

11 citations , June 1999 in “Seminars in Cutaneous Medicine and Surgery”

This article compares modern hair restoration techniques for androgenic alopecia, focusing on procedure times, labor, and costs, but it does not provide new clinical findings.

research Hair Transplantation Update

8 citations , January 1998 in “Journal of Cutaneous Medicine and Surgery”

This review discusses the advancements and ongoing controversies in hair transplantation techniques, reporting no new clinical results, but highlights the evolving methods for improving natural appearance in male-pattern baldness and female alopecia.