Head and Neck Restoration in Scar Alopecia: Hair Transplantation in Scalp, Eyebrows, Beard, and Mustache

    Ahmad Noori, Mina Rabiee, Davood Mehrabani, Mohammad Reza Namazi
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    TLDR Hair transplantation is effective for treating scar-related hair loss on the head and neck.
    The study "Head and Neck Restoration in Scar Alopecia: Hair Transplantation in Scalp, Eyebrows, Beard and Mustache" conducted from 2016 to 2018 in Shiraz, Iran, evaluated the efficacy of hair transplantation methods in 56 patients with scar alopecia in the head and neck region. The majority of the patients were male (71.4%) and aged between 31 and 40 years (48.3%). The causes of alopecia included trauma, burn, surgical excision of adjacent skin, radiotherapy, and leishmaniasis. The scars were visible in the scalp (39.3%), beard (28.6%), eyebrow (21.4%), and moustache (10.7%) regions. The methods used were follicular unit extraction (FUE) (87.5%), follicular unit transplantation (FUT) (10.7%), and a combination of both (1.8%). One-hair-grafts were used in eyebrows (100%), moustache (100%), beard (88%) and scalp (7.9%), while 2-hair-grafts in beard (6%) and scalp (47.4%) and 3-haired grafts in beard (6%) and scalp (44.7%) transplantations. The study concluded that in head and neck scar alopecia, hair transplantation was selected based on the type and depth of the scar.
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