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

The study conducted from 2016 to 2018 in Shiraz, Iran, investigated the efficacy of hair transplantation in 56 patients with head and neck scar alopecia. The patients were mostly male (71.4%) and aged between 31 and 40 years old (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.