Letter: Hair Transplantation for Reconstruction of Scalp Defects Using Artificial Dermis

The letter to the editor expresses the author's perspective on the article by Dr. Narushima and colleagues regarding hair transplantation for scalp defect reconstruction using artificial dermis. The author commends the approach for certain cases but raises concerns about its general application. The author points out that the number of grafts used and the follow-up duration in the presented cases may not be sufficient to evaluate the success of hair growth. Additionally, the author suggests that other surgical options, such as skin grafts followed by tissue expansion and hair transplant surgery, might be preferable for achieving better hair coverage and restoration. The author concludes that artificial dermis may not be the first choice for plastic and hair transplant surgeons when multiple surgical options are available for scalp defects requiring hair coverage. The letter does not provide specific patient numbers or detailed study results but rather offers a professional opinion on the discussed technique.