Long-Term Multimodal Reconstruction of Extensive Post-Burn Scalp Alopecia Using Tissue Expansion and Follicular Unit Extraction: A 10-Year Follow-Up Case Report

This case report details the successful long-term reconstruction of extensive post-burn scalp alopecia in a 35-year-old male using a multimodal approach over 10 years. The patient, who suffered second- and third-degree burns over 70% of his body, underwent scalp reconstruction involving tissue expansion, rotational flaps, partial-thickness skin grafts, and four follicular unit excision (FUE) hair transplant sessions, totaling 2,946 scalp and 1,468 beard follicular units. The procedures resulted in near-complete restoration of the scalp, satisfactory graft survival, and the patient’s reintegration into social activities. The study highlights the effectiveness of combining advanced wound care techniques with staged hair transplantation to achieve durable aesthetic and functional outcomes, despite challenges such as reduced vascularization and increased risk of infection.