The Surgical Treatment of Cicatricial Alopecia

    July 2008 in “ Dermatologic Therapy ”
    Walter Unger, Robin Unger, C Wesley
    Image of study
    TLDR The document concludes that surgery is a preferred treatment for cicatricial alopecia, with the method chosen based on individual factors and may require multiple sessions and careful postoperative care.
    The 2008 document outlines the surgical treatment options for cicatricial alopecia, distinguishing between stable cicatricial alopecia (SCA) and unstable cicatricial alopecia (UCA). Surgical excision is generally preferred for both types, particularly for UCA due to its progressive nature. The choice between hair transplantation and excision depends on factors such as donor hair availability, scalp laxity, and potential for future hair loss in surrounding areas. Techniques discussed include the use of tissue expanders to facilitate larger excisions, hair transplantation with careful donor selection and recipient site creation, and the importance of low-tension wound closure and adequate blood supply for successful outcomes. The document also notes the potential need for multiple sessions, the possibility of complications, and the importance of individualized treatment plans. If surgery is not viable, alternatives like scalp coloring, tattooing, or hairpieces are suggested. The authors stress the importance of conservative approaches, patient-specific preparations, and postoperative care to minimize complications and improve graft survival.
    Discuss this study in the Community →

    Research cited in this study

    1 / 1 results

    Related Community Posts Join

    6 / 14 results
      Diffuse hair loss and scalp biopsies

      community Diffuse hair loss and scalp biopsies

      in Research  692 upvotes 4 months ago
      Scalp biopsies are crucial for diagnosing hair loss conditions like Diffuse Unpatterned Alopecia (DUPA) and retrograde hair loss, as treatments like finasteride and dutasteride may not be effective if other conditions are present. Combining PPAR-GAMMA agonists with retinoids could improve treatments for conditions like Lichen Planopilaris.

      community Exploring Bryan Johnson's Hair Routine In Detail

      in Research/Science  64 upvotes 11 months ago
      Bryan Johnson uses a custom hair loss treatment that includes topical finasteride, minoxidil, azelaic acid, diclofenac, tea tree oil, rosemary oil, ginkgo biloba, biotin, and melatonin, which have shown varying degrees of effectiveness with minimal side effects. He also undergoes PRP and laser therapy, and has tried dutasteride mesotherapy.

      community Finasteride not working isnt it MPB?

      in Finasteride/Dutasteride  5 upvotes 7 months ago
      A user is concerned that finasteride isn't working for their hair loss, questioning if it's due to male pattern baldness or low iron levels. They are advised to take finasteride daily and get blood work done.

      community I am a dermatologist with a clinical interest in alopecia. AMA

      in Will treatment work for me? 2 years ago
      In this conversation, 4990 discussed various treatments for hair loss, including oral minoxidil, PRP, transplan, Jak inhibitors, Dutasteride, Finasteride, Olumiant, Ketoconazole, RU58841, microneedling, baricitinib, and CCCA. They recommended scalp biopsies in unclear cases of DUPA, twice weekly to twice daily shampooing for topical minoxidil users, and two sessions spaced one month apart with follow up at month three to determine the effectiveness of PRP treatment.

      community Totally confused by doctors opinions, would appreciate some clarity

      in Treatment  1 upvotes 2 weeks ago
      The user is experiencing hair loss and confusion over conflicting medical advice, with treatments including minoxidil, finasteride, and topical corticosteroids. They are unsure about the necessity of a biopsy and the timing of using minoxidil, while also considering the impact of potential androgenetic alopecia and telogen effluvium.

    Related Research

    9 / 9 results