Surgical Treatment of Secondary Cicatricial Alopecia of Scalp and Eyebrow

January 2009 in “ Indian Journal of Plastic Surgery ”

Abdelaziz Rizk Hassan

cicatricial alopecia scalp expanders scalp reduction strip composite hair-bearing scalp grafts advancement flaps direct closure

TLDR Surgical methods for hair loss due to scarring should be chosen based on the size, location, and shape of the area, with most patients seeing good results.

In the study conducted between June 2006 and July 2007, 24 patients with acquired cicatricial alopecia, caused by burns, mechanical trauma, and pyogenic infection, underwent surgical treatments for hair loss on the scalp and eyebrow. The patients, aged 6-48 with an average age of 26.25 years, received treatments including direct closure, advancement flaps with scalp expanders, scalp reduction, and strip composite hair-bearing scalp grafts. The study concluded that the choice of surgical method should depend on the defect's size, location, and shape, with 75% (18 out of 24 patients) experiencing good results. The study also assessed the complications and effectiveness of the various reconstruction techniques.

View this study on thieme-connect.de →

Discuss this study in the Community →

Related Community Posts Join

6 / 14 results

community Comprehensive Microneedling Guide

in Microneedling 291 upvotes 2 years ago

Microneedling for hair restoration involves daily use of a 0.3 mm device and weekly use of a 0.5 mm device. Combining microneedling with Minoxidil can enhance hair growth.

community If You Have DUPA, PLEASE READ THIS: Everyone Should Be Scalp Biopsied

in Research 828 upvotes 5 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 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 Finasteride doesn't work for me in 2 years and my bloodtest result just came in.

in Progress Pictures 88 upvotes 1 year ago

A user has been treating hair loss with finasteride for two years without success and is experiencing an itchy scalp with seborrhea. Despite low DHT levels, they are still losing hair, suggesting that DHT might not be the main cause of their hair loss, and they are considering other treatments or causes.

community Wanted to say that Derma rolling and Pumpkin seed oil helped my crown out.

in Treatment 4 upvotes 5 years ago

Derma rolling, pumpkin seed oil, and daily massages helped regrow weak hairs on the crown. Nizoral shampoo and yoga also contributed to reducing scalp pain and stress.

community Totally confused by doctors opinions, would appreciate some clarity

in Treatment 1 upvotes 1 month 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

1 / 1 results

research Surgical Treatment of Secondary Cicatricial Alopecia of Scalp and Eyebrow

January 2009 in “Indian Journal of Plastic Surgery”

Surgical methods for hair loss due to scarring should be chosen based on the size, location, and shape of the area, with most patients seeing good results.