TLDR Hair transplantation showed the most promise for repigmenting white hair, especially for eyebrows and eyelashes.
The document discussed surgical treatments for leukotrichia, a condition associated with vitiligo, which often indicates a more severe and treatment-resistant form of the disease. Traditional surgical methods like dermabrasion, suction blister grafting, and thin split-thickness skin grafts had limited and unpredictable success in repigmenting white hair. However, hair transplantation showed more promising results, particularly for eyebrows and eyelashes, though it was less effective for the scalp. Repigmentation of hair occurred later than skin repigmentation and was permanent for up to 5 years. The findings suggested that melanocytes migrate from the epidermis to hair follicles, but more research was needed to predict surgical outcomes for leukotrichia.
177 citations,
November 2002 in “British journal of dermatology/British journal of dermatology, Supplement” Transplantation is effective for stable leucoderma but not for progressive, widespread vitiligo vulgaris.
294 citations,
August 1999 in “Journal of the American Academy of Dermatology” Laser hair removal is safe with the right settings, but side effects like pain and skin changes are more common in darker or tanned skin.
October 2021 in “Indian Journal of Plastic Surgery” You can use hair from other parts of the body for scalp hair restoration.
1 citations,
May 2021 in “International Journal of Dermatology” Long hair follicular unit excision is effective for hair transplants, providing quick, natural-looking results with less pain but needs more time, staff, and skill.
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.
October 1987 in “Clinics in Dermatology” Scalp reduction can improve hair distribution in certain baldness cases but requires careful patient selection and understanding of facial structure.