Transplanting into Areas of Cicatricial Alopecia

    October 2022 in “ Hair Transplantation ”
    TLDR Surgical correction of cicatricial alopecia requires careful planning, with excision preferred over hair transplantation, and surgery should be delayed for stable conditions.
    The document discussed the surgical correction of cicatricial alopecia, emphasizing the balance between achieving cosmetic results and respecting scar tissue characteristics. Excision of scar tissue was preferred when possible, as it provided immediate results without using donor hair. When excision was not feasible, hair transplantation was an option, though initial recipient site density was limited to 20-25/cm², often necessitating a second surgery. It was crucial for surgeons to differentiate between stable and unstable cicatricial alopecias, such as lichen planopilaris and frontal fibrosing alopecia, which were increasing in prevalence and challenging to diagnose. These conditions required prompt medical treatment, and surgery was ideally delayed until at least 2 years of quiescence, with continued medical surveillance post-surgery.
    Discuss this study in the Community →

    Research cited in this study

    9 / 9 results

    Related Community Posts Join

    6 / 24 results
      If You Have DUPA, PLEASE READ THIS: Everyone Should Be Scalp Biopsied

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

      in Research  830 upvotes 1 year 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 Losing Hair on Dutasteride? You might have LPP

      in Research/Science  98 upvotes 11 months ago
      Men with hair loss might have lichen planopilaris (LPP), which can mimic androgenetic alopecia, leading to misdiagnosis and ineffective treatment with finasteride or dutasteride. Proper diagnosis, including biopsies, is crucial to distinguish between androgenetic alopecia and conditions like LPP.

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

      in Will treatment work for me? 3 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 Quote from Pelage (PP-405) Spokesperson...

      in Research/Science  123 upvotes 4 months ago
      Pelage is developing a topical hair follicle stem cell therapy, PP405, for non-scarring alopecias like androgenetic alopecia, with Phase III trials planned and a potential market launch by 2027. The treatment may not require continuous use after initial regrowth.

      community Totally confused by doctors opinions, would appreciate some clarity

      in Treatment  1 upvotes 1 year 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.

    Similar Research

    6 / 1000+ results
      The Surgical Treatment of Cicatricial Alopecia

      research The Surgical Treatment of Cicatricial Alopecia

      51 citations , July 2008 in “Dermatologic Therapy”
      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.
      Female Hair Restoration

      research Female Hair Restoration

      12 citations , August 2013 in “Facial Plastic Surgery Clinics of North America”
      Hair transplantation is the only permanent solution for female pattern hair loss and can greatly improve quality of life with careful planning.
      Hair Restoration Surgery: The State of the Art

      research Hair Restoration Surgery: The State of the Art

      32 citations , November 2012 in “Aesthetic Surgery Journal”
      Hair restoration surgery has advanced, focusing on natural results and may improve further with new techniques and therapies.
      Pathomechanisms of Immune-Mediated Alopecia

      research Pathomechanisms of Immune-Mediated Alopecia

      45 citations , April 2019 in “International Immunology”
      The study concluded that immune cells attacking hair follicles cause hair loss in alopecia, with genetics and environment also playing a role, and highlighted the potential of certain treatments.