Hair Transplantation In Scar Alopecia
Hair transplantation in scarred alopecia, cicatricial Alopecia, which causes permanent damage to hair follicle stem cells, causes irreversible hair loss and negatively affects the self-image and self-esteem of the patient. Cicatricial alopecia is divided into two main groups as “primary” and “secondary” cicatricial alopecia.
Primary cicatricial alopecia consists of various inflammatory diseases of unknown etiology. They cause permanent loss of both hair shafts and visible follicular ostia and cause pathological replacement of follicular structures with fibrous tissue.
Secondary cicatricial alopecia can be caused by almost all cutaneous inflammatory processes of the scalp or physical trauma that damages the skin and skin extensions.
Current therapeutic regimens aim to slow or inhibit disease progression by local or systemic immunomodulation. First-choice treatments are topical steroids such as fluocinonide and clobetasol lotion or cream, and intralesional triamcinolone acetonide.
Retinoids, hydroxychloroquine and mycophenolate are widely used to support corticosteroids and reduce inflammation in rapidly progressing disease.
Hair transplantation is used by many patients as a treatment option.
What is the best hair transplant method for cicatricial alopecia?
The FUE method is the gold standard hair transplant method in cicatricial alopecia.
Which cicatricial alopecia patient is a candidate for hair transplantation?
If the patient’s cicatricial alopecia is not active and the scar does not cause hair loss, the patient can be treated with hair transplantation.
Which factors are important for obtaining successful hair transplant results in cicatricial alopecia?
- Type of cicatricial alopecia
- Availability of donor hair
- Scalp laxity
- The patient’s recovery characteristics
- Vascular source
- The location of the scar is important for good results.