Volume 10, Issue 3 (7-2021)                   WJPS 2021, 10(3): 90-98 | Back to browse issues page

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Noori A, Rabiee M, Mehrabani D, Namazi M R. Head and Neck Restoration in Scar Alopecia: Hair Transplantation in Scalp, Eyebrows, Beard and Mustache. WJPS. 2021; 10 (3) :90-98
URL: http://wjps.ir/article-1-826-en.html
Department of Genetics, Islamic Azad University, Shahrekord Branch, Shahrekord, Iran
Abstract:   (426 Views)
Surgical management of hair loss has become an increasingly challenging procedure, when dealing with scar alopecia. We investigated the efficacy of hair transplantation in patients with head and neck scar alopecia.
From 2016 to 2018 in Shiraz, Iran, all patients with scar alopecia in head and neck were evaluated for efficacy of follicular unit extraction (FUE), follicular unit transplantation (FUT) or a combination of two methods from donor sites in scalp and beard various hair-grafts were compared.
Fifty-six patients were enrolled. Most of them were between 31 and 40 yr old (48.3%) and male (71.4%). Trauma, burn, surgical excision of adjacent skin, radiotherapy and leishmaniasis were the registered causes. Scars were visible in scalp (39.3%), beard (28.6%), eyebrow (21.4%), and moustache (10.7%) regions. FUE (87.5%), FUT (10.7%) and a combination (1.8%) were the used methods. One-hair-grafts were used in eyebrows (100%), moustache (100%), beard (88%) and scalp (7.9%), while 2-hair-grafts in beard (6%) and scalp (47.4%) and 3-haired grafts in beard (6%) and scalp (44.7%) transplantations.
In head and neck scar alopecia, hair transplantation was selected based on type and depth of scar. FUE was targeted when huge grafts were not needed, including beard, moustache, and eyebrow, while FIT was used when extensive scars were present in scalp. One-hair-grafts were mostly applied for eyebrow, moustache and beard, 2-hair- and 3-hair- grafts for beard and scalp transplantation. These findings can be added to the literature when FUE, FIT, or their combination are targeted in hair restoration of scar alopecia in head and neck.
Full-Text [PDF 706 kb]   (200 Downloads)    
Type of Study: case report | Subject: Special
Received: 2021/08/18 | Accepted: 2021/07/6 | Published: 2021/10/23

1. Avram MR, Finney R, Rogers N. Hair transplantation controversies. Dermatol Surg 2017;43:S158-62. [DOI:10.1097/DSS.0000000000001316]
3. Rosati P, Barone M, Alessandri Bonetti M, et al. A Systematic Review of Outcomes and Patient Satisfaction Following Surgical and Non-surgical Treatments for Hair Loss. Aesthetic Plast Surg 2019 Aug 26. [Epub ahead of print] [DOI:10.1007/s00266-019-01480-9]
5. Martin A, Maladry D, Esmaeli A, et al. Fat grafting of hairy areas of head and neck - comparison between lipofilling and nanofat grafting procedures in a cadaveric study. J Stomatol Oral Maxillofac Surg 2018;119:274-8. [DOI:10.1016/j.jormas.2018.06.011]
7. Rongioletti F, Christana K. Cicatricial (scarring) alopecias: an overview of pathogenesis, classification, diagnosis, and treatment. Am J Clin Dermatol 2012;13:247-60. [DOI:10.2165/11596960-000000000-00000]
9. Farjo B, Farjo N, Williams G. Hair transplantation in burn scar alopecia. Scars Burn Heal 2015;1:2059513115607764. [DOI:10.1177/2059513115607764]
11. Goldman BE, Goldenberg DM. Nape of neck eyebrow reconstruction. Plast Reconstr Surg 2003;111:1217-20. [DOI:10.1097/01.PRS.0000047532.52502.6C]
13. Avram MR, Cole JP, Gandelman M, et al. Roundtable Consensus Meeting of The 9th Annual Meeting of The International Society of Hair Restoration Surgery. The potential role of minoxidil in the hair transplantation setting. Dermatol Surg 2002;28:894-900. [DOI:10.1046/j.1524-4725.2002.02068.x]
15. Avram M, Rogers N. Contemporary hair transplantation. Dermatol Surg 2009;35:1705-19. [DOI:10.1111/j.1524-4725.2009.01283.x]
17. Tomc CM, Malouf PJ. Eyebrow restoration: the approach, considerations, and technique in follicular unit transplantation. J Cosmet Dermatol 2015;14:310-14. [DOI:10.1111/jocd.12170]
19. Rassman WR, Bernstein RM, McClellan R, et al. Follicular unit extraction: minimally invasive surgery in hair transplantation. Dermatol Surg 2002;28:720-8. [DOI:10.1097/00042728-200208000-00014]
21. Jiménez-Acosta F, Ponce I. Follicular unit hair transplantation: current technique. Actas Dermosifiliogr 2010;101:291-306. [DOI:10.1016/S1578-2190(10)70639-9]
23. Unger W, Unger R, Wesley C. The surgical treatment of cicatricial alopecia. Dermatol Ther 2008;21:295-311. [DOI:10.1111/j.1529-8019.2008.00211.x]
25. Omranifard M, Ardakani MR, Abbasi A, et al. Follicular isolation technique with de-epithelialization for eyebrow and eyelash reconstruction. Plast Reconstr Surg 2012;130:571-8. [DOI:10.1097/PRS.0b013e31825dc00e]
27. Avram MR. Hair transplantation in the 1990s. Cosmet Dermatol 1998;11:31-3.
28. Kuka Epstein G, Epstein J. Two-Stage Procedure to Correct Scalp and Facial Scars-Autologous Fat Grafting Before Hair Grafting. Dermatol Surg 2020;46:1262-1264. [DOI:10.1097/DSS.0000000000002107]
30. Bared A, Epstein JS. Hair Transplantation Techniques for the Transgender Patient. Facial Plast Surg Clin North Am 2019;27:227-32. [DOI:10.1016/j.fsc.2018.12.005]
32. Epstein J. Facial hair restoration: hair transplantation to eyebrows, beard, sideburns, and eyelashes. Facial Plast Surg Clin North Am 2013;21:457-67. [DOI:10.1016/j.fsc.2013.05.004]
34. Avram MR, Rogers N, Watkins S. Side-effects from follicular unit extraction in hair transplantation. J Cutan Aesthet Surg 2014;7:177-9. [DOI:10.4103/0974-2077.146681]
36. Radwanski HN, Nuns D, Nazina F. Follicular transplantation for the correction of various stigmas after rhytidoplasty. Aesthetic Plast Surg 2007;31:62-8. [DOI:10.1007/s00266-006-0141-5]
38. Bunagan MJ, Banka N, Shapiro J. Hair transplantation update: procedural techniques, innovations, and applications. Dermatol Clin 2013;31:141-53. [DOI:10.1016/j.det.2012.08.012]
40. Kulahci M. Moustache and beard hair transplanting. In: Unger W, Shapiro R, Unger R, et al, editors. Hair transplantation. 5th edition. Informa Healthcare 2011; p. 464-6.
41. Zarei M, Wikramanayake TC, Falto-Aizpurua L, Schachner LA, et al. Low level laser therapy and hair regrowth: an evidence-based review. Lasers Med Sci 2016;31:363-71. [DOI:10.1007/s10103-015-1818-2]
43. Sand JP, Nabili V, Kochhar A, et al. Platelet-Rich plasma for the aesthetic surgeon. Facial Plast Surg 2017;33:437-43. [DOI:10.1055/s-0037-1604240]
45. Mehrabani D, Seghatchian J, Acker JP. Platelet rich plasma in treatment of musculoskeletal pathologies. Transfus Apher Sci 2019;58:102675. [DOI:10.1016/j.transci.2019.102675]
47. Nazempour M, Mehrabani D, Mehdinavaz-Aghdam R, et al. The effect of allogenic human Wharton's jelly stem cells seeded onto acellular dermal matrix in healing of rat burn wounds. J Cosmet Dermatol 2019 Sep 25. [Epub ahead of print] [DOI:10.1111/jocd.13109]
49. Hashemi SS, Mohammadi AA, Kabiri H, et al. The healing effect of Wharton's jelly stem cells seeded on biological scaffold in chronic skin ulcers: A randomized clinical trial. J Cosmet Dermatol 2019;18:1961-7. [DOI:10.1111/jocd.12931]
51. Salanitri S, Goncalves AJ, Helene A Jr, et al. Surgical complications in hair transplantation: a series of 533 procedures. Aesthet Surg J 2009;29:72-6. [DOI:10.1016/j.asj.2008.11.005]
53. Gho CG, Neuman HA. Improved hair restoration method for burns. Burns 2011;37:427-33. [DOI:10.1016/j.burns.2010.09.011]
55. Bared A, Epstein JS. Hair transplantation techniques for the transgender patient. Facial Plast Surg Clin North Am 2019;27:227-32. [DOI:10.1016/j.fsc.2018.12.005]

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