Hair Transplant: Q&A

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Can You Get Hair Restoration Surgery After Radiation Treatments?

I have a bald spot on the crown of my head that was caused by radiation treatments that I received to cure my brain tumor. Its been a year and a half since I've received the radiation and my radiation doctor says that the hair is not going to grow back. Is hair restoration surgery a good option for me?

8 Doctor Answers | Asked by LB22 in Lexington, KY
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Hair Transplant after Radiation Cancer Treatment

The sudden loss of growing hairs as a result of chemicals or radiation is known as Anagen effluvium. Cancer treatments such as chemotherapy and radiation therapy halt the growth phase of hair follicles, and result in the sudden shedding of hair. Hair Restoration Surgery can work in burn (radiation) sites very well. My colleague and New York Hair restoration expert Dr. Gary Hitzig has performed several cases that have been successful. We generally do an evaluation and a test session first to... more
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Hair Transplant after Radiation

Yes, hair transplant can be a very natural option in a patient after radiation. The one issue is potential scarring in the area may inhibit the blood supply of the new hair. Your surgeon should be able to address this issue in your particular situation and counsel you on options. Good luck!
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Hair Transplant after Radiation

Yes, in fact, this is an indication for performing a hair transplant. Because of the challenges in assuring full hair regrowth, I suggest you seek out a highly experienced surgeon in this area. I usually recommend that patients wait a minimum of 18 months following the completion of the radiation therapy.

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Hair Restoration after Radiation Treatments

If the hair has not grown out by now your doctor is correct. It is unlikely it will recover. I have tried hair transplants in radiated areas and unfortunately only about half of the grafts ever grew in. Getting hair to grow in a radiated area can be very difficult.
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Hair restoration after Radiation Therapy

If you have lost hair following radiation treatment for a brain tumor you have obviously had radiation damage to that skin and the hair will not regrow. Rather than putting transplants into skin with possibly compromised circulation I would transfer hair bearing scalp with a flap from the surrounding normal tissue with or without expansion depending on the size of the bald area and the tightness of your scalp.
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Hair Restoration Surgery After Radiation Treatment

Hair restoration surgery is definitely an option for your condition. Namely, FUE hair transplant or even strip surgery will work if the surrounding hair is in tact. If you don’t have enough donor hair on your scalp, body hair transplant is also a viable option today. I would not recommend scalp reduction as it can result in visible scarring called “slot formation.” For that matter, if you’re choosing between strip harvesting and follicular unit extraction, the latter... more
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Scalp Flap or Multiple hair transplant sessions after radiation

The options for hair restoration on your crown will depend on the size of the area that is bald and the quality of the surrounding scalp. If the area is small enough, a simple excision of the area, with either a rotation flap or advancement flap after galeotomies is one option. For larger balding areas, a scalp expander would be inserted, followed by a scalp flap procedure. Hair transplants are also an option for some coverage, but multiple sessions are likely necessary. more
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Hair restoration after radiation therapy

I have many successful hair restoration procedures done on patients who lost hair from radiation therapy for brain tumors. My usual approach is to expand the adjacent scalp with a balloon expander for about 6 weeks and, then with a second procedure, move the stretched hair bearing skin over the bald area which is cut out. This gives a result immediately . Hair transplants could also work.
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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.

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