Hair Transplant: Q&A
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Hair Transplant for Patients with Scarring Alopecia?
If one has scarring alopecia doesn't that make you a candidate for a hair transplant? Scarring spots occurred with a break out from Lupus-related to my skin on my face that spread to my scalp.
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7 Doctor Answers |
Asked by
leigh77
in mn
+2
Hair Transplant for patient with Scarring Alopecia
In order for a hair transplant to be successful for scarring alopecia, the disease needs to be inactive and there must be adequate donor hair. I have good results putting hair into scar tissue as long as the primary disease is stable.
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Hair transplant to treat scarring alopecia
There are a variety of scarring alopecias, some that are in fact very appropriately treated with hair transplants. Discoid Lupus can often be successfully treated with a hair transplant.
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Hair Transplants and Scarring Alopecia
It depends on the cause of the scarring. If it is an active disease, a hair transplant is not advised since the hair would be lost. Sometimes an active disease can become inactive or burnt out. If a disease has remained dormant for a number of years, this can be the case. In that case, test implants are first done to test viability before a full-blown surgery is committed.
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Hair transplants might not work
With what appears to be an active auto-immune disease process, hair transplants might be rejected. One should wait for 2-3 years of inactivity before trying transplants or excision of bald areas.
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Hair transplants don't grow well in scarred tissue.
Your best choice for scarring alopecia is excision of the scar with or without a tissue expander, or a scalp flap to reconstruct the area where the scar was removed. For large areas we use the Fleming-Mayer Flap, but this is not usually needed for small areas. Also, excision is much cheaper than transplants.
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Hair Transplants do work for scarring alopecia
Hair Transplants do work for scarring alopecia and I have had great success with this. This is a somewhat controversial topic in the hair transplant literature. It has been suggested that more studies be done on patients with Lupus and other autoimmune disorders due to poor results that have been observed. The best that we can say is that follicular unit hair transplantation has very little risk and does work for many patients with scarring alopecia.
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Hair grafts in scarred beds
Hair grafts do not generally do well in scarred recipient beds. Successful take of transplanted hair grafts is possible but it truly depends on the extent and depth of the scars.
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