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Hair grafting in postburn alopecia
G A Moreno-Arias1, A Camps-Fresneda
1Department of Dermatology, General Hospital of Catalonia, Sant Cugat del Valleś, Spain.
Background:
Hair micrografting has been widely used in male and female androgenetic alopecia but there is little experience with cicatricial or burn alopecia.
Objective:
To evaluate the clinical outcome of a case of postburn alopecia with marked inelastic affected areas but with good elasticity and hair density over occipital donor site, treated with multiple sessions of hair micrografting.
Methods:
Single-hair micrografts were employed to reconstruct the hair line but 2- and 3-hair micrografts were implanted over other alopecic areas. Grafts were placed into oblique slits made with N degrees 15 scalpel blade bevelled due to reduced dermis in the recipient area. Donor site was closed with vertical mattress and running suture with 3-0 silk.
Results:
In 4 sessions 6500 micrografts were implanted into the affected areas, achieving a natural appearing hair line and a good cosmetic result.
Conclusion:
Hair micrografting is a promising restorative technique for inelastic plaques of postburn alopecia.