2026, Number 1
Hair transplantation in cicatricial alopecia. Feasibility and safety of hair transplantation using the follicular unit extraction in a public referral center
Martínez ÁAK, Jimenez ZD, Sánchez DLE, Reyes MME, Velazco ME, Quiñones VR, Tarango MVM
Full text
Language: Spanish
References: 8
Page: 135-139
PDF size: 234.86 Kb.
ABSTRACT
BACKGROUND: The use of hair grafts for scar camouflage has been employed since the 1970s. Hair transplantation is considered a reconstructive option in selected cases of stable cicatricial alopecia.OBJECTIVE: Describe the feasibility and safety of hair transplantation using the follicular unit extraction (FUE) technique in patients with clinically stable cicatricial alopecia treated at a public referral center and to propose operational selection criteria. DESIGN: Retrospective case series.
METHODS: Patients with clinical and histopathological diagnosis of cicatricial alopecia, with documented inactivity ≥12 months, without clinical or trichoscopic progression, treated with FUE between October 2023 and December 2025 were included. Treated area (cm²), follicular units (FU) implanted, density (FU/cm²), follow-up, and adverse events were recorded. The primary outcomes were safety (complications) and feasibility (clinical integration of grafts).
RESULTS: Three patients were included. No major or minor adverse events were recorded. In the case with ≥24 months of follow-up, sustained growth of the graft units was observed. In the cases with ≤4 months of follow-up, early postoperative evolution without complications was documented.
CONCLUSIONS: Hair restoration surgery offers a safe and feasible treatment alternative in the short term. Appropriate patient selection, individualized planning, and the establishment of realistic expectations are key elements for achieving satisfactory results.
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