Recycling of Previously Transplanted Hair: A Novel Indication for Follicular Unit Extraction
DOI:
https://doi.org/10.3889/oamjms.2018.096Keywords:
androgenetic alopecia, Hair transplantation, follicular unit extraction, hair density, efficacyAbstract
BACKGROUND: Hair transplantation has enhanced the realm of procedural dermatology. Before the advent of follicular transplantation, androgenetic alopecia was a difficult disease to manage, as there is a limited armamentarium of topical and systemic pharmaceuticals. However, as with other novel surgical procedures, there is a steep learning curve, that may result in poor transplantation or cosmesis.
CASE REPORT: We present a case of androgenetic alopecia, where previously, poorly implanted hairs were recycled by follicular unit extraction to increase hair density at the vertex of the scalp, which resulted in improved cosmesis and patient satisfaction.
CONCLUSION: We have demonstrated that re-transplantation is not only feasible but is effective; therefore redesigning of previous transplantations should be considered as a possible indication follicle unit extraction, particularly in the setting of scarce follicular reserves. The utility of our recycling method may also inspire hope in patients that have undergone failed or unsatisfactory hair transplantations.Downloads
Metrics
Plum Analytics Artifact Widget Block
References
Dua A, Dua K. Follicular unit extraction hair transplant. J Cutan Aesthet Surg. 2010; 3(2):76-81. PMid:21031064 PMCid:PMC2956961
Feily A, Hosseinpoor M, Bakhti A, Nekuyi M, Sobhanian S, Fathinezhad Z, Sahraei R, Ramirez-Fort MK. Digit-Length Ratios (2D:4D) as a Phenotypic Indicator of in Utero Androgen Exposure is Not Prognostic for Androgenic Alopecia: a DescriptiveAnalytic Study of 1200 Iranian Men. Dermatol Reports. 2016; 8(1):6386. https://doi.org/10.4081/dr.2016.6386 PMid:27942367 PMCid:PMC5134689
Feily A, Moeineddin F. Feily's method as new mode of hair grafting in prevention of scalp necrosis even in dense hair transplantation. Dermatol Pract Concept. 2015; 5(3):41-6. https://doi.org/10.5826/dpc.0503a10 PMid:26336624 PMCid:PMC4536882
Feily A, Feily A. Using Feily's method prevented scalp necrosis in three patients incline to the scalp recipient necrosis; what is new in prevention of scalp necrosis? Dermatol Ther. 2016; 2016.
Avram M, Rogers N. Contemporary hair transplantation. Dermatol Surg. 2009; 35(11):1705-19. https://doi.org/10.1111/j.1524-4725.2009.01283.x PMid:19674037
Karacal N, Uraloglu M, Dindar T, Livaoglu M. Necrosis of the donor site after hair restoration with follicular unit extraction (FUE): A case report. J Plast Reconstr Aesthet Surg. 2011; 65(4):87-89. https://doi.org/10.1016/j.bjps.2011.06.040 PMid:21768010
Gho CG, Martino Neumann HA. Donor hair follicle preservation by partial follicular unit extraction. A method to optimize hair transplantation. Journal of Dermatological Treatment. 2010; 21(6):337-49. https://doi.org/10.3109/09546630903359814 PMid:20388024
Umar S. Hair Transplantation in Patients With Inadequate Head Donor Supply Using Nonhead Hair: Report of 3 Cases. Ann Plast Surg. 2011; 67(4):332-5. https://doi.org/10.1097/SAP.0b013e318209a61a PMid:21540728
Downloads
Published
How to Cite
Issue
Section
License
http://creativecommons.org/licenses/by-nc/4.0