Hair transplant in Scarring Alopecia

Scarring alopecia is a serious problem related to hair fall because it leads to permanent baldness. Scarring alopecia is termed in the language of biological references as Cicatricial alopecias (CA). Multiple reasons can be responsible for this like trauma, hormonal, infection, and genetics. Cicatricial alopecia is considered a trichological emergency mainly because of the fast effect of the disease and the irreversible damage to the hair follicles and later hair loss. The medical world is still progressing in the treatment procedure for scarring alopecia but the scope still is widely uncovered says the best trichologist in Bhubaneswar. The complexity in discovering the treatment factors and reasons responsible for the slow lurking growth of the disease revolves around the poor understanding of pathogenesis, disease progression, and prognosis of scarring alopecia. Cicatricial alopecias can be defined as a group of uncommon inflammatory hair loss disorders that is followed by severe destruction of hair follicles. Histologically, fibrous tracts replace pilosebaceous structures. This is the main reason behind unavoidable permanent hair loss. The predictability of the damaged scalp area also remains highly unmeasurable and can often occur on the facial regions as well. 

There are methods and pharmacological treatments that have made some distinctive progression in countering scarring alopecia. A Hair Transplant is one of those majorly chosen methods. Nevertheless, the process isn’t very simple because it requires understanding clinical factors in a detailed manner to get the best result in the treatment. What needs to be considered keenly varies on a different spectrum of medical layers like the time of surgery, surgical technique, goal to achieve, predicting disease remission and calculating the chances of the relapse of the disease because of the surgical method. The following points should be considered in scarring alopecia in hair transplant – 

  • Sometimes the surgical procedure becomes the reason behind triggering the relapse of CA. 
  • The trend of wound healing characteristics is quite random and can vary up to a great extent.
  • Some of the majorly encountered problems after a Hair Transplant are hypertrophic scars, graft rejection, infection and corkscrew hair.
  • There is also a possibility of Male pattern baldness (MPB) or female pattern hair loss (FPHL). These factors should also be pre-considered before designing the transplant schedule and the areas undergoing transplant should be well studied in respect of multiple medical indicators necessary for a successful hair transplant. 
  • Donor Recipient Area Mismatch is also a common and concerning issue. It is essentially the most important thing to focus on before a hair transplant for scarring alopecia. In the majority, the available donor’s follicles are not capable of treating the existing areas of CA. 
  • In atrophic scar tissue, the recipient site depth may be shallow which will not be sufficient to adjust the entire implanted follicle due to a lack of soft tissues. There are other risks associated with it like insufficient perfusion to the implanted follicle.

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