• Hair Transplant in Men
• Hair Transplant in Women
• Facial Hair Transplant
• Body to Head Hair Transplant

Get Online Consultation

Pic. Of before surgery……

The patient was first treated with oral medicines and local injections to which she responded. Patient seemed to show improvement in terms of no further hair loss and some areas also showed hair re-growth in the periphery. After inactivity of the disease was established for 1 year and improvement was noticed, we did a Trial hair Transplant of 100 grafts by FUE technique.

Pic. Of trial HT…….

She showed excellent results with seen approx. 80% re-growth in 6 months. The patient was encouraged by the results and we decided to go ahead with 1000 grafts by FUE. The plan was to cover the most prominent area.

Pic of after 1st surgery…

Again the result was excellent and re-growth robust.

Pic of result after2nd surgery…….

Encouraged by good results, 1 year later patient came for full area coverage and need for more grafts. 1500 grafts were given this time as donor did not seem to support more. Patient is very happy with the surgery and a satisfied being.

Understanding Cicatricial alopecia

Cicatricial alopecia is a disease which causes a gradual loss of hair, sometimes without giving out any visible symptoms. There are times when the patient will have hair loss followed with burning sensations, sharp pains and extreme itching. The inflammation affects and obliterates the hair follicle below the skin texture and generally no scar is visible on the scalp. The affected areas of the scalp might appear red, have scaling, and appear inflamed. Other signs may include decreased pigmentation, pustules, or draining sinuses.

Possible causes of Cicatricial alopecia in women

There can be many causes of Cicatricial alopecia. However the most plausible cause involves inflammation that takes place at the upper part of the hair follicle. It is usually noticed more in women of African descent but can also affect others. Other causes include psychological stress, nutritional deficiency, exposed to strong medication such as chemotherapy, presence of dermatophyte fungus in the scalp, childbirth (postpartum alopecia)and deep trauma.

Types of Cicatricial Alopecia

There are two types of Cicatricial alopecia, primary and secondary.

Role of Hair Transplant as a treatment modality

The plan for such a patient should include a Biopsy to establish the activity of the disease. If it is inactive for more than one year, then the patient may undergo hair transplant as we did in this patient..If the hair transplant surgeon is unsure, then he can do a Trial Hair transplant i.e. implant around 100 grafts and see how many of the hair grow up. If the results are positive, then she may undergo complete hair transplant or may even directly undergo hair transplant. The main difference in this category of patients is that the donor area may also be affected by Cicatricial Alopecia. This may lead to less number of grafts available for extraction. The density of implantation should be less than routine and avoid dense packing. The session should be carried out in more time than usual. The amount of adrenaline used for hemostasis should be less. And also, these grafts may not grow because of the underlying inflammation. And there are chances of follicular cicatricial alopecia recurring post a surgical treatmentwhich should be explained to the patient.