Hair grafting in postburn alopecia.

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.