What is Secondary Cicatricial Alopecia ? How Is It Treated?

Cicatricial Alopecia is a group of diseases characterized by the destruction of hair follicles and permanent hair loss. cicatricial alopecia ; It is divided into primary and secondary .

• Primary cicatricial alopecia

primary cicatricial in alopecia ; Regardless of external factors, there is inflammation that causes destruction only in the hair follicle .

• Secondary cicatricial alopecia

Secondary cicatricial In alopecia , hair follicles are damaged as a result of external factors. Accident, burn, trauma , infection etc. It covers situations where external factors permanently damage the hair follicles and the hair is shed irreversibly.

Secondary cicatricial We consider alopecia as burnt alopecia . In cases where permanent hair loss occurs, the only treatment option is hair transplantation.

Which hair transplantation technique should be preferred for the treatment of secondary cicatricial alopecia ?

When the history of hair transplantation is taken into consideration, it is seen that the secondary cicatricial It is possible to come across the information that he has alopecia in the sources. Hair transplant surgeries, which were initially performed for therapeutic purposes, gained an aesthetic dimension in the 1950s. hair transplantation; together with the developments in science, technology and health; It has turned into a procedure that offers very satisfactory results both in the treatment of burn alopecia cases and in the compensation of male pattern baldness . Today, we have two options for hair transplant surgeries. FUT and FUE.

The history of FUT hair transplantation is a little older than FUE . FUT is a hair transplant technique developed in 1994. androgenetics The ideal hair transplantation technique for people who experience hair loss due to alopecia and face the problem of baldness is FUE, which came into our lives in 2003 . However, that secondary cicatricial Things get a little messy when there are alopecias . FUT technique may need to be considered in cases where the scalp and hair follicles are damaged as a result of various traumas . The secondary determinant in this decision cicatricial severity of alopecia . Because some cases of burn alopecia may also be suitable for FUE.

How Effective is the FUT Technique in the Treatment of Secondary Cicatricial Alopecia ?

A study was conducted in China on the effectiveness of FUT hair transplantation, which stands for Follicular Unit Transplantation . cicatricial The details of the study on patients with alopecia are as follows:

• The study was carried out on 37 patients.
• Of these patients, 8 had burn alopecia , 21 had trauma , and 8 had plastic surgery.
• More bald areas were recorded in burn cases compared to other cases.
• The longest operation took 14.5 hours.
• The patients were followed for 6 to 24 months postoperatively, and their hair density, complications and satisfaction rates were measured.

According to this study carried out; Secondary surgeries performed with the FUT method cicatricial It has been concluded that it offers effective and satisfactory results in the treatment of alopecia . However, it was also stated that in severe cicatricial patients, the hair on the scalp used as a donor site source may not meet the need and the donor site sources may need to be expanded. In patients followed for 6 to 24 months, the FU intensity obtained as of the 24th month; It is stated to be in the range of 73.3% to 90% .

What Do the Results of This Research Tell Us?

This research tells us; He explains that FUT hair transplantation can be a treatment option with effective results for people with severely damaged scalp. FUT hair transplantation, which is performed by taking the hair follicles in strips and transferring them to the bald area in strips, can be the only alternative for severe cases, although today it is replaced by a more modern technique , FUE . The large size of the damaged area requiring hair transplantation raises the issue of donor source. In this case, it is necessary to search for new donor opportunities for severe cicatricial patients .

Source: Follicular unit transplantation for the treatment of secondary cicatricial alopecia