Summary
Follicular unit extraction (FUE) has been developed as one type of follicular unit
transplantation surgery, a widely accepted hair-restoration technique. FUE has many
advantages, including a small donor area scar, less pain and a slender graft without
extra surrounding tissue. Complications are uncommon in the literature. We describe
a case of donor-site necrosis after hair restoration with FUE, leading to cicatricial
alopecia in the left half of the occipital region. The surgical management of this
complication is also discussed. Cicatricial alopecia was treated by two-stage surgery
with tissue expanders. There were no complications in the postoperative period and
healing was uneventful. We conclude that although FUE has many advantages, necrosis
of the donor site may be a serious problem.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Journal of Plastic, Reconstructive & Aesthetic SurgeryAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Hair restoration. Mathes plastic surgery.in: Mathes S.J. The head and neck. Saunders, Philadelphia2006: 687-714
- Follicular unit extraction: minimally invasive surgery for hair transplantation.Dermatol Surg. 2002; 28: 720-728
- New methodology and instrumentation for follicular unit extraction: lower follicle transaction rates and expanded patient candidacy.Dermatol Surg. 2006; 32: 56-61
- Enhancement of dorsal random-pattern skin flap survival in rats with topical lidocaine and prilocaine (EMLA): enhancement of flap survival by EMLA.J Surg Res. 2005; 124: 134-138
- Cutaneous necrosis induced by extravasations of arginine monohydrochloride.Acta Derm Venerol. 2008; 88: 310-311
- A critical look at the evidence for and against elective epinephrine use in the finger.Plast Reconstr Surg. 2007; 119: 260-266
- Scalp necrosis in temporal arteritis.Clin Exp Dermatol. 2003; 28: 488-490
Article info
Publication history
Published online: July 18, 2011
Accepted:
June 21,
2011
Received:
December 16,
2010
Identification
Copyright
© 2011 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Inc. All rights reserved.
