The surgical treatment of cicatricial alopecia

Dermatologic Therapy
Walter UngerCarlos Wesley

Abstract

Surgical correction of cicatricial alopecia can yield exceptional results when performed in the appropriate clinical scenario. To facilitate determination of the most suitable corrective therapy, we propose two new categories of cicatricial alopecia: "unstable" and "stable." Unstable cicatricial alopecia is intermittent and results in possible subsequent scarring hair loss in either new or old areas. Stable cicatricial alopecia, on the other hand, refers to fixed permanent scarring. While surgical excision is preferred to hair transplantation for both categories of cicatricial alopecia, this preference is even stronger in cases of unstable cicatricial alopecia due to its intermittent and progressive nature. Regardless of which corrective technique is used, analysis of specific physical patient characteristics coupled with a careful view towards the possible evolution of male pattern baldness or female pattern hair loss are essential to achieve superior long-term results. Herein we also outline guidelines for identifying these physical traits as well as for performing hair transplantation and surgical excision in order to achieve optimal cosmetic outcomes and minimize postoperative complications.

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Citations

May 2, 2013·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Francisco Jiménez, Enrique Poblet
May 21, 2010·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Bernard P Nusbaum, Aron G Nusbaum
Dec 5, 2012·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Francisco Jiménez
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Sep 11, 2014·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Valerie D CallenderOge C Onwudiwe
Jul 21, 2010·Journal of Cutaneous Medicine and Surgery·Eustathios RallisDimitrios Rigopoulos
Mar 29, 2011·Cell Transplantation·Mario MarazziMaria Luisa Torre
Jul 25, 2017·The Australasian Journal of Dermatology·You-Chen Serena LiuJung-Yi Lisa Chan
Apr 13, 2012·American Journal of Clinical Dermatology·Franco Rongioletti, Konstantina Christana
Jan 20, 2019·American Journal of Clinical Dermatology·Matilde Iorizzo, Antonella Tosti
May 24, 2011·Anais Brasileiros De Dermatologia·Márcio Rocha CrisóstomoAndré Nunes Benevides
Jun 20, 2019·BioMed Research International·Hyokyung YooJi-Ung Park
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May 1, 2021·Journal of Clinical Medicine·María Librada Porriño-BustamanteSalvador Arias-Santiago
Aug 5, 2021·American Journal of Clinical Dermatology·Katerina SvigosJerry Shapiro
Apr 28, 2021·Journal of the American Academy of Dermatology·Francisco JimenezMarc Avram
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