Scarring Alopecia is developed as a result of various traumas (burning, mechanic trauma, surgery, etc.) and some skin deceases, which cause hair follicle replacement with connective tissue so the balding areas develop. In such cases, hair restoration is impossible without surgical intervention..
Traction alopecia is also included in the group of scarring alopecia, which develops as a result of long term mechanic influence (pulling) on hair, for example very tight hair styling.
Scars, placed on hairy part of head, often cause psycho-emotional disorder in patients. Their skills of social adaptation decrease and the quality of life becomes worse.
Unfortunately, big part of doctors’ society considers that hair transplantation in scarring areas is not effective and offer the patients wrong treatment tactics even today.
Existing surgical methods of eliminating scars on hairy parts of head (free skin transplantation, scar extraction, Expander and Extender methods) are not always effective, scarring area complete liquidation can’t be achieved and in frequent cases, additional scars are developed and it is followed by a range of complications.
The only effective treatment method of scarring alopecia is own hair transplantation with micro-grafting method. (Follicular Micro Auto Transplantation).
Our clinic surgeons have the biggest experience in the field of hair transplantation in scars. In addition to this graft viability is 93-95% and good cosmetic result is achieved.
In 2010, Dea Papaskiri defended a thesis regarding “Surgical Treatment of the Patients with Scar Defects on the Hairy Area of Head”, which means transplanting hair in scar areas using follicular micro auto transplantation method in on the Doctor Training Council of the Ministry of Defense of Russia. This work is unique with its scientific value and has no analogue in the world.
In case of scarring alopecia treatment, considering the scarring tissue structural features and choosing a correct tactics is essential in order to avoid traumas. In some cases morphological research of scarring tissue biopsy materials is necessary to define the hair transplantation indication.
As a result of our long term researches, it is confirmed that after hair transplantation in scarring areas, not only good cosmetic result can be achieved, but also the scar structure is improved.
All the stages of transplanting hair in scars are similar as hair transplantation during androgenic alopecia. FUE, Strip or their combination is used, but due to unusual vascularization of scar tissues the surgical technique is quite changed in order to avoid tissue traumas.