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This study aim: is to completely hide the alopecic scars in a way that it will not be visible.
Practicing scar revision, there is an increasing demand for almost complete reconstruction and camouflaging scars in hairy areas rather than scars in non-hairy skin. Scar revision rendered insufficient reconstructive tool in such cases. Whatever a Plastic surgeon pay efforts in alopecic scars rejuvenation and reconstruction, it is still apparent and noticeable. One of the best surgical techniques to camouflage an alopecic scar is hair transplantation. FUE is the state-of-the-art technique for hair transplantation.
In the field of hair restoration, there has been a significant increase in demand with patients for facial hair transplantation procedures. Modern techniques in hair transplantation is based on follicular unit extraction and implantation, in which follicular units are the exclusive structures used as hair grafts allow for facial hair transplantation and for the attainment of natural-appearing results. Facial hair transplantation is a subspecialty within hair restoration with many gratifying benefits for the patients as well as for the hair restoration surgeon. Adapting these advanced techniques into a hair restoration practice allows a surgeon to offer their patients these procedures and provides an expanded artistic element to a hair restoration surgeon's practice. The art and science of hair transplantation have come a long way since its introduction in 1959. Both the technique and instruments have been greatly improved, thus offering the patient an excellent cosmetic result that will last a lifetime.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Mature Alopecic Scars | Active Comparator | Follicular Unit Extraction and implantation for Alopecic Scars in beard Follicular Unit Extraction and implantation for Alopecic Scars in scalp Follicular Unit Extraction and implantation for Alopecic Scars in eyebrow Follicular Unit Extraction and implantation for Alopecic Scars in Moustache |
|
| Immature Alopecic Scars | Experimental | Follicular Unit Extraction and implantation for Alopecic Scars in beard Follicular Unit Extraction and implantation for Alopecic Scars in scalp Follicular Unit Extraction and implantation for Alopecic Scars in eyebrow Follicular Unit Extraction and implantation for Alopecic Scars in Moustache |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| follicular unit extraction and implantaion | Procedure | extract hair follicles as grafts from donor area and implant them in recipient area |
|
| Measure | Description | Time Frame |
|---|---|---|
| evaluating post operative pain using questionnaire | assessment of post operative pain and complications using questionnaire | 6 Month - 1 year |
| evaluating post operative complications | assessment of post operative pain and complications using questionnaire | 6 Month - 1 year |
| donor and recipient site assessment | care for recipient as well as donor site using questionnaire | 6 Month - 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| Follicular unit growth monitoring | close monitoring for growth of FU growth | monthly up to 1 year |
| platlet rich plasma injection for FU growth | every 2 weeks up to 6 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Maged Medhat Armaneous hanna, bchelor ged | Contact | +201050092723 | maged.hana200@gmail.cpm | |
| osama yassin yassin, MD | Contact | +201005395063 | usama.taha@med.aun.eg |
| Name | Affiliation | Role |
|---|---|---|
| wael saadeldeen saadeldin, MD | Department of Plastic Surgery, | Study Chair |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 33905785 | Result | Jimenez F, Alam M, Vogel JE, Avram M. Hair transplantation: Basic overview. J Am Acad Dermatol. 2021 Oct;85(4):803-814. doi: 10.1016/j.jaad.2021.03.124. Epub 2021 Apr 24. | |
| 32312510 | Result | Bared A. Beard Hair Transplantation. Facial Plast Surg Clin North Am. 2020 May;28(2):237-241. doi: 10.1016/j.fsc.2020.01.010. |
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| ID | Term |
|---|---|
| D000505 | Alopecia |
| ID | Term |
|---|---|
| D007039 | Hypotrichosis |
| D006201 | Hair Diseases |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
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To hide alopecic scars with some hairs harvested as FUs at the back of the scalp under local anaesthesia without leaving any residual deformity or adding more scars to the donor area and implant it in the non-hairy scars.
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| number of hairs in each hair follicle | every 2 weeks up to 3months |
| 2022091 | Result | Pinski JB. Hair transplantation and bald-scalp reduction. Dermatol Clin. 1991 Jan;9(1):151-68. |
| 9741133 | Result | Barreto OC. [Hair transplantation. Past, present, and future]. Acta Med Port. 1998 Mar;11(3):283-5. Portuguese. |
| 10327298 | Result | Bernstein RM, Rassman WR. The logic of follicular unit transplantation. Dermatol Clin. 1999 Apr;17(2):277-95, viii; discussion 296. doi: 10.1016/s0733-8635(05)70087-5. |
| 9311372 | Result | Bernstein RM, Rassman WR. Follicular transplantation. Patient evaluation and surgical planning. Dermatol Surg. 1997 Sep;23(9):771-84; discussion 801-5. |
| 37307246 | Result | Chen L, Wang B, Liu X, Yang J, Jiang W. Comparison of 2 Incisional Methods in Hair Transplantation. J Craniofac Surg. 2023 Jul-Aug 01;34(5):e499-e501. doi: 10.1097/SCS.0000000000009372. Epub 2023 Jun 12. |
| D020763 |
| Pathological Conditions, Anatomical |
| D013568 | Pathological Conditions, Signs and Symptoms |