Evaluation of Efficacy of Follicular Unit Extraction Versus Follicular Unit Extraction With Platelet Rich Plasma in Treatment of Cicatricial Alopecia

July 2022 in “ Journal of Cosmetic Dermatology ”

Ali Fouad Elariny, Nasser Ghozlan, Sherif Wasief, Aya Elsayed Moussa, Marwa Eldeeb

follicular unit extraction platelet rich plasma cicatricial alopecia hair grafts hair transplantation FUE PRP CA

TLDR Adding platelet rich plasma to follicular unit extraction doesn't significantly improve hair graft survival in cicatricial alopecia treatment.

The study "Evaluation of efficacy of follicular unit extraction versus follicular unit extraction with platelet rich plasma in treatment of cicatricial alopecia" involved 20 patients with cicatricial alopecia (CA) who were divided into two groups. Group A (10 patients) underwent follicular unit extraction (FUE), while Group B (10 patients) underwent FUE with platelet rich plasma (PRP). PRP was injected 1 week before surgery, then monthly after surgery for 3 months. The study found that in Group A, the mean survival rate of hair grafts increased significantly to 78.15% at 12 months. In Group B, the mean survival rate was 69.74% at 12 months. However, there was no significant difference between both groups at any time during the follow-up period. The study concluded that FUE is a preferred procedure for hair restoration in CA with few side effects, and the role of PRP in hair transplantation is controversial as it does not significantly affect the survival rate of hair grafts.

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