Hair Restoration in Pediatric Patient with Scarring Alopecia Post-Burn Treated with Fat Micrograft and Hair Transplant

This study reports on a successful hair restoration procedure in an 8-year-old girl with cicatricial alopecia due to burns. Initially treated with skin treatments, the patient underwent a micrograft of 50 ml of fat from the hypogastric region, which was processed to enhance vascularization and dermal density. Six months later, a follicular unit extraction (FUE) hair transplant was performed using the Trivellini FUE system, implanting 2000 follicular units. The graft survival rate was approximately 80%, higher than the typical 50-70% for cicatricial alopecia, likely due to the preparatory fat micrograft. This case suggests that fat micrografting is an effective preparatory strategy for hair transplantation in burn-induced cicatricial alopecia.