Recipient Site Necrosis After Follicular Unit Excision Technique for Hair Transplantation: Evaluation of 18 Patients

This study analyzed 18 patients who experienced recipient site necrosis (RSN) after undergoing hair transplantation using the follicular unit excision technique. The mean age of the patients was 36.06 years, and common risk factors included smoking (66.7%), hypertension (20%), and diabetes mellitus (13.3%). All patients experienced scarring and graft failure. The study highlights that RSN, although rare, is a significant complication of hair transplantation. It emphasizes the importance of identifying and managing risk factors such as smoking, diabetes, and hypertension to prevent RSN. Early recognition and prompt treatment are crucial for optimal outcomes, with conservative management often being successful, though surgical intervention may be necessary in severe cases. This study is noted as the largest complication series in the literature regarding RSN.