Scalp Necrosis Following Hair Transplantation Successfully Managed With Conservative Wound Care And Adjunctive Photobiomodulation: A Case Report

A 49-year-old heavy smoker experienced a rare complication of scalp necrosis following hair transplantation, resulting in a 3-cm vertex ulceration. The condition was managed with conservative wound care, including topical fusidic acid, a hydrocolloid dressing, a copper–zinc cream, and adjunctive photobiomodulation therapy. This approach led to complete wound closure within two weeks and preservation of several transplanted hairs. The case highlights the importance of early recognition and management of vascular risk factors to prevent scarring and graft loss, and suggests that photobiomodulation may be a beneficial adjunctive treatment, though further research is needed to confirm its specific benefits.