Transplanting into Areas of Cicatricial Alopecia

The document discussed the surgical correction of cicatricial alopecia, emphasizing the balance between achieving cosmetic results and respecting scar tissue characteristics. Excision of scar tissue was preferred when possible, as it provided immediate results without using donor hair. When excision was not feasible, hair transplantation was an option, though initial recipient site density was limited to 20-25/cm², often necessitating a second surgery. It was crucial for surgeons to differentiate between stable and unstable cicatricial alopecias, such as lichen planopilaris and frontal fibrosing alopecia, which were increasing in prevalence and challenging to diagnose. These conditions required prompt medical treatment, and surgery was ideally delayed until at least 2 years of quiescence, with continued medical surveillance post-surgery.