The Role of Trichoscopy in the Treatment of Patients with Post-Traumatic Secondary Cicatricial Alopecia After Fire Injuries, Burns of the Face and Scalp

The study investigated trichoscopic signs of secondary post-traumatic cicatricial alopecia in 19 patients (10 men and 9 women) aged 21 to 40, caused by mine-explosive injuries and burns, to enhance hair transplantation techniques. Hair restoration was performed using follicular unit extraction (FUE) and direct hair implantation (DHI), combined with platelet-rich plasma (PRP) therapy. Trichoscopic examination identified signs such as yellow spots, porphyrins, and various hair types. The average hair survival rate post-transplantation was 84.1%. After 12 months, improvements were noted in porphyrin content, scalp sensitivity, and skin color, indicating healthy skin. Trichoscopy proved crucial for differentiating secondary cicatricial alopecia from other types, suggesting its importance in treatment planning.