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 aimed to identify trichoscopic signs of secondary post-traumatic cicatricial alopecia from injuries and burns to improve hair transplantation techniques. It involved 19 patients aged 21 to 40 years with alopecia from mine-explosive injuries and burns. Hair restoration was performed using follicular unit extraction (FUE) and direct hair implantation (DHI), combined with platelet-rich plasma (PRP) therapy. Trichoscopic examination revealed 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 is crucial for differentiating secondary cicatricial alopecia from other types, suggesting the need for further study.