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FOLLICULLAR UNIT TRANSPLANTATION AS PREFERRED TECHNIQUE FOR POST BURN ALOPECIA

Dr Rahat Zafar, Dr Farhat Khaliq, Dr Jawaria Liaquat

Abstract: Background: The reconstruction of facial esthetics of the burn patients to return back to their social life is of prime importance after saving life. Post burn restoration of the hair improves quality of life and appearance. Aim: The aim of the current study was to review post burn restoration of hair of beard, scalp hair, side locks and frontal hairline over 2 years in 96 patients with a 10 months to 2 years of follow-up. Materials and Methods: For a surgeon regularly doing hair transplantation, follicular unit extraction with 0.9 mm motorized punches is the technique preferred. For a surgeon occasionally doing hair transplant surgery, follicular unit transplant strip and suturing technique is recommended. Each follicular unit works as a skin micro graft that is placed 2-5 mm apart. The patients undergoing the procedure require 2-3 sittings that is spaced 8-10 months apart. And the results of follicular transplant is quite better than PRP and other techniques. Results: In the post burn patients hair transplants growth is delayed, it begins around 6 months after the transplant. All the hair grafts that are transplanted do not show growth together and complete result can be observed after 10 months. Patients with post burn eyebrow and mustache restoration are comparatively more satisfied. Conclusion: Follicular unit micro grafting and PRP can be used for restoration of eyebrows, moustache, beard, side burns, scalp hair or hairlines but the results of follicular transplant is quite better as compared to PRP. KEYWORDS: Suturing, Reconstruction, Facial Esthetics, Burn, Follicular, Frontal Hairline, Tissue Expanders.

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