Evaluation of eyebrow-hair transplantation for postburn cicatricial alopecia

Abstract

Background Eyebrow is the main contouring line of the face. That is why any eyebrow defect, especially if resulting from burn, disturbs the whole esthetic portrait and causes psychological trauma and lack of confidence. Eyebrow-hair transplantation is considered as the management of choice for patients suffering from postburn eyebrow alopecia. Objectives The aim of this study was to ascertain the efficacy and benefits of hair transplantation for postburn cicatricial alopecia of the eyebrow, using a standardized data and documented by photography. Patients and methods The study included 20 patients suffering from postburn cicatricial alopecia of the eyebrow. Preoperatively, eyebrows were assessed for the part affected with postburn cicatricial alopecia, the side, the size of the defect, the direction of hair, and symmetry. Marking the affected eyebrow was done. Single-hair follicle grafts were extracted from the scalp and then implanted into the eyebrow defect, under the effect of local anesthesia and sedation if needed, and complete aseptic conditions. Patients were followed up for 1 year. The results were tested statistically and documented by photos. Results On statistical analysis, there was a statistically significant improvement in 75% of cases with satisfactory outcomes. The majority of patients showed very good results with minimal accepted complications. Comparison between preoperative presentation and postoperative outcome manifested an apparent esthetic amelioration. Conclusion Hair transplantation is effective in improving postburn alopecia of the eyebrow and camouflaging the underlying scar tissue.