Female Success Story: Extreme Scalp Damage and Trauma [Update: 3/19/21]
An incredible new entry has been added to Modena’s female hair loss success stories!
This success story has been a long and involved reconstruction project that continues to be a work-in-progress, but one that deserves to make hair restoration headlines around the world.
In the following presentation, Dr. Amir Yazdan treats a woman involved in a terrible car accident who was left with very little scalp tissue and hair, as well as major cosmetic deformities to her forehead and eyebrow. Traumatic head injuries often include injury to the scalp and eyebrows, with resulting destruction to the hair follicles in those areas.
Initial Reconstruction Work
When the patient first entered our clinic, her scalp was severely damaged and traumatized, as can be seen in the photos below. We began reconstruction work on the patient with extensive skin grafting over the scalp and forehead to both cover the wounds and allow for easier healing of scar tissue. The patient then underwent tissue expanders in the front and back of the scalp for a 6-month period to stretch the skin and allow for better coverage over the scalp.
Skin grafting and tissue expanding was done in order to enable the scalp to grow extra skin for use in upcoming reconstructive procedures. The damaged areas required a newer and stronger layer of skin to act as the base of operation for hair restoration work to unfold.
Hair Restoration Treatment
Traumatic scalp injury and scarring destroy a person’s naturally growing hair follicles. Hair will stop growing where scarred skin grows. This is why hair restoration in the scarred areas of the scalp cannot be undertaken lightly. It requires careful examination of the scalp and consideration of numerous factors that can influence the feasibility and outcome of surgical hair restoration.
After careful analysis of the patient’s scar tissue, scalp morphology and blood supply, Dr. Yazdan chose to begin treatment with PRP to stimulate scar tissue before fat grafting to add healthier fat padding under the skin. This was done in order to provide better vascularity to the scar tissue and to help increase the survival rate of transplanted grafts.
The patient then underwent an FUT/strip surgery to advance the hairline forward, as well as to fill in the scarring and repair her left eyebrow. To achieve a natural look, Dr. Yazdan paid extreme care and attention to the positioning of the incisions and distribution of follicular units in order to ensure a proper aesthetic reconstruction of the damaged site.
Skilled FUT surgery demands a highly artistic eye in order for the new follicular units to blend seamlessly with the patient’s native hair.
Concurrently with the hair transplant procedure Dr. Yazdan performed strategic scalp micro pigmentation to help cover the extensive scarring the patient had suffered from the trauma and surgeries.
In 4-6 months’ time, Dr. Yazdan will perform a second hair transplant surgery in order to:
- Increase density in previously transplanted areas
- Further refine the hairline
- Account for additional scarring and hair loss
- Add coverage in weakly supplied areas
As the most recent photos reveal – many months after the skin grafting and first FUT surgery – the patient’s extensive scarring, trauma, redness and crusting have severely subsided as the newly designed hairline and transplanted hair follicles begin to restore the natural look of the face.
[Update 3/19/21]: It’s been six months now since the patient’s initial reconstruction work and we can see the original natural hairline coming to fruition in a beautiful way. We are extremely happy with the graft survival rate on the scar tissue. The regrown hair on and around the trauma site is flattering and has surpassed all expectations – the excision sites have all healed incredibly well.
Finally, Dr. Yazdan’s eyebrow reconstruction work has restored the patient’s natural eyebrow line. Eyebrow reconstruction is a very delicate procedure, requiring perfect placement of the hairs into tiny incisions that are angled at just the right direction and positioned to mimic natural growth.