Background: Management of Cicatricial alopecia has been a challenge to plastic surgeons nowadays ,the variability of surgical methods makes it difficult to choose the right treatment for each patient, also proper diagnosis of the type of cicatricial alopecia, whether it is primary or secondary, reversible or irreversible, scaring or non-scaring and stable or unstable, needs certain experience and skills.
Objective: To assess results of Follicular Unit Extraction in management of secondary cicatricial alopecia.
Patients and methods: This prospective cohort study, on 20 patients with secondary cicatricial alopecia. These Patients were operated upon in the Plastic and burn Department, Al-Azhar University Hospitals and were referred to our outpatient clinic for follow up visits.
Results: There was sixteen (80%) males and four (20%) females, the mean age of the studied cases was 18.85 (±2.94 SD) with range (15-25) years. General outcome there were two (10%) bad, six (30%) good and twelve (60%) very good, according to hair density there were one (5%) poor, thirteen (65%) good and six (30%) very good, according to postoperative scars there were eighteen (90%) low and two (10%) high and according to hair direction there were four (20%) bad, eleven (55%) good and five (25%) very good. Among the studied cases there were nine (45%) who needed another surgery.
Conclusion: We concluded that hair transplantation is very useful in the field of cicatricial alopecia treatment, hair transplantation has less hazards during anesthesia, less post-operative scars and less recovery time than the usual method of hair restoration.