Background: Management of post burn alopecia has been
an obstacle to plastic surgeons nowadays, there is variable
surgical methods which makes it difficult to choose the suitable
treatment for each patient.
Objective: To assess the feasibility of platelet rich plasma
use in hair transplantation in treatment of post burn scar
alopecia to choose of the suitable treatment algorithm for this
type of deformity to obtain the highest possible patient satisfaction
rate with the least-possible complication rate.
Methods: This prospective clinical study was conducted
in Benha University Hospitals, Plastic and Burn Surgery
Department in the period between January 2021 and January
2022. 20 patients with post burn alopecia were included in
the study. Patients were randomized using envelop method
into two groups, where each group contains 10 patients as
follows: Group A: Patients received local intradermal PRP
injections one week before hair transplantation followed by
two injections 2 and 4 weeks postoperatively. Group B (Control
group): Patients underwent hair transplantation only without
any kind of local injections.
Results: Using this procedure is less invasive, less expensive
with less post-operative burden on the patients. However,
it requires special skills for proper harvesting and inserting
of follicular grafts. Operative time and number of sessions
were reasonable and convenient to the patients. Complications
were quite mild and acceptable to the patients.
Conclusion: It was concluded that using PRP in FUE is
useful in treatment of post burn alopecia, hair transplantation
has less hazards during anesthesia, less post-operative complications
and shorter recovery time than the other procedures
of hair restoration.