51 Complications of the Recipient Area
Book
Editors: Unger, Robin; Shapiro, Ronald
Title: Hair Transplantation
Print ISBN: 9781626236936; Online ISBN: 9781684202737; Book DOI: 10.1055/b000000335
6. Edition © 2023 Thieme. All rights reserved.
Thieme Medical Publishers, Inc., New York
Subjects: Plastic, Reconstructive and Cosmetic Surgery;Dermatology
Thieme Clinical Collections (English Language)
Summary
Hair transplantation is a relatively safe procedure, but it may result in some complications in the recipient area. Many of the complications of a hair transplant procedure have to do with the patient’s own skin and how it reacts to the process of hair transplantation. Some of these complications include itching, persistent redness, shock loss, folliculitis, and ingrown hair. The second group of recipient complications may occur as a result of technical problems. These complications can include paresthesia, sensory loss, necrosis, arteriovenous fistula, low-yield hair growth, preexisting healthy hair destruction, and also ridging, pitting, and insufficient growth. The third group of complications includes the ones that are secondary to erroneous judgment in terms of aesthetics. Lack of consideration for the patient’s natural pattern of hair and oversight regarding a patient’s natural hair location, orientation, angulation, and distribution all play a role. Placing a hairline in the wrong location by maintaining it too low in a young patient destined to succumb to an advanced stage of hair loss is one of the most common issues encountered. Additional aesthetic complications related to poor judgment include improper distribution of hair, plugginess of the hairline, incorrect exit angles, and curvature of the transplanted hair.
Key words
recipient complications - shock loss - plugginess - necrosis - folliculitis - ingrown hair - insufficient growth- 1 Perez-Meza D, Niedbalski R. Complications in hair restoration surgery.. Oral Maxillofac Surg Clin North Am 2009; 21 (1) 119-148, vii PubMed (PMID: 19185800)
- 2 Feily A, Moeineddin F. Feily’s method as new mode of hair grafting in prevention of scalp necrosis even in dense hair transplantation.. Dermatol Pract Concept 2015; 5 (3) 41-46 PubMed (PMID: 26336624)
- 3 McCallon SK, Weir D, Lantis II JC. Optimizing wound bed preparation with collagenase enzymatic debridement.. J Am Coll Clin Wound Spec 2015; 6 (1–2) 14-23 PubMed (PMID: 26442207)
- 4 Lehman RA, Page RB, Saggers GC, Manders EK. Technical note: the use of nitroglycerin ointment after precarious neurosurgical wound closure.. Neurosurgery 1985; 16 (5) 701-702 PubMed (PMID: 3923385)
- 5 Falanga V, Brem H, Ennis WJ, Wolcott R, Gould LJ, Ayello EA. Maintenance debridement in the treatment of difficult-to-heal chronic wounds. Recommendations of an expert panel.. Ostomy Wound Manage 2008; (Suppl. Suppl) 2-13, quiz 14–15 PubMed (PMID: 18980069)