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DOI: 10.1055/s-0041-1739255
Complications of Hair Transplant Procedures—Causes and Management
Abstract
Hair transplant surgery per se has low risk, is relatively safe, and has minimum incidence of complications. However, it is a well-accepted fact that no medical science procedure exists without any potential risk of complications. The complication may be a single complaint in the form of pain, itching, dissatisfaction related to the procedure's outcome, or surgical complication in the form of infection, wound dehiscence or skin necrosis. Inadequate counselling increases unsatisfaction. Improper examination increases the complications, and incomplete medical history and history of allergy increases the risk during surgery.
The author collected data of his 2896 patients, operated over a period of 10 years, and recorded the complains and complications. The most common complications were sterile folliculitis, noted in 203 patients, vasovagal shock in seven patients of, hypertensive crisis in one patient, hiccups in six patients, facial edema after hair transplant in 18 patients, graft dislodgement in 8 patients, infection in two diabetic patients, minor necrotic patches in recipient area in three patients, keloid development in one patient, numbness in 18 cases, and hypersensitivity in recipient and/or donor area. Donor area effluvium was seen in one case and three patients showed recipient area effluvium. Twenty-six patients were not happy with the results, and five cases showed partial loss of implanted hair. The overall significant life-threatening or major complications were zero, but the total minor complications' percentage was 0.10%.
The key to minimize complaints and complications are detailed counselling, taking careful medical history and history of allergy, and proper examination of patients.
Publication History
Article published online:
31 December 2021
© 2021. Association of Plastic Surgeons of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
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References
- 1 Perez-Meza D, Niedbalski R. Complications in hair restoration surgery. Oral Maxillofac Surg Clin North Am 2009; 21 (01) 119-148 , vii
- 2 Kerure AS, Patwardhan N. Complications in hair transplantation. J Cutan Aesthet Surg 2018; 11 (04) 182-189
- 3 Unger W, Solish N, Ginguere D. Am J Cosmet Surg 1994; 11: 239-243
- 4 Loganathan E, Sarvajnamurthy S, Gorur D, Suresh DH, Siddaraju MN, Narasimhan RT. Complications of hair restoration surgery: a retrospective analysis. Int J Trichology 2014; 6 (04) 168-172
- 5 Salanitri S, Gonçalves AJ, Helene Jr A, Lopes FH. Surgical complications in hair transplantation: a series of 533 procedures. Aesthet Surg J 2009; 29 (01) 72-76
- 6 Zhou Y. Principles of pain management. In: Bradley WG, Daroff RB, Fenichel GM, Jankovic J. eds. Neurology in Clinical Practice, 5th ed. Philadelphia, PA: Butterworth Heinemann Elsevier; 2008: 293-325
- 7 Freynhagen R, Bennett MI. Diagnosis and management of neuropathic pain. BMJ 2009; 339: b3002
- 8 Garg S, Garg A. Study of ropivacaine block to reduce post-operative pain after strip harvesting, and the relationship of strip width with post-operative pain. Hair Transplant Forum International 2019; 29 (05) 186-188
- 9 Gholamali A, Sepideh P, Susan E. Hair transplantation: preventing post-operative oedema. J Cutan Aesthet Surg 2010; 3 (02) 87-89
- 10 Walker NP. Textbook of Dermatology. 6th ed.. Oxford: Blackwell Science; 1998
- 11 Mali S. Anaphylaxis during the perioperative period. Anesth Essays Res 2012; 6 (02) 124-133
- 12 Lieberman P. Biphasic anaphylactic reactions. Ann Allergy Asthma Immunol 2005; 95 (03) 217-226 , quiz 226, 258
- 13 Godse K, Bagadia A, Patil S, Nadkarni N, Gautam M. “Busting” urticaria with a “burst” of steroids. Indian J Dermatol 2014; 59 (06) 618-619
- 14 Unger WP. Complications of hair transplantation. In: Unger WP. ed. Hair transplantation. 3rd ed.. New York: Marcel Dekker; 1995: 363-374
- 15 Askenasy JJ. About the mechanism of hiccup. Eur Neurol 1992; 32 (03) 159-163
- 16 Beer K, Downie J, Beer J. A treatment protocol for vascular occlusion from particulate soft tissue augmentation. J Clin Aesthet Dermatol 2012; 5 (05) 44-47
- 17 Hahler B. Surgical wound dehiscence. Medsurg Nurs 2006; 15 (05) 296-300 , quiz 301
- 18 Başterzi Y, Bağdatoğlu C, Sari A, Demirkan F. Aplasia cutis congenita of the scalp and calvarium: conservative wound management with novel wound dressing materials. J Craniofac Surg 2007; 18 (02) 427-429
- 19 Kirshen C, Woo K, Ayello EA, Sibbald RG. Debridement: a vital component of wound bed preparation. Adv Skin Wound Care 2006; 19 (09) 506-517 , quiz 517–519
- 20 Dasgeb B, Phillips T. What are scars?. In: Arndt KA. ed. Procedures in Cosmetic Dermatology: Scar Revision. Philadelphia, PA: Elsevier Saunders, 2006. Elsevier; 2008
- 21 Derman B, Zell D. Medical treatment of scarring. In: Arndt KA. ed. Procedures in Cosmetic Dermatology: Scar Revision. Philadelphia, PA: Elsevier Saunders; 2006
- 22 Jackett G. Management of keloid and hypertrophic scars. Am Fam Physician 2009; 80 (03) 253-260
- 23 Vernadakis AJ, Koch H, Mackinnon SE. Management of neuromas. Clin Plast Surg 2003; 30 (02) 247-268 , vii