Examining Surgical Complications in Hair Transplantation

Surgical complications in hair transplantation are relatively frequent and can be a real deterrent when you are deciding on a surgery. Most of the published studies, which have dealt with this issue, provide individual case reports rather than large scale consistently conducted reviews. In a recent study complications in 425 patients undergoing 533 hair transplant sessions were examined. Patients with androgenetic alopecia (407 men and 17 women), cicatricial alopecia (9 men and 8 women), and malformations (1 man and 3 women) with a mean age of 36.9 years (standard deviation, 10.4 yrs) underwent hair transplantation between 1995 and 2006 and were undergoing medical examinations postoperatively for at least one year.

The overall complication rate in this series was determined at 4.7%, including enlarged scar (1.2%), folliculitis (1.0%), necrosis in the donor area (0.8%), keloids (0.4%), bleeding (0.2%), hiccups (0.2%), infection (0.2%), and pyogenic granuloma (0.2%). The frequency of enlarged scar increased proportionally to the number of surgical procedures that the patient has undergone. It can be concluded that the hair transplantation complication rate in this series was 4.7%. Good communication between the patient and the hair transplant surgeon, a complete clinical and laboratory assessment of the patient, accurate surgical technique, use of specific technology, a well trained surgical team and careful postoperative attention to the patient were found as crucial for successful hair transplantation and for decreasing the complication rates.

Posted in: Surgical and non-medical hair restoration