Introduction: Secondary cicatricial alopecia (SCA) cases are known for being difficult to treat. It has been estimated that the percentage of acceptance of transplanted hairs is reduced in scarred tissue by less than 50% (compared with >90% growth rate in normal non-cicatricial tissue). This is due to limited vascular supply in areas of cicatricial alopecia, which affects graft viability. In addition to graft failure, sclerotic tissue also increases the risks of infection, ischemia, hypoxia, and necrosis due to the inadequate vasculature. Fractional carbon dioxide laser resurfacing (FxCR) has a remarkable effect on scar remodeling and revitalization of tissue. We hypothesized that our LASER Assisted Follicular Unit Transplantation (LAMFUT) technique would increase the number of viable grafts in cases of SCA.
Ahmed A Youssef