[Body-hair transplant for cicatricial alopecia].

Hair transplantation is a continuously evolving field. Since 1959, when Orentreich described the phenomenon of donor dominance in androgenic alopecia, thus paving the way for body-hair transplants, new techniques have not ceased to appear. During the last 15 years, the perception of hair transplantation as an aggressive technique with an artificial result has finally disappeared thanks to the use of follicular units, which have made the technique minimally invasive with mostly acceptable results. We present the case of a 30-year-old man with Norwood class III alopecia who underwent hair transplantation at another center in 2008 with the strip method, by means of which he received 3800 follicular units in the frontoparietal region. The follicular units were harvested from the parieto-occipital region. He consulted 1.5 years after the intervention for assessment of the reconstruction of the donor strip scar (3 cm× 2 cm) and reinforcement of the frontal area behind the hairline (Fig. 1A and B). We considered the possibility of using the occipital region as the donor strip. However, the low follicular density (50 units/cm) at this site led us to repopulate the frontal area using a combination of follicular units from the occipital region and chest. This approach provided a reasonable number of follicles. Follicular units were obtained using a 0.8-mm punch after applying local anesthetic with 2% lidocaine with 1:100,000 epinephrine. A total of 335 follicular units were obtained from the chest (Fig. 2A) and 600 from the parieto-occipital region. Once the recipient site had been anesthetized, the incisions were made in the scar area using a 19G needle, and the body hair follicular units were implanted at a density of 17 units/cm. Of the 335 follicular units obtained, 100 were implanted in the scar of the parietotemporal area to evaluate the