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Alopecia or hair loss are primarily divided into two types: non- cicatricial (non- scarring) alopecia and cicatricial (scarring) alopecia. Scarring alopecia means that the hair roots are destroyed and there is no chance of re-growth of hair in the areas affected.
Scarring alopecia is also of two types:
In case of primary scarring alopecia, we must halt the underlying process before restoration. There must not be any new lesions or extension of old lesions for preceding one year before undergoing surgery. Therapy in the form of oral and topical medications are required to halt progression of hairloss. This is important as transplantation before this period could lead to loss of transplanted hair as well.
Secondary scarring alopecia is easier to treat with hair transplantation. This can be done as soon as the candidate is ready. Hair transplantation shows good results in these cases. It can camouflage the scar and improve overall cosmesis. Hair transplantation can be done in all hair bearing areas but the most commonly operated sites are scalp and face.
Scar on beard area, upper lips and eyebrows can occur more prominent in patients due to overlying hair loss. Plantation of hair in these scarred areas can be done to improve the cosmetic appearance.
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