Using Feily's method prevented scalp necrosis in three patients incline to the scalp recipient necrosis; what is new in prevention of scalp necrosis?

Dermatol Ther. 2017 Jan;30(1). doi: 10.1111/dth.12417. Epub 2016 Sep 9.

Abstract

Serious complications arising from surgical hair restoration are relatively uncommon following well-performed and well-planned surgery by skillful surgical techniques, good communication, and postoperative follow-up. Surgical complications often categorized as those which occur in the donor site and the recipient site. In this paper among recipient area complication we focused on recipient area necrosis that arises when an increased number of recipient grafts are utilized and de-vascularization of the scalp occurs as a result of the large wound area due to the dense packing splitting of recipient skin. Recently, Feily et al. explained an interesting method to prevent development of recipient area necrosis following a hair transplant procedure. Herein we reported three cases of dense hair transplantation using the Feilys method that after slitting they troubled by unusual long lasting dark areas on the scalp and they need more than 24 hr's patience for prevention of scalp necrosis.

Keywords: Feilys method; Scalp recipient necrosis; prevention.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Alopecia / diagnosis
  • Alopecia / physiopathology
  • Alopecia / surgery*
  • Hair Follicle / growth & development
  • Hair Follicle / transplantation*
  • Humans
  • Male
  • Middle Aged
  • Necrosis
  • Reperfusion Injury / etiology
  • Reperfusion Injury / pathology
  • Reperfusion Injury / prevention & control*
  • Risk Factors
  • Scalp / pathology
  • Scalp / surgery*
  • Scalp Dermatoses / etiology
  • Scalp Dermatoses / pathology
  • Scalp Dermatoses / prevention & control*
  • Time Factors
  • Treatment Outcome