Reconstructive hair surgery on a 11-year-old burn victim – 3055 FU in 2 procedures

[Dr. Bijan Feriduni]

In May 2005, a then 6-year-old boy visited my clinic together with his parents. The boy had a burning wound on the left side of his scalp (left temporal occipital), in grade II and III. This burning injury was a consequence of an accident with Fondue oil during the end of year celebrations in 2004.

 

Because their health insurance refused to cover the costs of a possible surgery, he became one of our first ‘Foundation’ cases.

 

Treatment plan of the two-step surgical procedure :

 

-The first surgical procedure involves a scar reduction to reduce the extent of the scar surface and a Follicular Unit Transplantation with a minor density of 10-20 FU/cm2 in order to improve the blood supply and vascularisation in the scar tissue.

-The object of the second surgical procedure is to reconstruct the left temporal angle, to increase the overall density (scalp growth) and to optimize the final result.

 

Performed procedures:

 

-The first surgical procedure was performed in July 2005 and carried out in intubation narcosis. A scar reduction was executed and subsequently we performed a Follicular Unit Transplantation with 1123 follicular unit grafts.

-The second surgical procedure was performed in April 2009 and carried out under local anesthesia. A Follicular Unit Transplantation with again 1932 follicular unit grafts was successfully executed.

 

It is always nice to see that patients feel great after their hair transplant surgery but in this case it was a unique and pleasing experience to be able to help this young boy on his way to live a carefree childhood.

 

Dr. Bijan Feriduni

Edited May 3, 2010 by Dr. Bijan Feriduni

[dabuski]

Excellent Job Doc!

The big fella must be thrilled not to mention his parents too !

[Blake Bloxham]

Dr Feriduni,

 

Thank you so much for sharing this case! A truly inspirational reconstruction. The work looks excellent, and I'm sure you've made an enormous difference in this young man's life! Well done.

[Robin-at-USHR]

Thank you so much for posting this case for us all to see. This boy's life will be completely transformed by this surgery, and I am happy to see that he got such amazing results. Great job Dr. Feriduni, I don't think I or anyone in this little boys family could put into words how much this boys life will be changed for the better and allowed to live freely without hesitation. Thanks again for posting these results.

[aaron1234]

Dr. Feriduni,

 

Excellent, beautiful work. The lil lad must be thrilled to death!

 

I'm wondering how you would approach this case differently with the possibility of MPB happening later in life. Does his family have a history of MPB? Also, the boy is 11, so certainly his head will grow and change in size and shape. Could this affect his donor scar? I'm sure there are other issues you'd have to consider that I am overlooking. I'm certainly not questioning your work, but this case is just very unique. I've seen burn victim transplants before, but they were of grown men.

 

Again, breathtaking work!

[Bill - Seemiller]

Dr. Feriduni,

 

That's amazing. What a night and day difference this procedure made. I'm sure this child will feel much more confident with his new head of hair.

 

Best wishes,

 

Bill Seemiller

[Maxxy]

That truly is astounding, it's difficult to comprehend how different this lad's life may have been had he not found a talented surgeon willing to help. It just goes to show what can be achieved in the right hands. Well done Dr. Feriduni.

Edited May 3, 2010 by Maxxy

[Dr. Bijan Feriduni]

Thanks Dabuski, Future_HT_Doc, Robin_at_USHR, aaron1234, Bill and Maxxy for all those compliments!

 

To aaron1234 : There luckely is no MPB in his family, his father is about 45 years old and still has a head full of hair!

It will not affect the scar if his head will grow in size and shape.

I do not think that the question whether the possibility on MPB in the future exists or not is really relevant in this case. I think the result will certainly affect his further childhood and youth in a positive way and that was actually my main concern.

 

Best regards,

 

Dr. B. Feriduni

[Christine]

What an interesting case! The patient looks fantastic with his new full head of hair. Thank you for sharing with the forum.

[Dr. William Lindsey]

Excellent job.

 

Dr. Lindsey McLean VA