Hair Transplant on a Psoriatic Patient

[Dr. Damkerng Pathomvanich]

A 45-year old Caucasian male who had receding hairline, deep temples, and slightly thinning at the top area of the scalp consulted at the clinic for hair transplantation. He had a family history of Norwood Class III from both his father and paternal grandfather. He has no systemic diseases apart from a 10-year history of Guttate Psoriasis, which he has been treating with topical steroids and tar shampoo. On physical examination, he had a few psoriatic lesions on the top of his scalp.

He underwent hair transplant in August 2011 with a total of 2777 grafts (1 hairs=351, 2-hairs=1741, 3-hairs=685) corresponding to 5888 hairs.

On the 5th day follow-up after surgery, the grafts settled well and there were no new psoriatic lesions noted on the donor or recipient areas.

1 year post-op photos show excellent results with good density at the hairline and at the top. The patient reported no eruption or aggravation of his psoriasis after surgery.

[james79]

Wow, those results look very impressive! Looks like a completely different person even with his face blacked out. He looks younger.

[splitting hairs]

This is an excellent result Dr!!

 

I have a few questions though:

 

1. What was the pre operative management of this patient given his psoriasis? Did you you just ensure he had a course of topical steroids to prevent the condition from flaring up post op?

 

2. do you come across many patients with scalp conditions like se?or their dermatitis of the scalp? what do you do with these patients?

 

many thanks,

Hussein

[riloal]

Damn, this doctor is doing some impressive work. Congrats

[Blake Bloxham]

Phenomenal result!

[TakingThePlunge]

Stellar result Dr. Pathomvanich. Well done!