Hair Transplantation into the Nape of the Neck
- 1 Department of Dermatology, University of Jeddah, Jeddah, KSA
- 2 Division of Dermatology, McGill University, Montreal, Canada
Abstract
Background : Hair loss at the nape of the neck causes embarrassment and psychological stress in a number of patients due to a variety of causes including acne keloidalis nuchae and traction alopecia. Objectives : To report a case of hair transplantation into the nape of the neck as a treatment option for scarring resulting from acne keloidalis nuchae. Methods : 700 grafts where transplanted from the occipital donor area and transplanted by follicular unit extraction (FUE) into the nape area of a male patient with recurrent scarring folliculitis in that area. Results : Hair Restoration was successful with natural looking results. More tumescence than usual and skin traction was necessary to stabilize the skin during graft insertion due to soft skin in the nape area. Conclusions : Hair Restoration Surgery into the nape of the neck is an option for patients with hair loss in that area. FUE is the best method of hair transplantation allowing the selection of 1 and 2 hair FUE grafts in order to achieve a natural looking result in the nape area.
- Maranda, E.L., Simmons, B.J., Nguyen, A.H., Lim, V.M. and Keri, J.E. (2016) Treatment of Acne Keloidalis Nuchae: A Systematic Review of the Literature. Dermatology and Therapy (Heidelb), 6, 363-378. https://doi.org/10.1007/s13555-016-0134-5
- Ogunbiyi, A.O. and Adedokun, B. (2015) Perceived Etiological Factors of Folliculitis Keloidalis Nuchae and Treatment Options Amongst Nigerian Men. British Journal of Dermatology, 173, 22–25. https://doi.org/10.1111/bjd.13422
- Ramos-e-Silva, M. and Pirmez, R. (2014) Red Face Revisited: Disorders of Hair Growth and the Pilosebaceous Unit. Clinics in Dermatology, 32, 784-799. https://doi.org/10.1016/j.clindermatol.2014.02.018
- Herzberg, A.J., Dinehart, S.M., Kerns, B.J. and Pollack, S.V. (1990) Acne Keloidalis. Transverse Microscopy, Immunohistochemistry, and Electron Microscopy. The American Journal of Dermatopathology, 12, 109-121. https://doi.org/10.1097/00000372-199004000-00001
- Shapero, J. and Shapero, H. (2011) Acne Keloidalis Nuchae Is Scar and Keloid Formation Secondary to Mechanically Induced Folliculitis. Journal of Cutaneous Medicine and Surgery, 15, 238-240. https://doi.org/10.2310/7750.2011.10057
- Alexis, A., Heath, C.R. and Halder, R.M. (2014). Folliculitis Keloidalis Nuchae and Pseudofolliculitisbarbae: Are Prevention and Effective Treatment within Reach? Dermatologic Clinics, 32, 183-191. https://doi.org/10.1016/j.det.2013.12.001
- Unger, W., Unger, R. and Wesley, C. (2008) The Surgical Treatment of Cicatricial Alopecia. Dermatologic Therapy, 21, 295-311. https://doi.org/10.1111/j.1529-8019.2008.00211.x
- Kohn, T. and Zari, S. (2016) Local Anesthesia Techniques in Hair Restoration Surgery. Journal of Cutaneous Medicine and Surgery, 20, 610-612. https://doi.org/10.1177/1203475416651052