Successful hair transplantation following repeated lipostructure in a case of morphea <i>en coup de sabre</i>: a multidisciplinary and regenerative approach

We describe the successful combination of repeated autologous lipostructure and hair transplantation in a case of morphea en coup de sabre, highlighting the regenerative benefits of a multidisciplinary approach. A 40-year-old woman with long-standing, stable frontoparietal and frontotemporal atrophy and alopecia underwent four fat grafting sessions using the Coleman technique over 5 years. Nine months after the final procedure, she received follicular unit extraction (FUE) hair transplantation with 1,600 grafts. The postoperative course was uneventful, with rapid and stable regrowth observed from the third month. At 12 months, the aesthetic outcome was excellent, with nearly complete graft survival and high patient satisfaction. This is the first reported case of FUE transplantation following multiple lipostructure sessions in morphea en coup de sabre. Fat grafting may enhance graft take by improving dermal quality and vascularization. This combined approach offers a promising solution for scarring alopecia in selected, stable patients.