Experience in improving the results of treating scalp defects using the FUE method with DHI

Aim. Improvement of scalp defect treatment results using hair transplantation technology by follicular unit extraction and direct hair implantation methods. Materials and methods. A 50-year-old patient complained of multifocal post-burn alopecia of the scalp and left eyebrow. Hair restoration was performed using hair transplantation using the FUE (Follicular Unit Extraction) method with DHI (Direct Hair Implantation). The results were evaluated using an objective criterion (percentage of hair engraftment), as well as the subjective criterion of patient satisfaction with the result using a total score scale (Likert scale), which was adapted according to the tasks of the work. Results. The final result was evaluated one year after hair transplantation. The patient noted an acceptable result (4 points). A second session of hair transplantation was performed in the intervals between the already grown grafts to achieve a uniform effect. Conclusions. Hair transplantation can be used to restore scalp hair in cases where the use of local flaps and tissue extension is limited (multifocal scarring and postoperative alopecia), as well as a secondary procedure after primary closure of the defect with non-vascularized skin grafts or distance flaps. FUE hair transplant with DHI allows you to restore the natural angle and direction of hair growth, even in aesthetically difficult areas such as the front hairline, crown, eyebrows, and achieve hair growth density that is almost identical to natural.