SCALP NECROSIS AFTER HAIR TRANSPLANTATION

Abstract

Scalp necrosis after hair transplantation is a rare but clinically relevant complication that can compromise aesthetic results and require additional interventions. This study aimed to analyze the clinical course of a patient who presented post-hair transplant necrosis, investigate the factors associated with its occurrence, the therapeutic strategies employed, and the observed outcomes. To this end, a qualitative approach was adopted, based on the analysis of a case study combined with a literature review on hair transplant complications. The studies indicated that necrosis can beinfluenced by biological factors within the patient. These findings may be related to biological factors inherent to the patient, or influenced by the technique used during the surgical procedure or in the postoperative period, reinforcing the need for more effective preventive strategies. Conservative management, prioritizing healing by secondary intention, proved to be a safe approach, allowing for lesion recovery in approximately one month, with partial preservation of the hair follicles. These results demonstrate that, when properly managed, necrosis does not completely compromise graft viability, although it can impact follicular density in the affected region. In additionto contributing to a better understanding of post-hair transplant complications, thisstudy highlights the importance of outpatient follow-up and technical care during surgery and postoperatively, and suggests new directions for future research. Additional studiesexploring preventive strategies, comparisons between surgical techniques, and long-term assessments of graft viability could deepen our understanding of this complication and improve clinical protocols.