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Hair Transplant with Artificial Hair



Staff member
A 27-year-old woman, with a history of alopecia since childhood and without desire for further investigation, started implantation with biocompatible fibers in a private clinic in the summer of 2018. No tolerance test was done initially. In total, she had 9000 fibers implanted, distributed over 3 sessions. No aftercare controls were performed in the clinic. Her scalp became tender and erythematous after the third session of implantation in February 2019. After examination, the patient was found to have multiple, tender, erythematous nodules around the hairs. Pus was observed draining from many scalp areas. Constant pain and itching of the scalp were present in this period, and, consequently, she experienced sleeping problems. A scalp biopsy specimen showed a nonnecrotizing granulomatous foreign-body reaction. The scalp abscesses were reduced by injection of a single triamcinolone acetonide, 10 mg/mL, and the diffuse inflammation of the scalp was treated with topical mometasone. The treatment reduced pain and, together with an increased spontaneous fiber loss, resulted in the patient declining the opportunity of extraction.

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