Recipient Site Complications

Chapter

Abstract

All surgical procedures no matter how minor are sometimes accompanied by postoperative complications. This is defined as any undesirable, unintended, and direct result of an operation affecting the patient (Sokol and Wilson, World J Surg, 32, 942–944, 2008).

In hair transplantation, postoperative complications are not very common with one report estimating an overall complication rate of only 4.7% (Salanitri et al., Aesthet Surg J, 29, 72–76, 2009). In my private practice, I would have to say that I encounter these complications at a rate of 2–3%. Complications are more commonly encountered by surgeons during the first few years of practice as compared to those who have been performing hair transplants for more than 5 years. No surgeon is free from having complications; the important thing is that we recognize them and we know how to handle them, in order to minimize any negative effects on graft growth and improve the overall result.

In this chapter, I have categorized recipient site complications according to the time of their occurrence.

Keywords

Hair transplant complications Folliculitis Effluvium Pain Poor growth 

References

  1. 1.
    Sokol D, Wilson J. What is a surgical complication? World J Surg. 2008;32(6):942–4.CrossRefPubMedGoogle Scholar
  2. 2.
    Salanitri S, Goncalves AJ, Helene A Jr, Lopes FH. Surgical complications in hair transplantation: a series of 533 procedures. Aesthet Surg J. 2009;29(1):72–6.CrossRefPubMedPubMedCentralGoogle Scholar
  3. 3.
    Bunagan MJ, Pathomvanich D, LAorwong K. Recipient area folliculitis after follicular unit transplantation: characterization of clinical features and analysis of associated factors. Dermatol Surg. 2010;36(7):1161–5.CrossRefPubMedPubMedCentralGoogle Scholar
  4. 4.
    Cooley J, Unger W, Shapiro R. Complications of hair transplantation. In: Unger W, Shapiro R, editors. Hair transplantation. USA: Marcel Dekker; 2004. p. 571.Google Scholar
  5. 5.
    Halpem AC, Leyden JJ, Dzubow LM, McGinley KJ. The incidence of bacteremia in skin surgery of the head and neck. J Am Acad Dermatol. 1988;19(1):112–6.CrossRefGoogle Scholar
  6. 6.
    Tsillosani A, Gugava M. Is there a rationale for use of antibiotics in hair transplantation surgery? Georgian Med News. 2005;122:7–10.Google Scholar
  7. 7.
    Loganathan E, Sarvajnamurthy S, Gorur D, et al. Complications of hair restoration surgery: a retrospective analysis. Int J Trichology. 2014;6(4):168–72.CrossRefPubMedPubMedCentralGoogle Scholar
  8. 8.
    Gholamali A, Sepideh P, Susan E. Hair transplantation: preventing post operative edema. J Cutan Aesthet Surg. 2010;3(2):87–9.PubMedPubMedCentralGoogle Scholar
  9. 9.
    Whiting DA, Stough DB. Post transplant epidermoid cyst secondary to small graft hair transplantation. Dermatol Surg. 1995;21(10):863–6.CrossRefPubMedGoogle Scholar
  10. 10.
    Marzola M, Vogel J. Complications. In: Haber RS, Stough D, editors. Hair transplantation. China: Elsevier Saunders; 2006. p. 180.Google Scholar
  11. 11.
    Marzola M, Vogel J. Complications. In: Haber RS, Stough D, editors. Hair transplantation. China: Elsevier Saunders; 2006. p. 175.Google Scholar
  12. 12.
    Cooley J, Unger W, Shapiro R. Complications of hair transplantation. In: Unger W, Shapiro R, editors. Hair transplantation. USA: Marcel Dekker; 2004. p. 569.Google Scholar
  13. 13.
    Marzola M, Vogel J. Complications. In: Haber RS, Stough D, editors. Hair transplantation. China: Elsevier Saunders; 2006. p. 175.Google Scholar
  14. 14.
    Cooley J, Unger W, Shapiro R. Complications of hair transplantation. In: Unger W, Shapiro R, editors. Hair transplantation. USA: Marcel Dekker; 2004. p. 569.Google Scholar
  15. 15.
    Seager D, Unger W, Shapiro R. Classic Microscope dissection of follicular units. In: Unger W, Shapiro R, editors. Hair Transplantation. USA: Marcel Dekker; 2004. p. 357.Google Scholar
  16. 16.
    Cooley J, Unger W, Shapiro R. Complications of hair transplantation. In: Unger W, Shapiro R, editors. Hair transplantation. USA: Marcel Dekker; 2004. p. 570.Google Scholar
  17. 17.
    Cooley J, Unger W, Shapiro R. Complications of hair transplantation. In: Unger W, Shapiro R, editors. Hair transplantation. USA: Marcel Dekker; 2004. p. 570.Google Scholar
  18. 18.
  19. 19.
    Perdanasari A, Lazzeri D, Weije S, et al. Recent developments in the use of intralesional injections keloid treatment. Arch Plast Surg. 2014;41(6):620–9.CrossRefGoogle Scholar
  20. 20.
    Bleasdale B, Finnegan S, Murray K, et al. The use of silicone adhesives for scar reduction. Adv Wound Care. 2015;4(7):422–30.CrossRefGoogle Scholar
  21. 21.
    Al-Mohamady AE, Ibrahim SM, Muhammad MM. Pulse dye laser versus long pulse Nd:YAG laser in the treatment of hypertrophic scars and keloid: a comparative randomized split-scar trial. J Cosmet Laser Ther. 2016;6:1–2.Google Scholar
  22. 22.
    Cooley J, Unger W, Shapiro R. Complications of hair transplantation. In: Unger W, Shapiro R, editors. Hair transplantation. USA: Marcel Dekker; 2004. p. 570.Google Scholar
  23. 23.
    Hasson V, Haber R, Stough D. Perpendicular angle grafting. In: Haber RS, Stough D, editors. Hair Transplantation. China: Elsevier Saunders; 2006. p. 119.Google Scholar
  24. 24.
    Rassman W, Bernstein R. The part of tens. Hair Loss and Replacement for Dummies. 2009;6:264.Google Scholar
  25. 25.
    Fisher J. Revision of the unfavorable result in hair transplantation. Semin Plast Surg. 2005;19(2):167–78.CrossRefPubMedCentralGoogle Scholar
  26. 26.
    Park HS, Kim JY, Choe YS, et al. Alternative method for creating fine hairs with hair removal laser in hair transplantation for hairline correction. Ann Dermatol. 2015;27(1):21–5.CrossRefPubMedPubMedCentralGoogle Scholar
  27. 27.
    Cooley J, Unger W, Shapiro R. Complications of hair transplantation. In: Unger W, Shapiro R, editors. Hair transplantation. USA: Marcel Dekker; 2004. p. 569.Google Scholar
  28. 28.
    Cooley J. Optimal graft growth. Facial Plast Surg Clin North Am. 2013;21(3):449–55.CrossRefPubMedGoogle Scholar
  29. 29.
    Parsley W, Meza D. Review of factors affecting the growth and survival of follicular grafts. J Cutan Aesthet Surg. 2010;3(2):60–75.Google Scholar

Copyright information

© Springer Japan KK, part of Springer Nature 2018

Authors and Affiliations

  1. 1.The Medical City HospitalPasigPhilippines

Personalised recommendations