Hair Transplantation In Scarring Beard Face Cause By ACNEThis case study is a part of the education endeavor of AK clinics in which we have earlier also shared some cases and will discuss further as well. This particular case study is about Mr. Singh, 29 years old male who was diagnosed with severe scarring on face in beard due to recurrent nodulocystic acne since last many years. We are hereby presenting the features, causes, diagnosis and treatment that was administered to him. Features: When Mr. Singh first walked in to our clinic, he came with the severe scarring due to acne on the face, especially in the beard area. On careful examination there were multiple atrophic scars ranging from few millimeters to 1.5 cm2. Also there was loss of beard hair in those particular affected scars making those scars prominently visible when patient keeps the trimmed beard. But there was no active lesion of acne at the time of examination. According to history, patient took the treatment for nodulocystic acne in past and since last few years he was not having any acne lesion. Cause: The cause of acne is multifactorial and severity varies from person to person. Most of the patients have acne problem during their teenage and if not treated promptly and adequately, it may leave permanent scarring on the face. Diagnosis: Diagnosis was made clinically on the basis on history and examination of affected area and did not require any special investigation. Treatment: As the patient had no active lesion of acne, he did not require anything for that but the scarring and patches of alopecia in the beard were of cosmetic concern. He had consulted earlier also outside for hair transplant and had undergone a trial of 30 grafts of hair transplant as well. Thus, we also suggested him hair transplant in the affected areas to camouflage the scar and get the normal looking beard so he can even keep the trimmed hair in the beard without having visible scars on the beard. Around 1400 grafts were used to transplant in the scar area and to get the beard in perfect look. Special attention was given in regards to following points during the surgery to create a natural look with best possible outcome as the scar tissue has minimal to no blood supply that can adversely affect the survival of implanted grafts.
- Recipient sites creation
- Graft harvesting
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Conclusion: Beard hair translation can be considered in a patient with patchy alopecia in beard due to various causes once the primary cause for the alopecia is no longer active. It can also be used as method of camouflage to hide the scars in beard area if patient is ready to keep the sufficient length of beard hair.