Scarring Alopecia & Corrective Hair Transplant
Advanced hair loss, such as Lichen Planopilaris, requires more than just surgery. It needs precise medical stabilization and an expert eye to handle scarred tissue safely.
This before-and-after shows a successful 1800-graft hair transplant on a patient with Lichen Planopilaris. The key was to wait until the scalp inflammation was controlled, which allowed for excellent graft survival and coverage on the scarred scalp.
This patient came to me after a failed hair transplant from another clinic left him with an unnatural result. I performed a corrective surgery to fix the hairline and improve density, restoring a natural and satisfactory look. This shows the importance of choosing the right surgeon the first time.
This patient had both male pattern baldness and Lichen Planopilaris. After stabilizing the condition with medication, I performed an FUE hair transplant to restore the bald patches, demonstrating that even complex cases can be successfully treated.
This image explains that cicatricial or scarring alopecia permanently destroys hair roots, which means medication alone cannot regrow hair. A hair transplant is the only viable option for restoration in such cases.
This is the 'before' state of the patient with Lichen Planopilaris. You can see the scarred scalp, lost follicles, and irreversible hair loss, which presented a significant surgical challenge.
The 'after' photo shows the final result 12 months post-op. Proper diagnosis and controlling the disease were the keys to achieving this successful hair transplant outcome.
This side-by-side comparison clearly shows that a hair transplant is possible in Lichen Planopilaris, but only when the disease is stable and inactive. This is a critical factor for success.
A closer look at the 'after' result reveals improved density and coverage achieved with carefully placed grafts. The new hair has successfully grown on the previously scarred scalp.
About Advanced Cases: Scarring Alopecia & Corrective Surgery
Before we even consider a hair transplant for scarring alopecia (like Lichen Planopilaris), I focus on one thing: stabilization. You cannot transplant into active inflammation. If you jump into surgery while the scalp is still inflamed, the grafts will fail. My process starts by managing the condition medically, waiting until the scalp is inactive, and only then planning for restoration. This is how we ensure the results you see in these cases are permanent.
Handling Complex Hair Restoration
Not every hair loss case follows the standard male pattern baldness timeline. When dealing with Cicatricial Alopecia, such as Lichen Planopilaris (LPP), the skin is scarred, and hair follicles are permanently destroyed. Medication alone cannot regrow hair here, but a transplant is possible once the disease is controlled. I specialize in identifying that 'sweet spot'—when the inflammation has stopped—to perform the transplant. Rushing this leads to failure, and I am honest about that from the first consultation.
Corrective Hair Transplant Surgery
I also see many patients who come to me after a bad experience elsewhere. Whether it is an unnatural, 'pluggy' hairline, poor density, or visible scarring from a previous surgery, these cases are technically challenging. Corrective work requires repairing the damage without wasting your limited remaining donor hair. I use high-precision micro-punches to fix the hairline and blend the new grafts with the old, unnatural ones.
My Surgical Philosophy
I do not use technicians to perform the implantation. When you come to my clinic in Navi Mumbai for a corrective procedure or LPP management, I personally handle the hairline design, the slit making, and the implantation strategy.
- Precision Extraction: Using 0.8mm-0.9mm micro-punches to avoid further scarring.
- Donor Management: Carefully assessing your remaining donor area so we do not over-harvest.
- No-Shortcut Approach: If I determine your condition is not ready for surgery, I will tell you to wait. My priority is your scalp health, not just booking a procedure.
If you have been told your case is too complex, or you are unhappy with a past surgery, let us look at the reality of your scalp and find a science-backed way forward.
Amit Kerure
I am Dr. Amit Kerure. I see patients every day who have been told elsewhere that their hair loss is impossible to fix or who are suffering from the fallout of a bad procedure. My job is to look at the biology first—whether that is managing Lichen Planopilaris or rebuilding a failed hairline—so we can build a realistic plan that actually lasts.
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