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Case I
A 28-year-old man was burned with hot tar on his upper body, neck, face, and scalp and also lost his left ear. He had extensive, multiple, split-thickness skin grafts, including the left temporoparietal area. He refused the use of tissue expansion and was treated by a single megasession of 1500 micrografts and minigrafts (Fig. 1). The result shown in Figure 2 is after only 6 months. Subsequently, he underwent a second procedure to further increase the density of hair. He had no complications.
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FIG.1. A 28-year-old man with a history of extensive third-degree burns and split-thickness skin grafts, including the left temporoparietal area, underwent a single megasession of 1500 micrografts and minigrafts. (Above, left) Preoperative front view. (Above, right) Preoperative side view. (Below, left) The proposed new hairline is ink-marked. (Below, right) View immediately after surgery.
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FIG. 2. Postoperative views of the patient in Figure I after 6 months. (Above, left) Hair parted. (Above, right) Close-up of same view. (Below, left) Front view. (Below, right) Side view with hair down.
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Case 2
A 56-year-old man was in an explosion and burned with propane vapors. He had extensive burns and barely survived. He had multiple surgical procedures, including skin grafts and scalp flaps, Figure 3 shows him at both 5 months and I year after a single megasession of 1500 micrografts and minigrafts to the entire vertex of the head. He had no complications.
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FIG. 3. A 56-year-old man with a history of extensive third-degree burns, multiple split-thickness skin grafts and scalp flaps, with residual burn alopecia at the vertex of the head. He underwent a single megasession of 1500 micrografts and minigrafts. (Above, left) Preoperative front view. (Above, right) Postoperative view after 5 months. (Below, left) Preoperative close-up. (Below, right) One year postoperatively, close-up view.
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