Can The Hair From Scalp Fold Excision Be Used For Face Hair Transplantation?

Q: Dr. Eppley, I’m a 35 years old man with 2 hair transplants FUE and DHI done. Cutis Verticis Gyrata condition has been reported by more than one dermatologists, where I did the transplant and in the UK.  Is it possible to remove the scalp folds and transplant the hair as beard straight after? Sort of FUT? Is it possible treat the scars once they are healed with pigmentation or FUE/DHI transplant?

A: While excision of the scalp olds can be done, and in deep CVG scalps like yours, this would be the only effective treatment.  The ‘problem’ is that there are a lot of folds and the excisional areas would be close together so there is always a blood supply concern. Certainly if excisons were done you would never do them all at once for scalop survival reasons. Whether the scar tradeoffs would be seen as better is hard to say but what I would recommend is that do several of them that are far apart first to see what the result is.

I am not a hair transplant expert so I can not say whether any excised scalp will permit the hair follicles to be removed from it. (it is very dense scar-like tissue so extraction may be difficult)

Dr. Barry Eppley

World-Renowned Plastic Surgeon