What Is The Best Method Of Scalp Reconstruction After A Chemical Burn Injury?

Q: Dr. Eppley, I suffered a severe chemical burn to my scalp while at a hair salon, measuring 8 cm by 4cm. It has now healed and the dermatologist says there will likely be no hair regrowth. I’m looking for direction or recommendation on my next step. I have read about hair transplant, scar reduction and others but am lost as to the approach we should take. Your time is much appreciated. Thank you

A: Despite the utter travesty of your scalp burn injury it is fortunate that its size and location make it the most optimal location for a successful scalp reconstruction. The key is to excise the burn scar and move adjoining hair-bearing scalp into its location. (hair transplants are only reserved for touchups of the final scar if needed) The size and shape of the scarred area makes it ideal for total excision and primary closure in a favorable direction. It would be optimal for the total excision of the scalp scar to have a 1st stage scalp expander placed to ensure there is enough scalp to cover it without undue tension.

Dr. Barry Eppley

World Renowned Plastic Surgeon