Scarring and traction alopecia: what to expect from repair

Severe traction alopecia and scarring alopecias are very different from common baldness: dermal tissue has been partly replaced by fibrosis, blood supply is poor and the surgical margin for error narrows. Before operating it is essential to confirm the inflammatory process is inactive, sometimes with a biopsy.

Reconstruction combines repair grafts with Body Hair Transplant (BHT), harvesting follicles from the beard or chest when the scalp donor area is limited. Beyond the scalp, it allows eyebrow and beard reconstruction, where the emotional impact of the result is especially high.

Graft survival in well-vascularised scar tissue sits between 85% and 90%, below a conventional procedure. The main risk is lower follicular retention due to poor perfusion of fibrotic tissue, and two sessions ten to twelve months apart are often needed. Be wary of any clinic promising full density in a single operation.

South Korea is the preferred destination for aesthetic precision and natural hairline design. Turkey brings vast experience in body hair extraction, with beard follicle survival up to 95%. Thailand stands out for adopting robotic precision extraction systems. Prices range from EUR 2,500 to 6,000, with stays of four to six days.

At medviajes we help compare accredited clinics with real repair cases and coordinate travel and follow-up. Always confirm the plan with a qualified dermatologist or surgeon.