Lichen planopilaris following hair transplantation and face-lift surgery

Y. Z. Chiang, Antonella Tosti, I. H. Chaudhry, L. Lyne, B. Farjo, N. Farjo, D. Cadore De Farias, C. E M Griffiths, Ralf Paus, M. J. Harries

Research output: Contribution to journalArticle

34 Citations (Scopus)

Abstract

Cosmetic surgical procedures, including hair transplantation and face-lift surgery, are becoming increasingly popular. However, there is very little information regarding the associated development of dermatological conditions following these procedures. Lichen planopilaris (LPP) is an uncommon inflammatory hair disorder of unknown aetiology that results in permanent alopecia and replacement of hair follicles with scar-like fibrous tissue. Frontal fibrosing alopecia (FFA), a variant of LPP, involves the frontal hairline and shares similar histological findings with those of LPP. We report 10 patients who developed LPP/FFA following cosmetic scalp surgery. Seven patients developed LPP following hair transplantation, and three patients developed FFA following face-lift surgery. In all cases there was no previous history of LPP or FFA. There is currently a lack of evidence to link the procedures of hair transplantation and cosmetic face-lift surgery to LPP and FFA, respectively. This is the first case series to describe this connection and to postulate the possible pathological processes underlying the clinical observation. Explanations include Koebner phenomenon induced by surgical trauma, an autoimmune process targeting an (as yet, unknown) hair follicle antigen liberated during surgery or perhaps a postsurgery proinflammatory milieu inducing hair follicle immune privilege collapse and follicular damage in susceptible individuals.

Original languageEnglish
Pages (from-to)666-670
Number of pages5
JournalBritish Journal of Dermatology
Volume166
Issue number3
DOIs
StatePublished - Mar 1 2012

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Rhytidoplasty
Lichens
Alopecia
Hair
Transplantation
Hair Follicle
Hair Preparations
Pathologic Processes
Plastic Surgery
Scalp
Cosmetics
Cicatrix
Observation
Antigens
Wounds and Injuries

ASJC Scopus subject areas

  • Dermatology

Cite this

Chiang, Y. Z., Tosti, A., Chaudhry, I. H., Lyne, L., Farjo, B., Farjo, N., ... Harries, M. J. (2012). Lichen planopilaris following hair transplantation and face-lift surgery. British Journal of Dermatology, 166(3), 666-670. https://doi.org/10.1111/j.1365-2133.2011.10692.x

Lichen planopilaris following hair transplantation and face-lift surgery. / Chiang, Y. Z.; Tosti, Antonella; Chaudhry, I. H.; Lyne, L.; Farjo, B.; Farjo, N.; Cadore De Farias, D.; Griffiths, C. E M; Paus, Ralf; Harries, M. J.

In: British Journal of Dermatology, Vol. 166, No. 3, 01.03.2012, p. 666-670.

Research output: Contribution to journalArticle

Chiang, YZ, Tosti, A, Chaudhry, IH, Lyne, L, Farjo, B, Farjo, N, Cadore De Farias, D, Griffiths, CEM, Paus, R & Harries, MJ 2012, 'Lichen planopilaris following hair transplantation and face-lift surgery', British Journal of Dermatology, vol. 166, no. 3, pp. 666-670. https://doi.org/10.1111/j.1365-2133.2011.10692.x
Chiang, Y. Z. ; Tosti, Antonella ; Chaudhry, I. H. ; Lyne, L. ; Farjo, B. ; Farjo, N. ; Cadore De Farias, D. ; Griffiths, C. E M ; Paus, Ralf ; Harries, M. J. / Lichen planopilaris following hair transplantation and face-lift surgery. In: British Journal of Dermatology. 2012 ; Vol. 166, No. 3. pp. 666-670.
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