Repair method of scalp flap transfer: this method is suitable for cicatricial alopecia with large head area. In order to treat cicatricial alopecia, a local scalp flap can be designed to cover cicatricial alopecia area by pushing and turning. It is generally believed that cicatricial alopecia accounts for 1/4 ~ 1/3 of scalp hair area and can be repaired by scalp flap transfer. Bald areas can be eliminated through reasonable design. Usually, after six months of scalp flap transfer, hair growth is more perfect and natural.
Direct excision and suture method: for cicatricial alopecia with narrow head area, this method can adopt local excision and direct traction scalp suture. Young people have thin scalp and elasticity. Even if the scar is slightly larger, it can sometimes be sutured directly after excision. Experts from Bayu Scar Repair Center pointed out that if the scar can't be completely removed at one time, you can take multiple surgical excision and suture by stages. After the scar is reduced to a certain extent, the hairless area can be completely covered by combing the hair. For childhood cicatricial alopecia, considering the characteristics of skull development, it is generally believed that surgery is better after 4 or 5 years old. On the other hand, considering the psychological impact on children, the sooner cicatricial alopecia is treated, the better, and it is best to have surgery before school. No later than puberty.
Scalp expansion method: this method is used to increase the skin donor area of existing hair scalp. Some bald patients can use skin tissue expander to expand the scalp with hair to get extra; Repair the scalp. Bayu Scar Repair Center pointed out that the treatment of cicatricial alopecia is divided into two stages. In the first stage of the operation, the expansion sac was buried under the aponeurosis of the scalp cap with hair in advance. After removing stitches in the treatment of cicatricial alopecia, sterile physiological saline can be injected into the expansion sac from the injection jug, and the injection amount is 10 ~ 15% of the expansion sac (generally 10 ~ 15 ml), once every 3 ~ 7 days until the expansion sac is filled and properly expanded. The second operation is to take out the expansion sac, remove the scar, design the expanded scalp into a flap, repair the wound by pushing and turning, and eliminate the bald area. After 3 to 6 months, hair growth will be normal. For a large area of cicatricial alopecia area, if it is difficult to repair all the bald areas by one expansion, the expander can be buried again for secondary repair, which can repair the cicatricial alopecia area of scalp 1/2 ~ 2/3.