Cicatricial alopecia is a common sequela of burns involving the head region
. The authors present a case of an extensive form of cicatricial alopecia i
n an 18-year-old female patient who sustained a burn to the head at 2 years
of age. The patient was treated with combined scalp reduction with the aid
of tissue expanders and micrografting of the freely transferred, preexpand
ed deep inferior epigastric artery nonhair-bearing skin flap. The aim of th
is article is to show that hair transplantation on the freely transferred n
onhair-bearing skin flap may be associated with infection and fat necrosis,
and the end result is not satisfactory, as in the cases of hair transplant
ation on a normal bald scalp.