Artificial hair implantation

Implantation of artificial hair for permanent alopecia. Despite improved techniques (finest implantation needles, improved biocompatibility of the synthetic fibres, e.g. NIDO hairs), there is usually a microscopically detectable foreign body reaction, which sooner or later leads to hair loss in a considerable proportion of patients. Even with careful aftercare with antiseptic shampoos, the wicking effect of the synthetic hair often leads to a secondary infection, which in turn triggers the rejection reactions. It is not uncommon to report granulomatous rejection reactions after initially good tolerance within the first and second year after implantation. Due to the high rate of complications, the implantation of synthetic hair is in our opinion not a suitable method for the treatment of permanent alopecia.