Biofibre® Artificial Hair Implant : Retrospective Study on 1.518 Patients with alopecia and Present Role in Hair Surgery

Abstract

To treat alopecia, there are many surgical and nonsurgical treatments available nowadays. In the surgical one, the Biofibre® hair implantation system represents an important innovation with artificial hair with special physical, chemical, and mechanical features and the new Biofibre® Automatic device. Implant on 1,518 patients has been reported in this study where the Biofibre® hair implant technique is performed on men and women with varying degrees of baldness and for the treatment of various causes of alopecia such as androgenetic alopecia, burns, and scars. According to our experience, this technique gives immediate and visible results without scarring or hospitalization and the aesthetic results are very encouraging for both male and female patients with a rapid recovery of self‐esteem and psychological well‐being.

Side effects after artificial hair implants: 2 case reports

“…Studies have shown approximately 95% to 98% satisfaction rate among patients. 1 , 2 , 4 , 5 However, 6% to 13% reported allergic, inflammatory, or infectious complications in which approximately 2% were not solved and required fiber extraction. 1 , 2 , 3 , 4 Infections are mainly caused by Staphylococci aureus and epidermidis , Streptococcus pyogenes, and corynebacterium.…”

“… 1 , 2 , 4 , 5 However, 6% to 13% reported allergic, inflammatory, or infectious complications in which approximately 2% were not solved and required fiber extraction. 1 , 2 , 3 , 4 Infections are mainly caused by Staphylococci aureus and epidermidis , Streptococcus pyogenes, and corynebacterium. 1 , 5 Inflammatory complications are described as mild reddening and itching, 6 histologically shown as peri-implant inflammation and folliculitis 7 and in some cases foreign body reactions.…”

“…The unsatisfactory cases described above were caused by unsuitable selection of patients, massive implant sessions, lack of patient's aftercare, and postoperative infection or badly treated inflammation. 1 , 4 …”

“… 2 , 3 An average amount of 2300 fibers is implanted per patient in total, varying depending on the size of the treated area. 4 Spontaneous fiber loss is often less than10% per year. Follow-up and proper aftercare are essential to prevent possible complications such as infections and inflammation.…”

Dystrophic calcinosis of the scalp from artificial hair implants: treatment with sodium metabisulfite

“…The overall complication rate has been 7.4-30% temporary superficial inflammation or infection that usually subsided within 15 days of topical cortisone and local/systemic antibiotic treatment, and 1.02-2.1% serious complications necessitating removal of implants. 3,4 In the most recent retrospective study on 1518 patients with artificial hair implant for alopecia, complications rates decreased from 20.8% in 1994 to 9.27% in 2018. 4 Synthetic hair implant reactions have been folliculitis, crusting, abscesses, granulomatous reactions and scarring.…”