Postoperative (Pressure) Alopecia: Report of a Case After Elective Cosmetic Surgery

Dominguez, Eric; Eslinger, Michael R.; McCord, Susan Vincill

doi:10.1097/00000539-199910000-00046

Cited by 9 publications

(11 citation statements)

References 5 publications

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“…[1011] A 44-year-old female was intubated for over nine hours for reconstructive breast surgery, and noted alopecia in an area on her occiput which developed following erythema, swelling, and exudation on the third postoperative day. The authors surveyed their surgical colleagues, and found that the majority were not aware of PA.[11]…”

Section: Gynecological and Breast Surgerymentioning

confidence: 99%

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Pressure alopecia

Davies

Yesudian

2012

Int J Trichol

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Postoperative or pressure alopecia (PA) is an infrequently reported group of scarring and non-scarring alopecias. It has been reported after immobilization of the head during surgery and following prolonged stays on intensive care units, and may be analogous to a healed pressure ulcer. This review presents a summary of cases published in pediatrics and after cardiac, gynecological, abdominal and facial surgeries. PA may manifest as swelling, tenderness, and ulceration of the scalp in the first few postoperative days; in other cases, the alopecia may be the presenting feature with a history of scalp immobilization in the previous four weeks. The condition may cause considerable psychological distress in the long term. Regular head turning schedules and vigilance for the condition should be used as prophylaxis to prevent permanent alopecia. A multi-center study in high-risk patients would be beneficial to shed further light on the etiology of the condition.

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Section: Gynecological and Breast Surgerymentioning

confidence: 99%

“…There have been case reports of PA following shorter procedures such as breast[10] and ophthalmic[15] surgery.…”

Section: Maxillofacial/orthodontic/ophthalmological Surgerymentioning

confidence: 99%

Pressure alopecia

Davies

Yesudian

2012

Int J Trichol

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“…5 Factors such as severe hypotension, 1 massive blood loss, 3 and treatment with vasoconstrictors can severely aggravate local ischemia. 6 Other risk factors include prolonged endotracheal intubation, prolonged head immobilization, and intraoperative Trendelenburg position. 1,[3][4][5]7,8 However, none of these factors was observed in our patient.…”

mentioning

confidence: 99%

“…3 In general, hair loss associated with PPA is complete within 3 to 28 days. 5,6,8 Most cases are self-restoring, and regrowth is complete within 12 weeks. 3 In another report, it was suggested that regrowth starts at 18 weeks, with full regrowth within 24 weeks.…”

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confidence: 99%

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Can an “Aesthetic” Intervention (Braided Hair Coil) Cause Hair Loss After an Aesthetic Operation?

Dionyssopoulos

Papaconstantinou

Stoltidou

et al. 2014

Aesthetic Surgery Journal

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Postoperative permanent pressure alopecia

et al. 2015

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A 49-year-old Chinese female underwent elective laparoscopic assisted Whipple's surgery lasting 12 h. This was complicated by postoperative pressure alopecia at the occipital area of the scalp. Pressure-induced hair loss after general anaesthesia is uncommon and typically temporary, but may be disconcerting to the patient. We report this case of postoperative permanent pressure alopecia due to its rarity in the anaesthesia/local literature, and review the risk factors for its development.

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Postoperative (Pressure) Alopecia: Report of a Case After Elective Cosmetic Surgery

Cited by 9 publications

References 5 publications

Pressure alopecia

Pressure alopecia

Can an “Aesthetic” Intervention (Braided Hair Coil) Cause Hair Loss After an Aesthetic Operation?

Postoperative permanent pressure alopecia

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