25/06/2025
🧬 Can You Get a Hair Transplant with FFA? DHI & FUE Micrograft Explained
What is Frontal Fibrosing Alopecia?
Frontal Fibrosing Alopecia (FFA) is a form of scarring hair loss that mainly affects the front and sides of the scalp. It’s an autoimmune condition—once active, the hair follicles are permanently damaged .
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✅ When Is Transplantation Possible?
A transplant is only considered safe when FFA has been inactive for at least 12–24 months:
• Dermatologists recommend a minimum 2 years of clinical stability before proceeding .
• Patients must be free of inflammation, itching, or burning for this period .
• Close medical follow‑up and ongoing therapy are essential to maintain disease quiescence .
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🛠️ Which Techniques Work Best?
FUE (Follicular Unit Extraction)
• Individual follicles are harvested and transplanted, causing minimal trauma .
• Ideal if the scalp has good blood supply and the donor area is robust.
• Harvesting must be cautious to prevent scarring in already compromised skin .
DHI Micrograft
• Utilizes a fine implanter pen to insert each graft without pre-made incisions.
• Minimizes scalp trauma and maximizes graft survival — critical for scarred tissue .
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🔍 Real-World Outcomes
• Studies show up to 87% graft survival at 1 year, though this may drop to ~41% by 5 years .
• Success depends on stability before transplant, proper technique, and medical maintenance .
• About 82% of patients report satisfaction with results , although some hair loss may recur over time.
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💊 Continued Medical Therapy is a Must
Post-transplant, most patients require a maintenance plan that may include:
• Oral finasteride or dutasteride
• Topical agents (e.g. minoxidil, clobetasol, tacrolimus) .
• Regular monitoring with dermoscopy (look for inflammation signs like redness or casts) .
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🧭 Your Path Forward at D‑Hair Center Bangkok
At D‑Hair Center, we follow best practice:
1. Stability Check – Confirm ≥2 years inactive FFA before recommending transplant.
2. Clear Expectations – Discuss realistic long-term outcomes and potential graft attrition.
3. Advanced Technique – Offer both FUE and DHI Micrograft tailored for scarred scalp.
4. Medical Support – Coordinate ongoing therapy with expert dermatologists.
5. Close Follow-Up – Track graft health and scalp condition post-op.
🔚 Final Word
Yes — hair transplant is possible for FFA, but only after long-term disease stability and with meticulous planning. Techniques like DHI Micrograft and FUE can restore hair in scarred zones when paired with ongoing medical therapy. At D‑Hair Center, we offer a safe, evidence-based approach tailored to your condition and goals.
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Ready to discuss your case? Contact us for a free consultation:
📌 D‑Hair Center Bangkok
📞 WhatsApp: +66 61‑130‑9984
📧 Dhaircenterbangkok@gmail.com
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