# Hair Transplant for People with Scalp Skin Conditions Hair transplants are possible for people with scalp skin conditions once the condition is diagnosed, controlled, and cleared by a dermatologist. Active inflammation, open lesions, infections, or active scarring alopecia are contraindications until stabilized. Psoriasis, seborrheic dermatitis, and stable vitiligo often allow transplantation once symptoms are controlled; active lichen planopilaris and untreated tinea capitis do not. ## Can You Get a Hair Transplant If You Have a Scalp Condition? Yes, when the condition is well controlled and the scalp is calm. Transplanting into inflamed, infected, or actively plaquing skin can compromise graft survival. For scarring (cicatricial) alopecia, surgery is typically contraindicated unless the disease has been inactive for a prolonged period and a dermatologist confirms it is safe to proceed. ## What Safety Checks Happen Before Surgery? Three checks apply to every candidate with a scalp condition: - Dermatology clearance confirming the diagnosis and controlling the condition first, with dermoscopy or biopsy if scarring alopecia is suspected - No active infection, pustules, oozing areas, or untreated fungal infection at the time of surgery - Stable donor and recipient zones, since active disease in either area can complicate graft harvesting or placement ## Can People with Psoriasis Get a Hair Transplant? Scalp psoriasis is immune-mediated and can flare with irritation or trauma. Patients can often be candidates once plaques and itching are controlled and there are no open cracks or bleeding lesions. Surgery is scheduled during a stable phase, with aftercare coordinated alongside a dermatologist. - Contraindicated during active flares with open or bleeding lesions - Candidate window: stable phase, no cracked or oozing plaques ## Can People with Seborrheic Dermatitis Get a Hair Transplant? Seborrheic dermatitis causes greasy scaling and itching but does not usually cause permanent hair loss on its own. Scratching and inflammation can still increase shedding. Transplantation is typically scheduled after symptoms are brought under control with a consistent scalp-care routine. - Not a permanent-loss condition by itself - Surgery timing: after symptom control, not during active scaling ## Can Tinea Capitis (Scalp Ringworm) Patients Get a Hair Transplant? No, not while the infection is active. Tinea capitis is a contagious fungal infection, more common in children, that can cause scaly patches, broken hairs, and painful swollen kerion lesions that may scar. Treatment must be completed first, and the scalp is re-evaluated for transplant eligibility after clearance. - Contagious: transplantation is not performed during infection - Kerion cases can scar and may affect long-term eligibility ## Can People with Lichen Planopilaris Get a Hair Transplant? Active lichen planopilaris is generally a contraindication because it is an inflammatory scarring condition that permanently destroys follicles. In selected cases, transplant may be discussed only after a long period of documented inactivity, with the understanding that relapse remains possible. - Active disease: contraindicated - Long-term inactive disease: considered case by case, relapse risk disclosed ## Can People with Vitiligo Get a Hair Transplant? Vitiligo causes loss of pigment cells, and skin trauma can trigger new patches in some patients through the Koebner phenomenon. If vitiligo is stable and a dermatologist agrees, transplantation may be considered, approached with a careful risk-benefit discussion. - Risk factor: Koebner phenomenon (trauma-triggered new patches) - Candidate window: stable disease with dermatologist sign-off ## Can People with Alopecia Areata Get a Hair Transplant? Surgery is often avoided because alopecia areata is autoimmune and can relapse unpredictably, which affects long-term satisfaction with results. In rare, carefully selected cases with long-term stability, a dermatologist may consider transplantation after medical treatment options have been explored first. - Default approach: medical treatment before surgery - Surgical candidacy: rare, requires long-term documented stability ## How Should You Prepare for a Consultation? Bring a list of scalp symptoms, prior diagnoses, and any creams, shampoos, or tablets in use. Share known flare triggers such as stress, infections, or new products, and mention any autoimmune or endocrine conditions. A clinician should explain whether the hair loss is reversible shedding or permanent, and what results are realistic for the scalp's condition. ## Key Facts - Assessment team: dermatologist, anaesthesia doctor, and hair transplant team reviewed together - Priority for active disease: stabilize the scalp first, plan surgery only when medically appropriate - Contraindicated in active phase: scarring alopecia, lichen planopilaris, untreated tinea capitis, uncontrolled infection - Case-by-case in stable phase: psoriasis, seborrheic dermatitis, vitiligo, alopecia areata - Diagnostic tools: dermoscopy, scalp biopsy when scarring alopecia is suspected ## Related Topics - Psoriasis and hair transplant eligibility - Seborrheic dermatitis and scalp shedding - Tinea capitis (scalp ringworm) treatment before surgery - Lichen planopilaris and scarring alopecia - Vitiligo and the Koebner phenomenon in surgery - Alopecia areata and relapse risk - Dermatology clearance and pre-surgery scalp evaluation ## Frequently Asked Questions ### Do dermatologists perform hair transplants? Yes, some dermatologists trained in hair restoration perform hair transplants. ### Who is not eligible for a hair transplant? People with uncontrolled illness, active scalp disease, unrealistic expectations, or insufficient donor hair are not eligible. ### Can a hair transplant be done on a skin graft? Yes, if the skin graft is well-vascularized, though results can be less predictable. ### Does insurance cover dermatology evaluation for hair loss? Sometimes. Evaluation may be covered, but cosmetic hair-loss treatments usually are not. --- **Kaynak / Klinik:** Hair Center of Turkey **Son güncelleme:** 2026-08-25