Therapy and histopathology of complications from synthetic fiber implants for hair replacement. A presentation of one hundred cases.

One hundred cases of postoperative complications due to inserting synthetic wig fibers into the scalps of patients seeking to remedy their patterned alopecia were studied. Modes of therapy to remedy these problems were evaluated. The best results were obtained by removing the offending material. Histopathology of the lesions is discussed. The severity of the complications of synthetic hair implants to remedy baldness makes the implantation of fibers into the scalp a dangerous, futile, and expensive approach, which should be abandoned immediately. Cosmetic reconstruction should be deferred at least 3 to 6 months after the last fiber is removed.