{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T20:48:42Z","timestamp":1782334122510,"version":"3.54.5"},"reference-count":7,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T00:00:00Z","timestamp":1773792000000},"content-version":"vor","delay-in-days":17,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,3,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Follicular unit excision (FUE) is a widely used hair transplantation technique with a favorable safety profile; however, rare but severe complications such as recipient-site scalp necrosis can occur. We report a 46-year-old male with androgenetic alopecia who developed early-onset recipient-site necrosis following FUE hair transplantation. Dusky discoloration appeared on postoperative day two and progressed to extensive necrosis with yellowish crusting by day ten. Wound culture revealed secondary Pseudomonas aeruginosa infection. The patient had a history of heavy smoking and underwent a prolonged nine-hour procedure. Management with conservative wound care and culture-guided systemic antibiotics led to resolution of infection, with healing resulting in residual atrophic cicatricial scarring at 12\u00a0weeks. This case highlights that recipient-site necrosis, although rare, may arise from the synergistic effects of patient-related risk factors, prolonged operative duration, dense graft placement, and secondary infection. Early recognition and prompt intervention are critical to minimizing tissue loss and optimizing outcomes.<\/jats:p>","DOI":"10.1093\/jscr\/rjag160","type":"journal-article","created":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T14:31:09Z","timestamp":1773844269000},"source":"Crossref","is-referenced-by-count":1,"title":["Early-onset recipient-site necrosis after FUE hair transplantation complicated by\n                    <i>Pseudomonas aeruginosa<\/i>\n                    infection: a case report"],"prefix":"10.1093","volume":"2026","author":[{"given":"Ali","family":"Al-Mamoori","sequence":"first","affiliation":[{"name":"Department of Dermatology, Baghdad Teaching Hospital , Baghdad ,","place":["Iraq"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zahraa","family":"Al-Hamamy","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Baghdad Teaching Hospital , Baghdad ,","place":["Iraq"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-6259-1045","authenticated-orcid":false,"given":"Sajjad Ghanim","family":"Al-Badri","sequence":"additional","affiliation":[{"name":"College of Medicine, University of Warith Al-Anbiyaa , Karbala ,","place":["Iraq"]},{"name":"Department of Dermatology, College of Medicine, University of Baghdad , Baghdad ,","place":["Iraq"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haider","family":"Al-Hamamy","sequence":"additional","affiliation":[{"name":"Department of Dermatology, College of Medicine, University of Baghdad , Baghdad ,","place":["Iraq"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,3,17]]},"reference":[{"key":"2026031810310216900_ref1","doi-asserted-by":"publisher","first-page":"720","DOI":"10.1046\/j.1524-4725.2002.01320.x","article-title":"Follicular unit extraction: minimally invasive surgery for hair transplantation","volume":"28","author":"Rassman","year":"2002","journal-title":"Dermatol Surg"},{"key":"2026031810310216900_ref2","doi-asserted-by":"publisher","first-page":"505","DOI":"10.1016\/j.fsc.2013.05.012","article-title":"Complications in hair-restoration surgery","volume":"21","author":"Konior","year":"2013","journal-title":"Facial Plast Surg Clin North Am"},{"key":"2026031810310216900_ref3","doi-asserted-by":"publisher","first-page":"451","DOI":"10.1055\/s-0041-1739255","article-title":"Complications of hair transplant procedures\u2014causes and prevention","volume":"54","author":"Garg","year":"2021","journal-title":"Indian J Plast Surg"},{"key":"2026031810310216900_ref4","first-page":"44","article-title":"A treatment protocol for vascular occlusion from particulate soft tissue augmentation","volume":"5","author":"Beer","year":"2012","journal-title":"J Clin Aesthet Dermatol"},{"key":"2026031810310216900_ref5","doi-asserted-by":"publisher","first-page":"41","DOI":"10.5826\/dpc.0503a10","article-title":"Feily\u2019s method as a new mode of hair grafting in prevention of scalp necrosis even in dense hair transplantation","volume":"5","author":"Feily","year":"2015","journal-title":"Dermatol Pract Concept"},{"key":"2026031810310216900_ref6","doi-asserted-by":"publisher","first-page":"622","DOI":"10.1111\/jocd.16017","article-title":"Recipient site scalp necrosis: a rare postoperative complication of hair transplantation","volume":"23","author":"Chen","year":"2024","journal-title":"J Cosmet Dermatol"},{"key":"2026031810310216900_ref7","first-page":"345","article-title":"Recipient site necrosis after FUE hair transplantation: risk factors and management","volume":"48","author":"Ceran","year":"2024","journal-title":"Aesthet Plast Surg"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/3\/rjag160\/67390759\/rjag160.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/3\/rjag160\/67390759\/rjag160.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T14:31:10Z","timestamp":1773844270000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjag160\/8527693"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3]]},"references-count":7,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,3,6]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjag160","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,3]]},"published":{"date-parts":[[2026,3]]},"article-number":"rjag160"}}