{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T15:11:22Z","timestamp":1786374682851,"version":"build-2736575974"},"reference-count":58,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T00:00:00Z","timestamp":1786320000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T00:00:00Z","timestamp":1786320000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acad Dermatol Venereol"],"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n Secondary cicatricial alopecia (SCA) causes permanent hair loss and substantial psychosocial burden, and reconstructive options remain limited. Hair transplantation (HT) is increasingly used for selected patients, but outcomes vary because of impaired vascularity, fibrosis and heterogeneous scar characteristics, and standardized perioperative guidance is lacking.<\/jats:p>\n <\/jats:sec>\n \n Objectives<\/jats:title>\n To develop evidence\u2010based expert consensus statements addressing diagnosis, patient selection, perioperative management and outcome assessment of HT in patients with SCA.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n This consensus was developed using a modified Delphi approach. A steering committee of three senior physicians with expertise in HT and SCA designed the study and coordinated the process. A targeted literature search was conducted from database inception to October 2025 to identify key studies graded according to the Oxford levels of evidence and the GRADE framework. A panel of 27 dermatologists and plastic surgeons from across China participated in two rounds of anonymous voting and provided structured feedback. Draft statements were generated, iteratively refined and finalized based on expert feedback. Agreement was assessed using a 5\u2010point Likert scale, with consensus defined as strong agreement (\u2265\u200975%) and weak recommendations defined as 70%\u201374% agreement.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Consensus was achieved on 11 statements. SCA was defined as irreversible hair loss secondary to external insults, requiring confirmation of disease stability and exclusion of primary cicatricial alopecia before surgery. Consensus consistently emphasized that successful HT relies on appropriate patient selection based on etiologic diagnosis and scar characteristics, combined with individualized surgical strategies and standardized postoperative care to optimize graft survival and aesthetic outcomes. Postoperative adjunctive therapies may be considered in selected cases, although evidence remains limited.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n This Delphi consensus provides a structured, evidence\u2010informed framework for HT in SCA, a clinically challenging condition that lacks standardized perioperative management. By standardizing evaluation and management, these recommendations aim to improve clinical outcomes while identifying priorities for future research.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/jdv.70644","type":"journal-article","created":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T14:06:45Z","timestamp":1786370805000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Hair transplantation for secondary cicatricial alopecia: A Chinese expert consensus"],"prefix":"10.1111","author":[{"given":"Yingjie","family":"Zhao","sequence":"first","affiliation":[{"name":"Department of Plastic and Aesthetic Surgery Nanfang Hospital, Southern Medical University Guangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiaxian","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery The First Affiliated Hospital of Jinan University Guangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Plastic and Cosmetic Surgery Affiliated Central Hospital of Zhengzhou University Zhengzhou City China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xue","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery Tongji Hospital, Huazhong University of Science and Technology Wuhan Hubei Province China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhexiang","family":"Fan","sequence":"additional","affiliation":[{"name":"Department of Plastic and Aesthetic Surgery Nanfang Hospital, Southern Medical University Guangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhenyu","family":"Gong","sequence":"additional","affiliation":[{"name":"Department of Medical Aesthetic Surgery The First Affiliated Hospital of Guilin Medical University Guilin China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhenhe","family":"Guo","sequence":"additional","affiliation":[{"name":"Department of Plastic and Aesthetic Surgery Third Affiliated Hospital of Southern Medical University Guangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chaofei","family":"Han","sequence":"additional","affiliation":[{"name":"Department of Burn and Plastic Surgery The Third Xiangya Hospital of Central South University Changsha Hunan Province China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenjie","family":"Jiang","sequence":"additional","affiliation":[{"name":"Hair Transplantation Center Plastic Surgery Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mei","family":"Li","sequence":"additional","affiliation":[{"name":"Dr. Li Mei Hair Transplant Clinic, Building A of TuoBang Chongqing City China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xinfeng","family":"Li","sequence":"additional","affiliation":[{"name":"Medical Department Beijing Yonghe Medical Technology Group Co., Ltd. Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yufei","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery Shanghai East Hospital, School of Medicine, Tongji University Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peihua","family":"Liu","sequence":"additional","affiliation":[{"name":"Huaren Zhijian Medical Beauty Clinic Henan Province China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhenxing","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery Union Hospital, Huazhong University of Science and Technology Wuhan Hubei Province China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiping","family":"Wang","sequence":"additional","affiliation":[{"name":"Hair Diagnostic Treatment Department of Peking University Shougang Hospital Beijing 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Shaanxi China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dingquan","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Dermatology China\u2010Japan Friendship Hospital Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Weiqi","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Burn and Plastic Surgery Shenzhen Second People's Hospital Shenzhen China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dongyi","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery Henan Provincial People's Hospital Zhengzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jufang","family":"Zhang","sequence":"additional","affiliation":[{"name":"Affiliated Hangzhou First People's Hospital, School of Medicine, Westlake University Hangzhou 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