Hair Restoration in Special Patients and Megasession Technique

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Spanish Webinar 3

Hair Restoration in Special Patients and Megasession Technique

Date Recorded: Wednesday, August 27, 2025
Moderator: Marie Andrée Schambach, MD, FISHRS | Guatemala
Co-Moderator: Leoncio Moncada, MD, FISHRS | Venezuela

Cost: ISHRS Members – Free | Pending ISHRS Members – $25 USD | Non-members – $25 USD

Available on Demand: https://compass.ishrs.org/events/registro-webinar-agosto-2025/register

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PROGRAM OUTLINE

Title: Hair Restoration in Special Patients and Mega Session Technique

Program Description

This one and half hour webinar provides a comprehensive update on advanced techniques in hair restoration, focusing on mega sessions and the surgical management of patients with complex types of alopecia, such as scarring alopecia, afro-textured hair, diffuse pattern hair loss, and facial reconstruction.

Professional Practice Gap

Hair restoration has significantly evolved over the past decade, not only in technique but also in understanding the various types of alopecia requiring personalized approaches. However, significant gaps remain in continuing medical education, particularly in the following areas:

  1. Safe and effective application of FUE megasessions (>4000 follicular units in a single day), requiring precise technical knowledge, team management, and advanced surgical protocols to minimize follicular damage and maximize graft survival.
  2. Surgical approach to scarring alopecias, both primary and secondary, traditionally excluded from surgery due to ischemia risk and recurrence, but now treatable with individualized protocols.
  3. Techniques adapted for patients with special characteristics, such as afro-textured hair, diffuse hair loss patterns, or restoration in non-traditional areas like eyebrows, beard, and eyelashes, which require adjustments in design, extraction, and implantation.
  4. Innovative use of tissue expanders and other reconstructive techniques, which are uncommon in hair restoration practice despite their potential in extensive scarring alopecias.
  5. Lack of consensus on surgical standards for correcting unsatisfactory results, leaving surgeons to rely on personal experience rather than evidence-based protocols.

This webinar aims to bridge this educational gap by providing up-to-date information, based on the experience of international experts and supported by scientific literature, on advanced techniques to improve outcomes in “special” or complex patients.

Learning Objectives

By the end of this webinar, participants will be able to:

  1. Describe the key principles for performing successful FUE megasessions, including surgical logistics, team management, and techniques to maximize graft survival in procedures involving more than 4,000 grafts.
  2. Identify current indications, contraindications, and surgical protocols in patients with cicatricial alopecia, both primary and secondary, including the potential use of tissue expanders.
  3. Apply specific strategies for design, extraction, and implantation in patients with particular characteristics such as afro-textured hair, diffuse thinning patterns, or non-traditional areas such as eyebrows, beard, and eyelashes.
  4. Recognize the technical differences and anatomical considerations in frontal hairline reconstruction in complex cases, to achieve natural and long-lasting results in patients with diffuse patterns or a history of failed surgeries.
  5. Analyze surgical and medical strategies for correcting unsatisfactory outcomes, understanding how to tailor individualized approaches based on clinical evidence and practical experience.

Program Schedule

8:00 AM – Welcome and Introduction of the Program
Marie Andrée Schambach, MD, FISHRS | Guatemala
Leoncio Moncada, MD, FISHRS | Venezuela

8:10 AM – FUE Megasessions: Keys to 4000+ grafts in one day
Miriam Scheel, MD | Guatemala

8:18 AM – Hair Restoration in Patients with Primary Scarring Alopecia
Alex Ginzburg, MD, FISHRS | Israel/Argentina

8:26 AM -Hair Restoration in Patients with Secondary Scarring Alopecia
Francisco Castellón, MD | Chile

8:34 AM – Advanced Techniques for Frontal Hairline Reconstruction in Difficult Cases
Marco Velasquez, MD | Perú

8:42 AM – Patients with Afro-Textured Hair: Extraction and Implantation Challenges
Alba Reyes, MD, FISHRS | Dominican Republic

8:50 AM – Q&A Session First Round

9:02 AM – Restoration in Diffuse Pattern Patients: How to Optimize Density Without Compromising the Donor
Juan Manuel Andrade | Colombia/Spain

9:10 AM – Correction of Poor Results: Surgical and Medical Strategies
Bruno Pinto Goncalvez, MD, MSc | Portugal

9:18 AM – Micrografts in Eyebrows, Beard, and Eyelashes: Technical Differences from the Scalp
René Rodríguez, MD, FISHRS | Colombia

9:26 AM – Final Q&A Second Round and Closing

Evaluation Methodology

  • Live Q&A sessions: Encourage interaction and clarify key concepts.
  • Participant Feedback Form: Evaluate the relevance, quality, and applicability of the program.
PROGRAM OUTLINE
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Bibliographic References

  1. Trüeb RM, Dias MFL. Restoration of Hair in Cicatricial Alopecia. Dermatol Clin. 2021;39(3):397–407. https://doi.org/10.1016/j.det.2021.02.006
  2. Jimenez F, Poblet E. Surgical Treatment of Primary Cicatricial Alopecias: When and How. Skin Appendage Disord. 2016;2(3-4):154–162. https://doi.org/10.1159/000447237
  3. Zontos SG, et al. FUE Graft Yield and Survival in Megasession Hair Transplantation. Dermatol Surg. 2020;46(4):524–530. https://doi.org/10.1097/DSS.0000000000002067
  4. Ogunbiyi A. Hair Restoration Surgery in Afro-Textured Hair: Challenges and Considerations. Int J Trichology. 2020;12(2):52–57. https://doi.org/10.4103/ijt.ijt_30_20
  5. Pathomvanich D. Hair Transplantation in Patients With Diffuse Patterned Alopecia: Safe or Risky? Hair Transplant Forum Int. 2018;28(3):89–94. (ISHRS-published journal)