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Combination Hair Restoration Techniques in the Treatment of Severe Cutis Verticis Gyrata.

Cutis verticis gyrata (CVG) is a rare condition inwhich thickeningof the dermis results in folds and furrowson the scalp that can cause significant cosmetic deformity in affected patients. Traditional treatment primarily consists of scalp reduction with or without tissue expansion. Many of these surgical approaches result in scars, decreased hair density, and/or more apparent hair thinning on the scalp. Yet, the role of hair transplantation in CVG surgical revision is not well described in the current literature.We present a case of severe CVG treated with scalp reduction, strip harvesting follicular unit transplantation (FUT), and follicular unit extraction (FUE) as the first report using this combination of techniques. In addition, we highlight the surgical methodology that guided our approach and management in CVG correction.