Transplanting Patients with Vitiligo?

As far as I know vitiligo patients are at increased risk of developing alopecia areata, alopecia totalis and alopecia universalis. Obviously if a vitiligo patient who has male pattern baldness goes on to develop alopecia totalis or universalis then they would lose all scalp hair and any scarring from a hair transplant would be visible.

I appreciate that any hair transplant candidate could go on to develop alopecia totalis or universalis but in most cases the risk seems to be too small to be a serious factor. I am however wondering whether the increased risk associated with vitiligo patients is something that should be considered particularly where young men with male pattern baldness are concerned. It would be good to have your expert opinion on this matter.

The appearance of a secondary skin problem (alopecia areata) in patients with vitiligo, although possibly linked and possibly at increased risk, has not been a problem in my experience. The decision to transplant should not be a concern in patients with vitiligo (as we at New Hair Institute have had successful hair transplants on patients with vitiligo) .