Level B· Emerging Clinical Evidence

The safety and efficacy of autologous adipose-derived stromal vascular fraction for nonscarring alopecia: A systematic review

Kang B.Y., Li A.W., Lee M.H., Alam M.

Six studies with 188 patients, including three RCTs; all found improved hair density with no reported severe adverse events.

Study type
Systematic Review
Journal
Archives of Dermatological Research (2022)
Country
United States
Sample size
188
Follow-up
Varied across included studies
PMID
34014340
DOI
10.1007/s00403-021-02238-7

What was studied

Utility and safety of SVF in nonscarring alopecia such as androgenetic alopecia and alopecia areata.

Methods

  • Searched MEDLINE, Embase and CENTRAL from inception to November 2020.

Key findings

  • All studies found improved hair density versus control or baseline.
  • Response depended on follow-up duration, alopecia severity and ADSC concentration within the SVF.
  • Some studies reported increased hair thickness.

Limitations

  • Small total patient numbers.
  • SVF concentration and preparation varied widely.

What this study does not prove

  • This study does not prove SVF is an approved treatment or a replacement for standard care.
  • Limited follow-up cannot indicate long-term outcomes.

Clinical interpretation

Includes RCTs, making it among the better evidence bases in the hair category.

Evidence level: Emerging Clinical Evidence

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