At the ISHRS 33rd World Congress in Berlin, a new Masterclass format will be introduced—two in-depth sessions daily over three days, each offering 60-minute deep dives into specialized topics.
We are looking forward to Drs. Asim Shahmalak and Felix Popescu leading the Masterclass: “Reconstructive FUE into Scars.”
********************
Watch Masterclass Intro Video
Summary Notes for Masterclass Intro Video
Intro discussion on the upcoming Reconstructive FUE into Scars Master Class at the ISHRS 33rd World Congress in Berlin
Introduction:
Dr. Sam Lam previews the World Congress Masterclass on “Advanced Surgical Techniques” for placing FUE grafts in scars, featuring Drs. Asim Shahmalak and Felix Popescu. The discussion centers on patient selection, counseling, functional outcomes, and innovative techniques for hair restoration in cases of scarring alopecia—including acid burn victims and chronic wound patients.
Key Discussion Points:
[00:00:00] FUE in Scarred Tissue
Dr. Lam introduces the unique focus of this Masterclass —granular surgical insights for grafting in scarred tissue—and highlights the expertise of Dr. Shahmalak and Dr. Popescu. The aim: improve graft survival, longevity, and aesthetics in challenging scarred areas.
[00:00:28] Dr. Shahmalak’s Approach to Scarring Alopecia
Dr. Shahmalak shares his experience with acid burn victims, particularly eyebrow transplants performed through charitable surgeries in Pakistan. He stresses the challenges of working in scarred tissue and the importance of strict patient selection—rejecting up to 80% of cases. His assessment process includes history, physical exam, and prick testing, while accounting for false positives. He emphasizes ethical counseling to set realistic expectations, with success rates that can be as low as 50%. When needed, he refers cases to plastic surgeons rather than operating.
[00:05:11] Dr. Popescu’s Surgical Pearls & Functional Outcomes
Dr. Popescu places hair restoration in the broader reconstructive timeline: lifesaving care first, restoring function second, and re-socialization last. He prioritizes functional and natural results over density, citing cases where 200–300 eyebrow grafts restored critical protection for the eyes. Each surgical plan is individualized to the patient’s needs and quality of life.
[00:07:53] Advanced Technique – Graft Placement into the Periosteum
Prompted by Dr. Lam, Dr. Popescu explains his technique of placing grafts into the periosteum for chronic wounds. This approach can stabilize wounds, enhance regeneration, and achieve graft survival in otherwise difficult cases. While sometimes accidental, he has applied it intentionally with promising results, warranting further study.
[00:09:51] Opportunities for Deeper Learning at Berlin
Dr. Lam outlines interactive learning at the conference, including daily master classes, “coffee with the experts” sessions, and one-on-one discussions with international faculty for deeper engagement on complex surgical topics.
Conclusion:
This preview highlights the complexity, innovation, and ethical considerations in advanced FUE for scarred tissue. From Dr. Shahmalak’s rigorous patient selection to Dr. Popescu’s functional, individualized approach—and the pioneering use of periosteum placement—attendees will gain practical, advanced strategies to bring back to their practices.
Don’t miss the full Reconstructive FUE into Scars Master Class at the ISHRS World Congress in Berlin, Germany, October 23–25, 2025.