Aesthetic Reconstruction of the Hairline with Local Tissue

Dermatologic Surgery, 2002

background. Three principal strategies have evolved for surgical hair restoration: follicular grafting, scalp reduction, and flap rotation. objective. Although grafting techniques have assumed a preeminent rank as the cornerstone of modern hair-replacement therapy, scalp reduction and rotation methods should not be entirely dismissed. methods. Over the past 10 years of clinical experience, the authors have relied on all three methods of hair restoration, carefully tailoring the optimal surgical approach to the patient's expressed concerns and particular regional hair deficit. results. We have found that scalp reduction and rotation provides a considerable density of hair unmatched by any grafting technique for the vertex and frontotemporal regions, respectively. conclusion. Also we have concluded that the former yields the most natural result for a patient with significant crown baldness who desires hair restoration in that area. However, micro-and minigrafting still represent the overwhelming majority of our operative cases. This article attempts to review the surgical methodology and philosophy that have guided our approach to hair restoration.

Aesthetic Plastic Surgery, 2004

Tissue expansion is indicated in the reconstruction of various scalp defects when there is inadequate adjacent tissue to allow either primary closure of the defect or repair with a local flap. It is the most important armamentarium for aesthetic hair-bearing scalp reconstruction in cases of congenital or required defects. This technique was used sequentially without interval to achieve scalp reconstruction for 12 patients with a defect ranging from 30% to 75% of the scalp (average, 55%). For 12 patients, 32 expansion treatments were undertaken between September 1997 and January 2002. The 12 patients included 3 women, 4 men, and 5 children with a mean age of 20 years (range, 45 days to 36 years). All patients had more than one period of treatment. The most common conditions treated were burns (n = 7), trauma (n = 1), congenital naevi (n = 2), and male pattern baldness (n = 2). Reconstruction of 12 large scalp defects has been performed with a 3.1% rate of major complications. Results show that tissue expansion is a safe and efficient but time-consuming technique for aesthetic scalp reconstruction, especially in the case of ''sideburn'' scenario or large defects. There was no significant alteration in ratio of complications although tissue expansions were made sequentially.

Dermatologic Surgery, 2002

This is the first of a two-part series. Part I discusses the most common problems encountered in surgical hair restoration and presents general concepts in corrective work. Part II addresses the technical aspects of performing the actual restoration. PART I: General Aspects of Repair and Basic Repair Strategies Introduction to repair Cosmetic problems produced by poorly executed hair transplants Major limitations inherent in restorative procedures Basic repair strategies PART II: The Tactics of Repair Why Follicular Unit Transplantation is the ideal tool for repair Specific repair techniques Removal and re-implantation Removal alone Camouflage Special cosmetic problems Repair of the donor area

Pakistan Journal of Medical and Health Sciences, 2021

Aim: To evaluate the outcome of various reconstructive procedures in scalp defects. Study Design: Cross sectional descriptive study. Place and Duration of Study: Department of Plastic/Reconstructive Surgery & Burns, LUMHS Jamshoro from 1st January 2018 to 31st December 2020. Methodology: Thirty patients of scalp wounds were admitted through outpatient and casualty departments. The patients were diagnosed by pre-operative workup and on clinical parameters were included. The patients unfit for general anaesthesia, patients having associated skin pathology, patients with history of allergic reactions and patients having any poorly controlled systemic co-morbidity like diabetes and hypertension were excluded. Results: Twenty two (73.33%) were males and 8 (26.66%) were females with mean age of 38.98±8.25 years. Scalp defect was due to trauma in46.66%, electric injury 23.33%, benign lesions 16.66%, malignant tumour 3.33%, Infection 3.33%, haemangioma and pigmented nevus 3.33%. Follow up d...

2018

A Textbook of Advanced Oral and Maxillofacial Surgery, 2013

Current Problems in Dermatology, 1997

Indian Journal of Dermatology, Venereology and Leprology, 2006

Androgenetic alopecia is an important and common cause for baldness. Despite recent advances, the drug therapy of this condition remains unsatisfactory. Surgical hair restoration is the only permanent method of treating this condition. Introduction of recent techniques such as follicular unit transplantation have improved the cosmetic results and patient satisfaction. This article discusses the latest trends in hair restoration surgery.

The Egyptian Journal of Plastic and Reconstructive Surgery

Introduction: Skin loss of the scalp with exposed underlying structures are reconstructed by plastic surgeons. In this study, we highlight the non-microsurgical reconstructive options. Patients and Methods: A retrospective study was conducted where data of 13 cases who underwent immediate scalp reconstruction were recorded and analyzed. Results: The causes of scalp defects were either congenital (7.7%), traumatic (53.8), electrical burn (7.7%) or after tumor excision (30.8%). The extent of the scalp defects ranged from 20cm X 8cm to 3cm X 4cm. The most affected regions were temporal, parietal, occipital and forehead. The reconstructive procedures were transposition flaps, rotation flaps, skin graft, drill holes, integra, pinwheel flap and Ortichoa flaps. Discussion: To obtain successful scalp reconstruction, plastic surgeons need to understand the diversity of scalp defects and mastering many reconstructive options. When microsurgical reconstruction of scalp is not available or contraindicated, a number of more simplified techniques can achieve stable and efficient results. Conclusion: A variety of reconstructive requirements and choices should be considered when undertaking scalp reconstruction. An algorithm is needed for management of different defects of the scalp. Defect size, location and depth are the critical factors for the choice of the surgical technique.

Aesthetic Surgery Journal, 2004