A review of modern surgical hair restoration techniques

Shiell, Richard C.

doi:10.4103/0974-2077.41150

Cited by 37 publications

(23 citation statements)

References 17 publications

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“…[83] In the immediate postoperative period, the grafts are kept moist with saline spray. The grafted area is dabbed with moist gauze pieces to avoid scab formation.…”

Section: Surgery Surgerymentioning

confidence: 99%

Androgenetic alopecia: An update

Kaliyadan¹,

Nambiar²,

Vijayaraghavan³

2013

Indian J Dermatol Venereol Leprol

136

105

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Androgenetic alopecia (AGA) is one of the commonest reasons for dermatological consultation. Over the last few years our understanding of the pathophysiology of AGA has improved and this has paved way for better diagnostic and therapeutic options. Recent research has dwelled on the role of stem cells in the pathophysiology of AGA and has also identified newer genetic basis for the condition. Dermoscopy/trichoscopy has emerged as a useful diagnostic tool for AGA. While the major treatment options continue to be topical minoxidil, systemic Finasteride and hair transplantations, newer modalities are under investigation. Specific diagnostic and treatment recommendations have also been developed on evidence based principles. This article reviews the recent concepts in relation to AGA. With regards to the pathophysiology we have tried to stress on recent knowledge of the molecular and genetic basis of AGA. We have emphasized on an evidence based approach for treatment and diagnosis.

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“…[83] In the immediate postoperative period, the grafts are kept moist with saline spray. The grafted area is dabbed with moist gauze pieces to avoid scab formation.…”

Section: Surgery Surgerymentioning

confidence: 99%

Androgenetic alopecia: An update

Kaliyadan¹,

Nambiar²,

Vijayaraghavan³

2013

Indian J Dermatol Venereol Leprol

136

105

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“…The traditional teachings of hair transplant surgery advocate that both the edges of the wound margins should be in complete contact (full‐thickness approximation) for proper healing and avoiding wound dehiscence or wider scars. The stretch‐back phenomenon results in slight scar stretch 17. However, the closure results in wrinkling of the underlying tissues, increasing the dead space at the base of the wound as observed by the author.…”

Section: Discussionmentioning

confidence: 73%

The Battle begins: Is strip surgery really necessary?

Malik¹

2020

J of Cosmetic Dermatology

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Objectives To measure the effects of previous Follicular Unit Transplantation (FUT) procedure. Materials and Methods The study was conducted in a private hair transplant clinic after obtaining informed consent. Only those patients were included who had a previous strip harvest surgery (FUT) and opted for Follicular Unit Excision/Extraction (FUE) procedure. In all the patients, the donor hairs were trimmed to about 1‐2 mm length. The width of the scar, the hair density above and below the scar, and hair angles above and below the scar were measured. All the patients underwent FUE procedure using 0.9 mm serrated punch. Twenty attempts were made above and below the scar (about 0.5 cm), and the total number of hair and transections was measured. All the data were analyzed statistically. Results Ten patients were included. The average width of the scar was 2.47 mm. The mean hair density was found to be 155.4 hairs per cm2 above the scar and 130.8 per cm2 below the scar. The mean hair angle was found to be 28.21 degrees above the scar and 39.19 degrees below the scar in midline occipital above the scar (P < .05). The average hair count was found to be 49.8 hairs above the scar and 47.2 hairs above the scar (P < .05). The transection of hair was doubled below the scar (P < .05) Conclusion The Follicular Unit Transplantation (FUT) procedure does leave some impacts on the donor area other than the scar only. The change in angle results in higher transection of hair above the scar.

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“…Nonetheless, the medical literature reveals ample science‐based evidence of the efficacy and reliable clinical outcomes of hair restoration surgery. Hair surgery techniques to redistribute hair to areas of alopecia include scalp reduction surgery; scalp and rotation flaps, advancement flaps, and free flaps; FUT by strip harvesting (FU); and FUT by follicular unit extraction (FUE).…”

Section: A Brief Historical Overviewmentioning

confidence: 99%