A Six‐Step Approach for the Treatment of Extensive Baldness

Brandy, Dominic A.

doi:10.1111/j.1524-4725.1987.tb00937.x

Cited by 14 publications

(9 citation statements)

References 5 publications

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“…If surgical correction of the posterior two-thirds takes 2 months, then total restoration can be completed in approximately 1 year. The scalp-lift technique seems to have lost favor with many transplant surgeons, (8,9) perhaps, due to the aggressive nature of the procedure. The scalp-life requires greater surgical skill and more time as well as having an increased risk of necrosis and visible temporal scars.…”

Section: Discussionmentioning

confidence: 98%

The Anchor Flap

Frechet¹

2001

International Journal of Cosmetic Surgery and Aesthetic Dermato

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This study describes an innovative flap procedure averaging 100 cm 2 that allows the treatment of extensive baldness of the frontal area by the 180°rotation of a midline occipital flap with an anchor shape bringing the hairs in place in a natural direction. Top and posterior baldness can then be eliminated in 2 to 3 months using the anchor flap (triple hair bearing transposition flap) for slot correction after using the scalp extension technique. 53

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Section: Discussionmentioning

confidence: 98%

The Anchor Flap

Frechet¹

2001

International Journal of Cosmetic Surgery and Aesthetic Dermato

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“…As described in other articles, 20,21 most extensively bald patients can be closed posteriorly with two extensive scalp‐lifting operations; namely, a bilateral occipitoparietal scalp‐lift and a bitemporal scalp‐lift 3 months later. Because the author 22 has proved statistically that approximately 60% of the stretching in extensive scalp‐lifting comes from the area inferior to the nuchal ridge (owing to lack of restrictive galea in that region), it can be calculated from that figure that approximately three extra operations would be needed to acquire closure.…”

Section: Design Conceptsmentioning

confidence: 99%

Circumferential Scalp Reduction

Brandy¹

1994

The Journal of Dermatologic Surgery and Oncology

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BACKGROUND. Conventional scalp reduction techniques involve the undermining of bald skin, inducing the problems of stretch-back and slot formation in the majority of patients. Conversely, extensive scalp-lifting, a relatively new technique, never undermines bald skin; therefore, the problem of stretch-back is minimal and slot formation is reduced. This procedure, however, is more intricate, owing to the undermining down to the hairline of the nape. Because not all cosmetic hair replacement surgeons desire to perform this more intricate surgery, the author takes many of the principles of scalp-lifting and applies them to the scalp reduction procedure. With the application of these principles, many of the problems of scalp reduction surgery are significantly reduced and other aesthetic aspects improved.

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“…Posteriorly, however, both parietal incisions meet at a point that veers approximately 45 degrees in the direction of the whorl on the crown, eliminating any possibility of a “slot” or “dog ear.” Thus, with two procedures, the right and left parietal scalp and occipital scalp all meet at the central crown, covering this region with the patient's natural hair. The anterior crown is subsequently covered, in three to four sessions, with minigrafts and micro‐grafts 22,23 …”

Section: Planning the Incision Linementioning

confidence: 99%