Localized Telogen Effluvium after Face Lift Surgery

Kim, Jung Hee; Lew, Bark Lynn; Sim, Woo Young

doi:10.5021/ad.2015.27.1.119

Cited by 4 publications

(7 citation statements)

References 5 publications

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“…Several suggestions regarding the modification of surgical approaches has been offered in hopes to prevent telogen effluvium such as proper incision design and closure, limiting trauma to the follicle and avoiding excessive tension. 10,11…”

Section: Discussionmentioning

confidence: 99%

A Severe Case of Diffuse Telogen Effluvium Status Post Endoscopic Repair of Functional Brow Ptosis

Arsanious¹,

Branman²,

Brock

2017

Am J Cosmet Surg

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Telogen effluvium is the most common cause of transient, nonscarring, diffuse alopecia. In its acute form, it triggers profound anxiety in our patients, and if not allayed with a confident diagnosis, it inevitably cascades to physical and psychological stress. Numerous possible factors have been implicated as a causation of telogen effluvium, yet concrete evidence in their support is still lacking. However, the role of stress as a causative factor must not be overlooked. As cosmetic surgeons, we unwillingly induce stress on our patients, especially through the many facial rejuvenation procedures we perform. Herein, we present a severe case of telogen effluvium status post endoscopic repair of functional brow ptosis. We attempt to aid readers so that they may make an accurate diagnosis and hopefully implement effective intervention, and if possible, prevention.

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Section: Discussionmentioning

confidence: 99%

A Severe Case of Diffuse Telogen Effluvium Status Post Endoscopic Repair of Functional Brow Ptosis

Arsanious¹,

Branman²,

Brock

2017

Am J Cosmet Surg

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“…[2][3][4] Acute temporal hair loss following rhytidectomy occurs in 8.4% of patients after surgery. 5 The exact cause of hair loss is unknown. Factors that may contribute to hair loss include a poor incision, direct trauma to the hair follicles during dissection, tension at the time of closure, thin flaps with reduced blood supply and hypertrophic scars.…”

Section: Surgical Facelift or Rhytidectomymentioning

confidence: 99%

“…6 Surgeons must reduce the trauma to the hair follicle by making incisions that are parallel to the hair follicles, reducing tensions to the scalps around the suture lines, and ensuring the skin flap is not too thin to prevent trauma causing secondary alopecia. 5…”

Section: Surgery Techniquementioning

confidence: 99%

“…Acute temporal hair loss following rhytidectomy occurs in 8.4% of patients after surgery 5 . The exact cause of hair loss is unknown.…”

Section: Surgical Facelift or Rhytidectomymentioning

confidence: 99%

“…Some authors advise that hair loss can be minimized by making irregular incisions posterior to the hairline, in an area with plenty and consistent follicular density to allow postoperative hair follicle growth through and around the scar 6 . Surgeons must reduce the trauma to the hair follicle by making incisions that are parallel to the hair follicles, reducing tensions to the scalps around the suture lines, and ensuring the skin flap is not too thin to prevent trauma causing secondary alopecia 5 …”

Section: Surgical Facelift or Rhytidectomymentioning

confidence: 99%

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Secondary alopecia induced by aesthetic procedures: An unrecognized potential complication

Barrera‐Ochoa,

Alonso‐León,

Arenas

et al. 2023

Aust J Dermatology

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Surgical facelifts and noninvasive techniques such as mesotherapy, hyaluronic fillers and botulinum toxin, among other procedures are widely used nowadays to reverse skin ageing and achieve rejuvenation effects. Secondary alopecia due to cosmetic procedures is a rare side effect and is poorly described in the literature. The mechanisms in which hair loss develops after an aesthetical procedure or surgical technique are not well known. The development of secondary scarring alopecia or non‐scarring alopecia depends upon the interaction between different external factors, the individual host response and the extent of damage to the hair follicle anatomy. Current knowledge hints at the type of substance used, pressure to hair structures and vasculature due to the materials used, previously unknown or unaware hair disorder, and poor surgical techniques to be the main factors contributing to the development of secondary alopecia. Physicians and patients must be aware of all the substances used for the procedures and be attentive to any change in hair density or hair loss. Clinicians must have a low threshold to take biopsies if the risk of scarring alopecia may occur. Herein, we review the clinical, trichoscopic, histopathological findings and potential pathophysiological mechanisms of hair loss due to different aesthetic procedures.

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