Prevention of Temporal Alopecia Following Rhytidectomy: The Prophylactic Use of Minoxidil. a Study of 60 Patients

Abstract

On comparing our findings to results of larger rhytidectomy series in which minoxidil was not used prophylactically, and our experience before using minoxidil, we conclude that minoxidil plays a role in effectively preventing the temporal hair loss that occurs following primary cervicofacial rhytidectomies. We also found that minoxidil did not negatively impact on the risk of hematoma formation, skin necrosis, edema, or ecchymosis. Side effects of minoxidil did not present a problem.

Localized Telogen Effluvium after Face Lift Surgery

“…Based on all this evidence, the authors concluded that localized telogen effluvium could have been the cause of temporary hair loss after rhytidectomy. Moreover, a study reported that preoperative and postoperative prophylactic use of minoxidil reduces the percentage of hair loss that occurs after rhytidectomy 5 , and this finding also supported our conclusion.…”

Novel Face-Lift Suspension Suture and Inserting Instrument: Use of Large Anchors Knotted into a Suture with Attached Needle and Inserting Device Allowing for Single Entry Point Placement of Suspension Suture. Preliminary Report of 20 Cases with 6- to 12-M

“…Owsley 7 and Owsley and Fiala 8 described one of the earliest versions, and others, including the senior author, have described minor variations of the technique. 9, 10 Sasaki and cohen also describe good results with a far more complex GoreTex cable suture method. Elevation of the mid-face continues to remain one of the major challenges of face-lift surgery.…”

Secondary alopecia induced by aesthetic procedures: An unrecognized potential complication

“…No permanent alopecia was developed during the follow-up and only 1.7% of temporary alopecia was presented in patients using minoxidil prophylactically compared to other studies where the same surgical technique was used, that reported 2-3% of permanent alopecia and 5-8% of temporary alopecia. 9 No other side effects or complications were found with the use of topical minoxidil and may be a prophylactical option in patients undergoing rhytidectomy.…”

“…No specific treatment has been described to prevent or accelerate regrowth. A previously mentioned study used topical minoxidil for temporal alopecia after rhytidectomy and suggested it may play a role in hair loss in patients at risk of alopecia 9 . .…”