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Surgical Rejuvenation of the Ageing Face
Published in John C Watkinson, Raymond W Clarke, Terry M Jones, Vinidh Paleri, Nicholas White, Tim Woolford, Head & Neck Surgery Plastic Surgery, 2018
Gregory S. Dibelius, John M. Hilinski, Dean M. Toriumi
Alopecia in the temporal region is a common complication of rhytidectomy and one that is easily avoided with careful incision design and placement. In some cases alopecia is a transient phenomenon, termed telogen effluvium, attributed to temporary follicular shock. In other instances alopecia is more permanent, for example when the hair follicles have been injured by thermal electrocautery. If no evidence of regrowth is noted after a waiting period of 4–6 months, hair restoration can be attempted using either micrografts or local skin flaps.
Hair restoration surgery
Published in Jerry Shapiro, Nina Otberg, Hair Loss and Restoration, 2015
The donor hair supply for one single session has to be taken into consideration as a first step. The patient needs to understand that hair restoration surgery is a redistribution of hair and that the hair can never be restored the way it was in his or her teen years. Once the supply is calculated, the physician needs to negotiate where to place the grafts and find out what bothers the patient the most. Usually, facial framing is what the patient wants most, since framing the face makes the greatest difference in the overall appearance. Positioning the hairline is critical, and must be discussed at length with the patient. This is drawn in at the first consultation and before the surgery.
Hair Transplantation for Women
Published in M. Sandra Wood, Internet Guide to Cosmetic Surgery for Women, 2013
Hair restoration treatments range from use of drugs such as Rogaine to hair extensions to hair transplantation. Many of the clinics that perform these procedures utilize technicians and laypeople; physicians are used to perform occasional surgical procedures. You should be aware that there is no board certification for hair transplantation. Instead, you can expect your surgeon to be board certified in a variety of specialties, from plastic surgery to dermatology. A board certified physician who specializes in liposuction and body contouring but also performs occasional hair transplantation may not be the proper specialist for you. If you decide that hair transplantation is the right decision for you, you should look not only at the doctor’s credentials, but his or her experience in hair transplantation. For instance, how many transplants does he or she perform per year; how long has he or she been performing transplants; and, is it the primary procedure that he or she performs? Ask to see examples of the doctor’s work. Your physician should be willing to answer all of these questions to help you make your decision.
Artificial hair implantation for hair restoration
Published in Journal of Dermatological Treatment, 2022
Aditya K. Gupta, Maanasa Venkataraman, Emma M. Quinlan
Hair loss is a common problem that affects both men and women (1,2). Androgenetic alopecia (AGA) is the most common form of hair loss and can have a significant psychological impact (3,4). The two drugs approved for the treatment of AGA by the United States Food and Drug Administration (US FDA) and the European Medicines Agency include topical minoxidil (2% and 5%) for women and men, and oral finasteride for men (3,5,6). Low-level laser therapy is the only FDA-approved non-medical treatment for AGA; however, its efficacy has yet to be validated in higher quality studies (2,3,7,8). Surgical options for hair restoration include hair transplantation techniques such as follicular unit excision (FUE) and strip harvesting or follicular unit transplantation (FUT) (3,9). Minimally invasive, novel therapies such as microneedling, platelet-rich plasma (PRP), and exosome injections are also being investigated in the stimulation of hair growth (10,11).
Donor site of follicular unit excision hair transplantation: the relationship between appearance and actual hair density, and hair diameter
Published in Journal of Plastic Surgery and Hand Surgery, 2020
Masayuki Okochi, Toshihiko Fukushima, Hiromi Okochi, Kenichi Takita, Masamitsu Onda
Hair restoration surgery is one of the most popular cosmetic surgeries for men [1–3]. FUE is one of the most successful techniques for hair restoration, but to perform FUE safely, accurate information about hair density at the donor site is essential [1]. We analyzed the relationship between actual hair density and subjective appearance assessment of the donor site for FUE in 103 Japanese males with AGA. And, we divided our patients into three groups according to hair density (HD group, MD group, and LD group) and hair diameter (Thick group, Medium group, and Thin group). We defined the cut-off values so that each of the three groups was approximately the same size. We found that the average hair density in the occipital region was 121.9 hair/cm2 and about 70% of our patients had a visual assessment rating of ‘good’. On the other hand, less than 10% of our patients had a visual assessment rating of ‘poor’. There was a correlation between both high hair density and hair shaft diameter measurements and good visual assessment of the donor site.
Safety concerns when using novel medications to treat alopecia
Published in Expert Opinion on Drug Safety, 2018
Hind M. Almohanna, Marina Perper, Antonella Tosti
Loganathan et al. performed a retrospective analysis including 73 male patients with androgenetic alopecia treated with hair restoration therapy including FUT, follicular unit extraction (FUE), and body hair transplantation. Complications in hair restoration therapy, the most severe of which is death in inexperienced centers, are relatively few and rare compared with other aesthetic surgical procedures but are still prevalent. The most common adverse event was postoperative edema, occurring in 42.47% of reviewed patients. Moreover, folliculitis is a common complication of hair transplantation [30,31]. Patients (10.96%) in Loganathan and colleagues’ study developed bacterial folliculitis in the donor area up to eight months after surgery. Sterile folliculitis weeks or months after transplantation is commonly found as well, occurring in 23.29% of Loganathan et al.’s patients. In a case report by Yang following a 38-year-old man with Norwood type V alopecia receiving hair transplantation, in addition to mild postoperative pain and discomfort, erythematous folliculitis due to a buried graft was documented [32].