References: Hair growth and hair loss
Dermatol Surg. 1997 Sep;23(9):771-84; discussion 801-5.
Follicular transplantation. Patient evaluation and surgical planning.
Bernstein RM, Rassman WR.
New Hair Institute, Los Angeles, California, USA.
BACKGROUND: Follicular transplantation is a method of hair restoration surgery that uses hair in its naturally occurring groups called follicular units. By using the follicular unit exclusively in the transplant, the surgeon can move extensive quantities of implants in a single session to complete the hair restoration in as few sessions as possible. OBJECTIVE: To briefly review the salient features of follicular transplantation, to discuss how the patient should be evaluated for the follicular transplant procedure, and to provide guidelines for the planning of the first and subsequent transplant sessions. This paper will examine: 1) ways to anticipate future hair loss, 2) how to assess donor reserves, 3) what can be accomplished in a single transplant session, 4) how to plan for subsequent sessions, and 5) how to manage the patient with diffuse androgenetic alopecia. METHODS: Follicular transplantation is performed according to techniques detailed in a previous publication (Bernstein et al. Int J Aesthet Rest Surg 1995;3:119-32). RESULTS: Excellent cosmetic results can be achieved when there is meticulous attention to transplanting intact follicular units, when the extent of balding is accurately assessed, and when the finite nature of the donor supply is respected. CONCLUSIONS: Because of their small "physiologic" size, follicular implants enable the surgeon to transplant large numbers in a single session. Follicular transplantation will greatly increase the benefits of the hair restoration procedure when the patient is thoroughly evaluated and when the procedure is undertaken after careful short- and long-term planning.
online pharmacy ref. source: www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=9311372&dopt=Abstract
Dermatol Surg. 1997 Sep;23(9):785-99.
The aesthetics of follicular transplantation.
Bernstein RM, Rassman WR.
New Hair Institute, Los Angeles, California, USA.
BACKGROUND: Follicular transplantation is a method of hair restoration surgery that uses hair in its naturally occurring groups, called follicular units. Using the follicular unit exclusively in the transplant, the surgeon can create hair patterns that closely mimic nature. OBJECTIVE: To focus on various aesthetic aspects of the follicular transplantation procedure including hair distribution, hairline design, and crown restoration. Racial variations that affect the transplant will also be examined. METHODS: Follicular transplantation is performed according to techniques detailed in a previous publication (Bernstein et al. Int J Aesthet Rest Surg 1995; 3: 119-32). RESULTS: Excellent cosmetic results can be achieved when aesthetic decisions are made that allow the surgeon to recreate hair patterns already provided by nature. A case study will be presented. CONCLUSIONS: The small size of follicular implants enables the surgeon great versatility in their placement. Follicular transplantation will ensure a natural looking transplant if used with good aesthetic judgment and careful planning.
online pharmacy ref. source: www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=9311373&dopt=Abstract
Dermatol Surg. 1997 Sep;23(9):829-33.
Standardized technique of transplanting micrografts in hair restoration surgery. A practical approach.
Fan J, Wang J, Nordstrom RE.
Nordstrom Hospital for Plastic and Reconstructive Surgery, Helsinki, Finland.
BACKGROUND: The transplantation of a large number of hair-bearing micrografts has become an important method in hair restoration surgery and one that achieves a more natural looking growth of the transplanted hairs than minigrafts or punchgrafts. However, the process of grafting over a hundred micrografts is still tedious, laborious, and time-consuming, and also increases the amount of surgical trauma to the hair follicles of the donor site. OBJECTIVE: To speed up the process of micrografting and minimize surgical trauma to the follicles and the grafts in order to maximize the grafts survival and therefore optimize clinical results. METHODS: The authors describe the standardized micrografting technique used in our unit for hair transplantation, which speeds up the grafting process and minimizes the trauma due to surgery during the various fares of the transplanting procedure of the hair follicles. RESULTS: The described technique significantly speeds up the process of transplanting micrografts with minimal surgical trauma and therefore the best possible graft survival. CONCLUSION: Standardized micrografting is a fast, practical and efficient technique for hair restoration surgery.
online pharmacy ref. source: www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=9311378&dopt=Abstract
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