A Philosophy and Strategy for Surgical Hair Restoration: A 10-Year Experience

Over the course of 10 years, the authors have developed a comprehensive approach to surgical hair restoration, incorporating follicular grafting, scalp reduction, and flap rotation techniques. They have found that while follicular grafting is the most commonly used method, scalp reduction and rotation can provide superior density in certain areas of the scalp. The authors stress the importance of customizing the surgical plan to each patient's unique hair loss pattern and desires, ensuring natural results and high patient satisfaction. They also discuss the importance of preoperative and intraoperative considerations, such as patient comfort and the meticulous handling of grafts. Despite some complications like temporary hair loss and the need for minor surgical corrections, the authors report high graft viability and successful outcomes, suggesting that their strategies and philosophies in hair restoration surgery can be beneficial for clinical practice.