Advances in Hair Restoration Surgery

    December 1997 in “ Plastic and Reconstructive Surgery ”
    James A. Vogel
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    TLDR Hair restoration surgery has improved with better techniques for natural looks and managing patient expectations, but it remains labor-intensive and requires careful consideration of potential complications.
    In the 1997 article, Dr. James E. Vogel reviewed the state of hair restoration surgery, highlighting the concept of donor dominance and the importance of patient selection and realistic expectations. The article covered the use of scalp reductions, hair-bearing flaps, and medical treatments like Minoxidil and Finasteride, noting their temporary effects. Technical advancements included small grafts for natural-looking hairlines and improved donor site harvesting to minimize scarring. The document also described a tissue-extender assisted scalp reduction and the triple advancement transposition flap, with an average expander inflation of 1000 to 1200 cc over three months. Special considerations for female hair transplants and potential complications from various procedures were discussed. The labor-intensive nature of mini- and micrograft transplantation, the trend towards larger sessions, and the aesthetic goals rooted in plastic surgery were emphasized.
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