Alopecia and Techniques in Hair Restoration: An Overview for the Cosmetic Surgeon

    February 2019 in “ Oral and Maxillofacial Surgery
    Rohan Joshi, Tom Shokri, Austin J. Baker, Scott Kohlert, Mofiyinfolu Sokoya, Sameep Kadakia, Jeffrey S. Epstein, Yadranko Ducic, Robert E. Johnson
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    TLDR Hair loss can be reversed or even cured using advanced hair restoration techniques, with rare complications like swelling and bleeding.
    The 2019 review article discussed alopecia and various hair restoration techniques. The most common procedures were follicular unit transplantation (FUT) techniques, including the strip technique and follicular unit extraction (FUE). The strip technique involved harvesting donor hair from a strip of tissue from the back and sides of the scalp, while FUE used punches to remove individual follicular units, preventing a linear scar and having a shorter healing time. These techniques could be performed concurrently to maximize grafts. Robotic devices were also used to increase follicular unit extraction. The paper concluded that advancements in hair restoration technologies have optimized outcomes, and hair loss can be reversed or even cured through both non-surgical and surgical techniques. Complications were rare, with the most common being postoperative edema and bleeding.
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