TLDR The commentary suggests that using a single-scar technique for hair transplants can give good cosmetic results, but some surgeons hesitate to use it despite ways to address their concerns.
In the 2004 commentary, Dominic A. Brandy, MD, discussed the benefits of the single-scar technique for donor harvesting in hair transplantation surgery, which was practiced by about half of all surgeons at the time. Brandy outlined surgical techniques to achieve a cosmetically attractive single scar, including postauricular skin elevation, subcutaneous undermining, debulking of scar tissue, and meticulous closure methods. However, many surgeons were reluctant to adopt this method due to concerns about added time, unfamiliar anatomy, uncomfortable positioning, and fear of undermining. Brandy argued these concerns could be overcome with proper techniques and tools. Walter Unger, MD, contributed to the commentary by advocating for the use of narrower donor strips to prevent wide scars, suggesting that narrower strips reduce the need for complex surgical techniques and can lead to better healing and less postoperative pain. Unger agreed with Brandy's approach if wider strips were used but preferred narrower strips to simplify the procedure and improve outcomes. The number of patients involved in the study or the specific results were not mentioned in the commentary.
8 citations,
March 1994 in “The American Journal of Cosmetic Surgery” The Total Excision Techniques improve hair transplant results by increasing grafts by at least 50% and reducing scarring.
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6 citations,
May 2004 in “Dermatologic Surgery” The article concludes that using the single-scar technique for hair transplants can result in a more attractive scar and that concerns about the technique can be managed with proper methods.
June 2004 in “Dermatologic Surgery” The single-scar technique in hair transplantation minimizes scarring and preserves hairs for future use, with proper training overcoming its perceived drawbacks.
August 2016 in “InTech eBooks” Esthetic surgery complications can include infections, nerve injury, and more; proper evaluation and technique help prevent them.
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4 citations,
April 2020 in “Facial Plastic Surgery Clinics of North America” Hair loss in women is complex to diagnose and treat, and hair restoration should be done by experts. Using minoxidil before surgery can help manage post-surgery hair shock loss. The Follicular Unit Transplantation method is recommended for women due to its speed, no need for shaving, and better graft quality. Strategies like L, T, and reverse L patterns can help restore central hair density, and regenerative methods can improve graft survival in hair transplants.
January 2008 in “Elsevier eBooks” More men are getting cosmetic surgery, with nose jobs and hair transplants being popular, and choosing a qualified surgeon is important.
