Contemporary Hair Transplantation
November 2009
in “Dermatologic Surgery”
TLDR Modern hair transplants use small grafts for a natural look and drugs to prevent further loss, with high patient satisfaction.
The 2009 document "Contemporary Hair Transplantation" reviewed advancements in hair transplantation, highlighting the shift from large "punch grafts" to natural-appearing follicular unit grafts. It detailed the transplantation process, including candidate selection, hairline design, and postoperative care, and emphasized the role of medications like minoxidil and finasteride in preventing further hair loss. The review noted finasteride's effectiveness in maintaining hair growth for 90% of patients over 5 years and mentioned potential side effects. It also discussed the new 5% foam formulation of minoxidil. The importance of planning for a natural appearance and future hair loss was stressed, with a target density of 20 to 35 graft sites per cm² for transplantation. The document also considered non-surgical options and future trends like low-level laser light therapy and hair cloning, which was anticipated to be at least 5 to 10 years away from practical use at the time of writing. Overall, the document conveyed high satisfaction rates with contemporary hair transplantation and aimed to increase physician confidence in the procedure.
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