Corrective Hair Restoration Techniques for Aesthetic Problems of Temporoparietal Flaps

In 2003, Dr. Dominic A. Brandy presented techniques to correct aesthetic issues caused by temperoparieto-occipital flaps (Juri flap) and temperoparietal flaps (Elliott), hair restoration methods that were once common but had high complication rates and unnatural results. The corrective techniques, based on 48 cases over 22 years, included undulating follicular unit grafting, removal of 2- to 3-mm cylinders of hair-bearing scalp, and fusiform excision techniques, which effectively restored a natural appearance in patients with poor aesthetics post-flap surgery. The document also mentioned the use of oral finasteride and topical minoxidil to stabilize hair loss in 90% of men with male pattern baldness, particularly beneficial for those who had undergone flap surgery. However, it was emphasized that not all hair restoration techniques led to poor cosmetic results, with some 1970s tempoparietal-occipital flap cases maintaining excellent cosmetic outcomes.