An Evaluation System to Enhance Patient Selection for Alopecia-Reducing Surgery

    September 2002 in “ Dermatologic Surgery ”
    Dominic A. Brandy
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    TLDR The evaluation system improved patient selection for hair loss surgery, leading to better results and satisfaction.
    In 2002, Dr. Dominic A. Brandy developed an evaluation system to enhance patient selection for alopecia-reducing surgery, which scores patients on 20 criteria to determine their suitability for the procedure. A score above 4 out of 5 indicates a good candidate, particularly for more extensive surgeries if the score is 4.5 or higher. Since implementing this system, the number of alopecia-reducing procedures in Brandy's practice decreased, but the outcomes improved significantly. The document suggests that alopecia reduction, especially for the crown area, will see a resurgence due to its advantages over follicular unit transplantation, such as being quicker and more cost-effective. The evaluation system is emphasized as a crucial tool for achieving successful surgical outcomes and patient satisfaction.
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