Why Evolution Is Better Than Revolution: The Progression of Hair Restoration Techniques

    June 1997 in “ The American Journal of Cosmetic Surgery ”
    Russell Knudsen
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    TLDR Gradual improvements in hair restoration techniques are safer and more effective than drastic changes.
    In the article from 1997, Russell Knudsen discusses the progression of hair restoration techniques, arguing that gradual improvements have led to better outcomes than radical changes. He reviews the history of hair restoration, pointing out that while revolutionary methods like punch autografts, scalp reduction, and rotation flaps were significant, they often had unsatisfactory cosmetic results. Knudsen highlights the success of refining these techniques, such as reducing graft size and carefully implementing larger grafting sessions, known as megasessions and maxisessions. He warns of the dangers of aggressive new methods, such as the uncertain effects of CO₂ lasers on grafting. The article concludes that innovation in hair restoration should be cautious to prevent patient harm and that the field should continue to evolve technically for superior surgical results.
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