Hair Restoration Surgery: The State of the Art

    November 2012 in “ Aesthetic Surgery Journal
    James A. Vogel, Francisco Jimenez, John W. Cole, Sharon Keene, James S. Harris, Alfonso Barrera, Paul Rose
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    TLDR Hair restoration surgery has advanced, focusing on natural results and may improve further with new techniques and therapies.
    The document from 2013 provides a comprehensive overview of hair restoration surgery, particularly for androgenic alopecia. It emphasizes the psychological importance of hair and the advancements in surgical techniques, including the use of follicular unit grafts, which have become the standard. The document outlines the necessity of thorough pre-surgical evaluation and planning, considering future hair loss and patient goals. It details the surgical process, including donor site harvest, hairline design, recipient site creation, and graft planting, with a focus on achieving natural-looking results. The importance of postoperative care and managing patient expectations is also highlighted. The document notes that finasteride and minoxidil are FDA-approved for hair growth, and mentions a successful case of a 28-year-old man who received 2500 grafts. It concludes that hair restoration surgery has become a sophisticated field with the potential for further advancements through minimal-incision surgery and cell-based therapies.
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