Hair Transplantation Surgery

    October 1987 in “ Clinics in Dermatology ”
    Scott M. Wilhelmus
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    TLDR Hair transplantation is beneficial if the right patients are chosen and the procedure is done carefully.
    In 1987, hair transplantation surgery was primarily performed using the Orentreich punch graft technique, with the success of the procedure relying on the principles of donor and recipient dominance. The document highlights the importance of selecting the right patients, with male-pattern baldness being the primary indication, and outlines the meticulous surgical procedure, including hairline planning and graft placement. Post-operative care is crucial, with recommendations such as using minoxidil to enhance growth. The use of micrografts was emphasized to create a more natural hairline and avoid the cobblestone effect. Complications were noted to be minor and manageable, with an incidence of infection below 1%. The document concludes that the benefits of hair transplantation outweigh the potential problems, provided that there is careful patient selection and awareness of the procedure's intricacies.
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      in Update  43 upvotes 2 years ago
      A user had a disappointing dermatologist appointment where they were denied prescriptions for Dutasteride and oral Minoxidil for hair loss and were only offered a hair transplant referral. Other users sympathized, discussed self-medication, and suggested consulting a transplant doctor for up-to-date treatments.

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      in Progress Pictures  44 upvotes 3 years ago
      A user shared their 9-month hair recovery progress using minoxidil, finasteride, Alpecine shampoo, coconut oil, a multivitamin, and plenty of water. Replies praised the significant improvement from NW3 to NW2 with good density.

      community Verteporfin and Microneedling

      in Treatments 5 months ago
      Clinical studies by Dr. Barghouthi and Dr. Bloxham indicate that Verteporfin, when used with FUE and FUT hair transplantation methods, shows promise in hair follicle regeneration and minimal scarring due to its ability to inhibit Yes-associated protein (YAP). Microneedling at depths of 3-3.5mm, combined with Verteporfin, could potentially reactivate dormant follicles, although the optimal dosage and application method are still under investigation. Concerns remain about the DHT sensitivity of regenerated follicles, highlighting the need for further research to optimize trauma levels and Verteporfin concentrations to achieve effective and scar-free hair regeneration.
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      community Diffuse hair loss and scalp biopsies

      in Research  692 upvotes 3 months ago
      Scalp biopsies are crucial for diagnosing hair loss conditions like Diffuse Unpatterned Alopecia (DUPA) and retrograde hair loss, as treatments like finasteride and dutasteride may not be effective if other conditions are present. Combining PPAR-GAMMA agonists with retinoids could improve treatments for conditions like Lichen Planopilaris.

      community Planning to for Hair transplant

      in Transplants  104 upvotes 8 months ago
      The conversation is about someone considering a hair transplant due to ineffective hair loss treatments, with suggestions ranging from trying a hairpiece to continuing with medications like finasteride and minoxidil, and waiting for new treatments. Some advise against a transplant due to the extent of hair loss and the cost, while others share different views on the effectiveness of transplants and non-surgical options.

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