Hair Transplantation and Micrografting for Oral and Maxillofacial Surgeons

The document discusses the principles and techniques of hair transplantation and micrografting, emphasizing their role in cosmetic facial enhancement. It references the concept of "Donor Dominance," introduced by Dr. Norman Orentreich, which posits that grafts from hair-bearing areas of the scalp will continue to grow when transplanted to balding areas. The paper outlines the importance of understanding male pattern baldness, which is categorized into over seven types and is influenced by genetics and hormones. It stresses the need for sufficient donor areas to cover balding regions and the importance of hair density for favorable cosmetic outcomes. The procedure of punch grafting is described, highlighting the importance of careful staging, hairline placement, and graft orientation. The document also mentions the use of micrografts (1-3 hairs) and minigrafts (4-8 hairs) for a more natural result and the meticulous microsurgical technique that can involve single hair follicles. It concludes by noting the importance of postoperative care, including medication, bandaging, and cleansing, to ensure nearly 100% graft survival. The document does not provide specific study numbers or dates of the studies referenced.