Hair Transplantation, Scalp Reduction, and Flap Rotation in Black Men

The document from 1986 discusses the adaptation of surgical treatments for male pattern hair loss in black men, noting that while the condition is less common and severe than in white men, techniques such as grafts, scalp reductions, and rotational flaps can be successful with modifications. For grafts, the curvature of hair follicles under the scalp and tight coils on the surface necessitate careful punch direction to avoid root damage. Skin pigmentation issues can be managed with specific treatments and by adjusting graft placement. Scalp reductions are similar for black and white patients, though scar visibility may be a concern. Flap rotations require pre-surgical hair growth, possible hair relaxers, and additional grafts to address cosmetic issues. Techniques to prevent flap necrosis, maintain moisture, and provide anesthesia and hemostasis are also described, indicating that with proper methods, black men can achieve satisfactory results from hair loss surgery.