Hair Transplantation on the Baldness Region with Free Latissimus Dorsi Flap for Scalp Reconstruction: A Case Report

June 2024 in “ Archives of Plastic Surgery ”

Man Wong Han, Jaeseong Moh, Ji‐Ung Park

hair transplantation follicular unit extraction FUE myocutaneous latissimus dorsi flap scalp reconstruction alopecia hair transplant

TLDR Hair transplantation on a reconstructed scalp can effectively improve hair growth and appearance.

This case report discusses a novel approach to scalp reconstruction in a 44-year-old woman with a history of Moyamoya disease and subsequent scalp defects due to craniotomies and infections. A free myocutaneous latissimus dorsi flap was used to reconstruct a 13 × 9 cm scalp defect. Nine years later, a 1,500-unit follicular unit extraction (FUE) hair transplantation was performed on the flap, achieving an 80 to 85% hair survival rate at 12 months. The procedure significantly improved the patient's alopecia and aesthetic satisfaction, demonstrating that FUE hair transplantation on a myocutaneous free flap can effectively address alopecia and enhance aesthetic outcomes in scalp reconstruction.

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Research cited in this study

8 / 8 results

research Treatment of Postsurgical Scalp Scar Deformity Using Follicular Unit Hair Transplantation

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Hair transplantation effectively treats scalp scars with high success and patient satisfaction.

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FUE provides minimal scarring and quick recovery in hair transplantation, and surgeons not using it may lag in technology.

research Hair Transplantation on a Free Microvascular Latissimus Dorsi Flap

4 citations , May 2013 in “Annals of Plastic Surgery”

Hair transplants onto a scalp reconstruction flap improved appearance successfully.

research Beard Reconstruction Using Hair Grafts in a Free Flap

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Hair grafts can successfully reconstruct a beard on reconstructed jaw skin, improving appearance and patient satisfaction.

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research Aesthetic Considerations in Scalp Reconstruction

19 citations , February 2008 in “Facial Plastic Surgery”

The article concludes that microvascular free flaps, especially the latissimus dorsi flap, are recommended for large scalp reconstructions, and hair transplantation offers high survival rates and excellent aesthetic results.

research Hair Grafts in Lower Leg Reconstruction

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Hair grafts improved the look of a man's leg after an accident and the patient was happy with the results.

research Follicular Unit Extraction: Minimally Invasive Surgery for Hair Transplantation

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Follicular Unit Extraction (FUE) is a less invasive hair transplant method with minimal scarring, suitable for about 60% of patients, especially those needing fewer grafts and quicker recovery.

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