Modern hair restoration surgery

    March 2001 in “ Clinics in Dermatology
    Richard C. Shiell
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    TLDR Hair restoration surgery techniques have evolved, with focus on patient selection and realistic goals, and future advancements may include cloning and gene therapy.
    The document from 2001 provided a historical overview of hair restoration techniques, including alopecia reduction surgery, scalp flaps, and free scalp autografts. Alopecia reduction and scalp flap surgeries declined in popularity due to visible scarring and the development of newer techniques. Free scalp autografts were reliable but required careful handling and sufficient nutrients in the recipient areas. The use of microscopes for graft dissection and follicular unit transplantation techniques were also discussed. The document emphasized the importance of careful patient selection and realistic goal setting in hair restoration surgery. Future advancements such as 5alpha-reductase inhibitors, cloning, gene therapy, and bypassing the telogen phase of hair growth were mentioned. The use of 2% minoxidil before and after surgery was suggested to increase hair growth, but further studies were needed. The document concluded that hair restoration surgery would remain relevant even if medical prevention of male baldness became more common.
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