Non-Hair Transplantation Methods of Surgical Hair Restoration

January 2012 in “ Jaypee Brothers Medical Publishers (P) Ltd. eBooks ”

Sandeep S Sattur

scalp reconstruction flaps scalp reduction tissue expanders implanted extenders periosteal flap anchor prolonged acute tissue expansion silastic suture skin-stretching device suture tension adjustment reel M shaped incision follicular unit transplant pattern baldness FUT

TLDR Various surgical methods for hair restoration, like scalp reconstruction and tissue expansion, have been developed, but follicular unit transplant remains the most common procedure for correcting pattern baldness.

The document from 11 years ago discusses non-transplantation surgical methods for hair restoration, which are based on various scalp reconstruction techniques. These methods include the use of flaps for hair restoration, which saw a resurgence after 1975 due to the work of J Juri. However, these flaps were not popular due to their high failure rate and unnatural frontal hair growth. The term "scalp reduction" was introduced by Sparkuhl in 1978, which involves the surgical removal of redundant tissue from areas of scalp alopecia. Various techniques were developed to overcome complications of scalp reductions, including the use of tissue expanders and implanted extenders. Other milestones include Seery’s periosteal flap anchor, the Unger prolonged acute tissue expansion procedure, the Nordstrom silastic suture, Cohen’s skin-stretching device called the suture tension adjustment reel, and Marzola’s “M” shaped incision. Despite these methods, follicular unit transplant (FUT) remains the most common procedure used to correct pattern baldness.

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