Obliteration of Alopecia by Hair-Lifting: A New Concept and Technique
September 1977
in “
PubMed
”
hair-lifting male-pattern alopecia alopecic scalp galea sub-aponeurotic loose connective tissue primary closure punch grafts free strips pedicled strips local anesthesia tonsure baldness androgenic alopecia hair-lifting male-pattern baldness bald scalp primary closure punch grafts free strips pedicled strips local anesthesia tonsure baldness female-pattern baldness
TLDR A new technique called hair-lifting was introduced to treat male-pattern baldness and can also give a partial face-lift.
In 1977, a new treatment concept and technique for male-pattern alopecia was introduced, known as hair-lifting. This method involved removing segments of skin, about 3 cm by 7 to 10 cm, from the bald area of an alopecic scalp in serial stages. The remaining hairy portion was then raised into the previously bald area. The technique also included undermining the skin in the normal plane of cleavage between the galea and the sub-aponeurotic loose connective tissue after each removal of bald skin and "lifting" of hairy skin into the operative defects as they were obliterated by primary closure. This method also provided the patient with a partial face-lift. Any remaining baldness after as much hair-lifting as feasible was filled with "punch" grafts or free or pedicled strips. The procedure was performed under local anesthesia and was found to be particularly suitable for tonsure baldness in men and even in the skull-cap type of androgenic alopecia in women.
