TLDR Hair restoration surgery has evolved over time, with a focus on natural-looking results and managing patient expectations, while also considering potential complications and the lifelong progression of male pattern baldness.
The 26-year-old document "Philosophy and Technique in Hair Restoration Surgery" by Dr. Dow B. Stough and Dr. Thomas S. Potter, provided a comprehensive overview of hair restoration surgery. The authors evaluated 25 years of techniques, noting the advent of total micrografting and a decline in scalp reduction procedures. They emphasized creating a natural-looking, sparse, high hairline with normal deep, parieto-temporal recessions. The document also discussed the classification of male pattern baldness, the history of hair restoration surgery, and the philosophy of hair restoration from 1965-1990. It highlighted the need for long-term evaluation of procedures, as short-term results do not necessarily reflect long-term outcomes. The document suggested a conservative approach, such as the creation of a frontal forelock, may provide long-term satisfaction. It also stressed the need for surgeons to manage patient expectations and educate them about the lifelong progression of male pattern baldness. The document warned about complications that can arise from hair restoration surgery, such as unexpected drug reactions, hematoma formation, and infection. It also noted that hair transplantation was rapidly increasing, becoming the most common cosmetic procedure performed on men.
9 citations,
July 1992 in “Clinics in Dermatology” Scalp reduction surgery can effectively treat male pattern baldness when tailored to the patient and performed with care to minimize complications.
20 citations,
May 1992 in “The Journal of Dermatologic Surgery and Oncology” Dr. Norwood's analysis highlights the need for careful patient selection and strategic hair transplant design to create a natural-looking hair density.
March 2021 in “Dermatological reviews” Hair transplant works well, but needs more research for better results.
3 citations,
November 2018 in “PubMed” SMT effectively treats advanced baldness with high satisfaction.
SMP creates illusion of full hair, addressing various issues and bringing happiness to those with thinning hair.
22 citations,
January 2017 in “Indian Dermatology Online Journal” Body hair transplants can treat baldness but differ from scalp hair and need more research on long-term results and side effects.
28 citations,
August 2013 in “Facial Plastic Surgery Clinics of North America” Body and beard hair can be used for hair restoration in severely bald patients, but the technique is complex and costly.
4 citations,
January 2007 in “Indian Journal of Dermatology” Body hair can be used as an extra source of donor hair in hair restoration surgery for people with severe hair loss.
9 citations,
April 2000 in “Plastic and Reconstructive Surgery” The document concludes that appearance can be significantly improved after one hair restoration correction procedure, but often multiple operations are needed for the best results.
The book teaches how to diagnose hair loss, prepare patients, perform hair restoration surgeries, and discusses future techniques like hair follicle cloning.
8 citations,
February 1982 in “Plastic & Reconstructive Surgery” Scalp reduction can effectively treat male pattern baldness, especially when combined with hair transplants.