Reconstructive Hair Transplantation of the Face and Scalp

The document from May 2005 by Alfonso Barrera, M.D., details the advancements in reconstructive hair transplantation using micrografts and minigrafts for the face and scalp, achieved over a decade of practice from 1993 to 2004. Barrera performed over 750 transplantations with a high satisfaction rate and a low complication rate, noting only four cases (0.8%) of significant complications such as keloid scarring and poor hair growth. The technique's success is attributed to careful attention to hair growth direction, texture, and aesthetic planning, which allows for natural-looking results and minimal scarring. The document also offers guidance for surgeons new to hair transplantation, emphasizing the need for a skilled team, starting with smaller graft sessions, and the importance of having the right equipment. It concludes that hair transplantation is a valuable addition to a plastic surgeon's practice for both aesthetic and reconstructive purposes.