Is There a Place for Scalp Flap in Modern Hair Restoration Surgery?

    January 2010
    Kenichiro Imagawa
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    TLDR Scalp flaps in hair restoration surgery provide immediate results, prevent temporal hair loss, offer great density, and allow for large hair re-allocation, making them a popular choice, especially in Asian countries.
    The document from 2009 discussed the use of scalp flaps in hair restoration surgery, particularly in Asian countries. The author, Kenichiro Imagawa, focused on his experience with the Fleming and Mayer flap, a modification of Juri’s flap first described in 1980. The document highlighted that scalp flaps were popular since the 1970s due to their advantages over punch grafts. These advantages included immediate results, no temporal hair loss, outstanding density, and the ability to re-allocate a large amount of hair. However, the punch graft technique was less popular in Asian countries due to the conspicuous corn-row appearance it created with the coarse black hair of Asians.
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