Scar Tissue Grafting: Concerns and Recommendations in Cosmetic Surgery

The document discusses concerns and recommendations regarding cosmetic surgery, particularly in patients with Native American ancestry and sensitivities to certain products like parabens. It suggests that patients with known sensitivities should be given systemic steroids postoperatively and, after healing, use a paraben-free corticosteroid cream to reduce persistent erythema. For postinflammation hyperpigmentation, a combination of paraben-free corticosteroid cream, 4% hydroquinone cream, and Retin-A 0.1% cream is recommended, which has been successful in over 2,000 cases with diverse patient backgrounds. The document also critiques the "Miniflap Hair Restoration" procedure, highlighting its potential problems such as visible scarring, depletion of donor hair, and unnatural hair angles, and contrasts it with the benefits of follicular unit hair transplantation. Additionally, it calls for better education on hair transplantation techniques. Lastly, the document includes a response to criticism about the lack of consistent photographic evidence in an article on scar tissue grafting, explaining the limitations of the author's photography equipment and practice.