Short Versus Long Scalp Flaps in the Treatment of Male Pattern Baldness

    Richard W. Fleming, Toby G. Mayer
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    TLDR Short scalp flaps are easier but not good for severe baldness; Juri flaps are complex but better for density and coverage.
    The 1981 study compared short temporoparietal flaps and larger Juri flaps in the treatment of male pattern baldness, detailing the surgical procedures, potential complications, and emphasizing the importance of patient selection. The study concluded that while short flaps are easier and require less surgery, they are often unsuitable for extensive alopecia. The Juri flap, though more complex, was considered the best technique at the time for providing greater density, an improved hairline, and immediate coverage. The document highlighted that the pattern and extent of alopecia are critical in determining the most effective and natural-looking surgical approach. It also noted that the financial and time commitments are similar between hair transplant sessions and flap procedures, but flap surgery offers immediate results. Younger patients are advised to wait until their balding pattern stabilizes before surgery, and patients should be well-informed about all options to make the best decision for their situation.
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