Surgical Pearls And Pitfalls

January 2020

Lisa E. Ishii, Ryan M. Smith, Matthew J. Urban

alopecia surgical hair restoration follicular unit extraction follicular unit transplant platelet-rich plasma hair regrowth FUE FUT PRP

TLDR Hair restoration surgeries are increasingly popular and effective for improving self-esteem and social interactions.

The document discussed the impact of alopecia on individuals' quality of life and the increasing demand for surgical hair restoration procedures. It highlighted that hair loss negatively affected self-esteem and social interactions, prompting many to seek treatment. The popularity of surgical hair restoration grew significantly, with a 109% increase in patients from 2012 to 2016. The advancements in techniques, such as follicular unit extraction (FUE), follicular unit transplant (FUT), platelet-rich plasma (PRP), and other surgical methods, improved outcomes for patients. These procedures aimed not only to prevent further hair loss but also to stimulate hair regrowth, offering a solution beyond what medical therapies could provide.

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Research cited in this study

8 / 8 results

research Complications with Hair Transplantation

12 citations , April 2020 in “Facial Plastic Surgery Clinics of North America”

Hair transplant complications are rare with good planning and technique, but risks include infection, bleeding, and patient dissatisfaction.

research Follicular Unit Excision: A Hair Transplant Technique

12 citations , April 2020 in “Facial Plastic Surgery Clinics of North America”

Follicular Unit Excision (FUE) is a popular, safe hair transplant method that avoids scars and has a quick recovery, but requires precise surgical skill.

research Follicular Unit Transplantation

8 citations , April 2020 in “Facial Plastic Surgery Clinics of North America”

Follicular Unit Transplantation is a reliable hair restoration method with a high success rate and minimal scarring.

research Hair Transplantation in Frontal Fibrosing Alopecia and Lichen Planopilaris: A Systematic Review

16 citations , February 2020 in “The Laryngoscope”

Hair transplants can work for frontal fibrosing alopecia and lichen planopilaris, but results are less favorable and the conditions can develop after the transplant.

research Association of Hair Loss With Health Utility Measurements Before and After Hair Transplant Surgery in Men and Women

14 citations , September 2018 in “JAMA Facial Plastic Surgery”

Hair loss greatly lowers perceived health in both genders, and hair transplant surgery notably improves this.

research Characteristics of Robotically Harvested Hair Follicles in Koreans

23 citations , September 2014 in “Journal of The American Academy of Dermatology”

The robotic hair restoration device had a high success rate and was faster than manual methods for Korean patients.

research Management of the Crown: Addressing Vertex Baldness in Hair Transplantation

2 citations , August 2013 in “Facial Plastic Surgery Clinics of North America”

Treat the front and middle scalp before the vertex in hair transplants, aim for good density, use non-surgical options for young people, and customize treatment for natural results.

research Evolution of Hair Restoration Surgery: Donor Dominance and Follicular Unit Transplantation

11 citations , July 2008 in “Facial Plastic Surgery Clinics of North America”

Hair restoration surgery redistributes existing hair to achieve a natural look, with visible regrowth in 3-4 months and rare complications, mostly aesthetic.

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community COMPLETE OVERVIEW of the Treatment of androgenetic alopecia in men

28 upvotes 11 years ago

Male androgenetic alopecia is commonly treated with topical minoxidil and oral finasteride, both requiring continuous use. Other options include hair restoration surgery, dutasteride, light therapy, and camouflaging agents.

community If You Have DUPA, PLEASE READ THIS: Everyone Should Be Scalp Biopsied

in Research 830 upvotes 1 year ago

Scalp biopsies are crucial for diagnosing hair loss conditions like Diffuse Unpatterned Alopecia (DUPA) and retrograde hair loss, as treatments like finasteride and dutasteride may not be effective if other conditions are present. Combining PPAR-GAMMA agonists with retinoids could improve treatments for conditions like Lichen Planopilaris.

Physio-metabolic method of treating androgenic alopecia. Cold receptors. The relationship between DHT, cold receptors, minoxidil and antiandrogens

community Physio-metabolic method of treating androgenic alopecia. Cold receptors. The relationship between DHT, cold receptors, minoxidil and antiandrogens

in Research 413 upvotes 11 months ago

Treating androgenic alopecia with minoxidil, finasteride, and antiandrogens, alongside exercise, cryotherapy, and natural substances to stimulate cold receptors for better hair growth. The method focuses on enhancing treatment effectiveness by considering environmental and behavioral factors and the role of cold receptors and muscle stress.

community Physio-metabolic method of treating androgenic alopecia. Cold receptors. The relationship between DHT, cold receptors, minoxidil and antiandrogens.

in Research/Science 2 upvotes 11 months ago

A method for treating androgenic alopecia using minoxidil, antiandrogens, exercise, and cold exposure to promote hair growth. Environmental factors and lifestyle changes, like diet and exercise, can improve treatment effectiveness.

community 12 mo fin. 3 mo Min. time for me to leave the subreddit.

in Progress Pictures 697 upvotes 3 years ago

A user sharing their hair restoration results after taking finasteride for 12 months and minoxidil orally for 3 months; other users responding with questions and comments about the treatments used.

community Failed HT or expected result? 4505 grafts, Eugenix, New Delhi.

in Transplants 36 upvotes 5 months ago

The hair transplant at Eugenix in New Delhi resulted in poor density and texture, with only about 2,500 grafts surviving out of 4,500. The user is considering holding the clinic accountable and exploring options like shaving, using hair fibers, or seeking another transplant.

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research Status of Research on the Development and Regeneration of Hair Follicles

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New regenerative medicine-based therapies for hair loss look promising but need more clinical validation.

research Is Every Patient of Hair Loss a Candidate for Hair Transplant? Deciding Surgical Candidacy in Pattern Hair Loss

3 citations , October 2021 in “Indian Journal of Plastic Surgery”

Not all hair loss patients are suitable for hair transplant due to various conditions like unstable hair loss, insufficient hair loss, very young age, unrealistic expectations, certain psychological disorders, and medical unfitness.

research Hair Transplantation in Androgenetic Alopecia

June 2021 in “Cosmoderma”

Hair transplantation techniques have improved, making the process safer and more effective with less visible scarring.

research Hair Transplantation: Biochemical Basis and Surgical Treatment

February 2019

Hair transplantation is a surgical treatment that uses your own hair to fill areas with thin or no hair.

research Hair Loss in Women: Medical and Cosmetic Approaches to Increase Scalp Hair Fullness

75 citations , December 2011 in “British Journal of Dermatology”

Female pattern hair loss can be treated with medications, surgery, and cosmetic products, considering its psychological impact.

research Medications and Hair Transplantation

November 2009 in “Cambridge University Press eBooks”

Minoxidil and finasteride combined can effectively treat hair loss.

research Male Androgenetic Alopecia: Medical and Surgical Treatments

9 citations , February 2005 in “The Journal of Men's Health & Gender”

Finasteride effectively treats male hair loss, increasing length and thickness.

research Hair Loss – Surgical and Pharmacological Treatment

July 2002 in “Journal of cosmetic dermatology”

Hair loss can be treated with medications like finasteride and surgical methods like hair transplants.

research Modern Hair Restoration Surgery

23 citations , March 2001 in “Clinics in Dermatology”

Hair restoration surgery techniques have evolved, with focus on patient selection and realistic goals, and future advancements may include cloning and gene therapy.