The Use of Micrografts and Minigrafts in the Aesthetic Reconstruction of the Face and Scalp

    September 2003 in “Plastic and Reconstructive Surgery
    Alfonso Barrera
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    TLDR Micrografts and minigrafts are safe and effective for hair transplantation in facial and scalp reconstruction, providing high patient satisfaction.
    The document from 2003 discussed the use of micrografts (one- to two-hair follicular unit grafts) and minigrafts (three- to four-hair follicular unit grafts) in large numbers (>1000 grafts) in a single session for hair transplantation. Initially used for treating male pattern baldness, the technique found applications in facial and scalp reconstruction. Common causes for aesthetic hair restoration included hair loss from aesthetic facial rejuvenation surgery, unsatisfactory results from previous hair transplantation, burn alopecia, congenital reasons, and hair loss after oncologic resections. The technique was described in detail, with variations for different anatomic areas like sideburns, temporal hairline, eyebrows, eyelashes, mustache, beard, and remaining scalp. Special attention was given to the direction of hair growth, hair texture, aesthetic planning, and absence of detectable scars. The use of micrografts and minigrafts in the aesthetic reconstruction of the face and scalp was found to be safe, predictable, and provided a high level of patient satisfaction.
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