Role of Tissue Expansion in Hair Restorative Surgery

    Muhammad Ahmad, Humayun Mohmand
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    TLDR Tissue expansion is a safe primary method for hair restoration in patients with large scalp defects before hair transplantation.
    The study conducted from June 2005 to June 2010 explored the use of tissue expansion in hair restoration. A total of 16 patients, with a male to female ratio of 2.2:1, underwent the procedure. The most common cause for the procedure was postburn scar, accounting for 43.8% of cases. The process involved placing a tissue expander under normal skin adjacent to the defect, with expansions performed twice weekly. The average expansion time was 33.6 days with an average fill volume of 193.4ml. The study concluded that tissue expansion is a safer technique and should be used as a primary procedure prior to hair transplantation in patients with large scalp defects.
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