Advances in Hair Transplantation

2019 ◽  
pp. 243-254
Author(s):  
Alfonso Barrera

This chapter presents a brief review of the history of hair transplantation and the anatomy and physiology of hair follicular units. Also presented is a step-by-step description of the author’s preferred technique and pearls learned over the past 25 years to consistently accomplish natural and aesthetically pleasing results. This very labor-intensive procedure requires a team of skillful assistants to be able to do this well and comfortably. The author also describes the details of equipment and instrumentation needed, from surgical blades to the dissection microscopes, and more. The most frequent cases seen in practice include male pattern baldness, female pattern alopecia, and scarring alopecias secondary to previous surgeries (i.e., post rhytidectomy). The restoration of lost sideburns and a temporal hairline will demonstrate some of these examples.

2018 ◽  
Vol 51 (03) ◽  
pp. 316-320
Author(s):  
Suneet Soni ◽  
Hardik Dodia

ABSTRACT Introduction: Temporal recession in male-pattern baldness is common. The method of marking of temporal point practiced worldwide, described by Walter P. Unger, does not help in marking temporal triangle border in Indian population. We have found aesthetically superior way of marking temporal point and easy method of construction of lower border of temporal triangle. Case Series: The new marking was applied over 126 young male patients from March 2014 to December 2017; they were regularly followed up and results were observed. Conclusion: With the new method of marking, we found that the lower border of temporal triangle can be easily constructed and temporal point can be more aesthetically placed in Indian population.


2020 ◽  
Vol 37 (03) ◽  
pp. 227-236
Author(s):  
Abhishek K. Goswami ◽  
Minhaj S. Khaja ◽  
Trevor Downing ◽  
Nima Kokabi ◽  
Wael E. Saad ◽  
...  

AbstractLymphatics have long been overshadowed by the remainder of the circulatory system. Historically, lymphatics were difficult to study because of their small and indistinct vessels, colorless fluid contents, and limited effective interventions. However, the past several decades have brought increased funding, advanced imaging technologies, and novel interventional techniques to the field. Understanding the history of lymphatic anatomy and physiology is vital to further realize the role lymphatics play in most major disease pathologies and innovate interventional solutions for them.


Neurosurgery ◽  
2006 ◽  
Vol 59 (suppl_5) ◽  
pp. S3-277-S3-281 ◽  
Author(s):  
Robert E. Harbaugh ◽  
Akash Agarwal

Abstract NEUROSURGEONS HAVE A long history of treating cerebrovascular disease. Understanding the vascular anatomy and physiology of the nervous system and management of patients with abnormalities of theses vascular structures are vitally important aspects of neurosurgery resident training. Over the past decade, the treatment of cerebrovascular disease has been evolving toward endovascular strategies for many patients. Interventional neuroradiologists were the pioneers in developing this area of therapy, but the number of neurosurgical trainees in neuroendovascular treatment is increasing, and other specialties, including neurology, vascular surgery, and cardiology, are now entering the field of neuroendovascular treatment. The purpose of this article is to review the current credentialing guidelines for neurosurgeons to use endovascular techniques in the treatment of cerebrovascular disease and to consider options for resident training in the rapidly evolving field of endovascular neurosurgery.


1997 ◽  
Vol 14 (2) ◽  
pp. 161-166 ◽  
Author(s):  
E. Antonio Mangubat ◽  
Steven B. Hopping ◽  
Carlos J. Puig

The authors present their experience with a new technique of preserving the axial blood supply of the bioccipitoparietal flap used in extensive scalp lifting (ESL). ESL is a significant contribution in the treatment of advanced male pattern baldness, allowing the excision of large amounts of bald scalp in a single procedure without the use of expanders or extenders. The occipital neurovascular bundle (ONB) is traditionally ligated as a delay procedure 4—6 weeks prior to the ESL. The authors have found that preserving the ONB significantly reduces the risk of ischemic complications in ESL procedures. In fact, no flap necroses were reported in 186 procedures using this technique. Furthermore, ESL with ONB preservation was performed with no ischemic complications in 78 patients (59%) who were traditionally not considered to be candidates for ESL because they had undergone prior hair transplant procedures. It is therefore shown that ONB preservation significantly streamlines ESL by eliminating the need for a delay procedure, decreasing or eliminating ischemic complications, and increasing the flexibility and scope of ESL by allowing patients with prior hair transplantation to be candidates for the procedure.


1998 ◽  
Vol 2 (3) ◽  
pp. 180-186 ◽  
Author(s):  
Vince Bertucci ◽  
Daniel Berg ◽  
Sheldon V. Pollack

Background: Since the first published description in 1959, hair transplantation has progressed tremendously. Objective: This article provides an overview of hair transplantation and a discussion of selected controversies in hair transplantation. Methods: A review of the literature was undertaken to identify current controversies. Results: Hair transplantation has been refined considerably since it was first performed. As new methods are described, controversies arise. In hair transplantation, these include use of various forms of anaesthesia, the planning of the recipient site, method of harvesting the donor area, megatransplant sessions, isolated frontal forelock transplantation, and use of lasers in hair transplantation. Conclusion: Hair transplantation is a time-tested, highly effective, permanent and natural method of improving male-pattern baldness and female alopecia. Improvements in technique continue to be developed, requiring one to keep abreast of changes in the field in order to provide patients with the best hair coverage possible while maintaining a natural appearance.


2021 ◽  
Vol 1 ◽  
pp. 20
Author(s):  
Kavish Chouhan ◽  
Gillian Roga

Androgenetic alopecia is the most common cause of non-scarring alopecia in men. Even though the past couple of years have seen significant advancements in the management of patterned hair loss. Medical therapy as a standalone treatment remains unsatisfactory and surgical restoration of hair has found to be extremely gratifying as far as male pattern hair loss is concerned. In this article, we will review the latest developments in the field of hair transplantation undertaken in androgenetic alopecia.


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