scholarly journals Marking of temporal point and lower border of temporal triangle in planning hair transplantation for male-pattern baldness

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 ◽  
pp. 112067212094510
Author(s):  
Karl Anders Knutsson ◽  
Giorgio Paganoni ◽  
Oriella Ambrosio ◽  
Giulio Ferrari ◽  
Paolo Rama

Purpose: To present a series of two patients affected by Tourette syndrome (TS) and progressive keratoconus. Case series: Two young male patients with keratoconus and TS were referred to our center. In both patients eye rubbing was present and in one patient, an ocular tic was present determining blepharospasm. Progression of keratoconus occurred in both cases and corneal collagen cross-linking (CXL) was performed. All treated eyes showed topographic stability with stable refraction and conserved visual acuity, with a follow-up period ranging from 1.5 to 2.5 years. Conclusion: Patients with keratoconus and TS should be observed frequently to document topographical and refractive changes, and in case of progressing disease, CXL should be performed in order to prevent further progression.


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.


1996 ◽  
Vol 13 (4) ◽  
pp. 315-319
Author(s):  
Anthony J. Geroulis ◽  
Bryan J. Kemker

We describe endoscopic forehead and brow-lift surgery for male patients. The endoscopic approach to the male forehead and brow-lift differs distinctly from the female lift. One difference is the consideration for placement of the incisions with respect to male pattern baldness. Another is the elevation of the brow on the orbital rim. Men often possess deeper forehead rhytids which are resistant to flattening out. The approach described allows for an easy solution by scoring of the tissue parallel to the rhytid in the subgaleal plane endoscopically. Our endoscopic technique uses both subgaleal and subperiosteal planes in a composite dissection. With this approach, the surgeon has the ability to regulate the elevation of the brow and deal with rhytids. Our experience with this method involves five male patients aged 44–56 years. Their chief complaints were excessive wrinkles of the forehead and a scowl appearance. To date, there have been no complications including infections, hair loss, or nerve injuries. All of the scars are well camouflaged within the hairline, with good wound healing. All patients have been pleased with the results of their surgery.


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.


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.


Sign in / Sign up

Export Citation Format

Share Document