Assuntos
Alopecia/cirurgia , Couro Cabeludo/cirurgia , Fatores Etários , Anestesia Geral , Cabelo/transplante , Humanos , Masculino , Métodos , Cuidados Pré-Operatórios , SuturasRESUMO
Three cases of postoperative necrosis following a bilateral lateral reduction are presented. Due to the incidence and possible severity of this complication, the author has abandoned this procedure and cautions others to do the same.
Assuntos
Alopecia/cirurgia , Couro Cabeludo/cirurgia , Adulto , Humanos , Masculino , Necrose , Complicações Pós-Operatórias/epidemiologia , Complicações Pós-Operatórias/patologiaRESUMO
A new procedure for reducing the area of baldness, the modified major scalp reduction, is presented. This operation provides an important alternative to either standard or major scalp reductions. The surgical technique is described in detail, and comparisons are made with regard to advantages and disadvantages.
Assuntos
Alopecia/cirurgia , Couro Cabeludo/cirurgia , Humanos , MétodosRESUMO
The advantages gained by incorporating alopecia reduction (AR) in patients undergoing hair transplantation, or with patients who have previously had hair transplantation, are delineated. The specific advantages of the midline elliptical pattern are discussed. Clinical considerations that determine whether ARs are necessary are the degree of baldness, laxity of the scalp, age of the patient, and ultimate goal of the individual. The advantages and disadvantages of performing ARs or hair transplantation first are discussed and the new concept of minireductions also outlined.
Assuntos
Alopecia/cirurgia , Cabelo/transplante , Couro Cabeludo/cirurgia , Adulto , Humanos , Consentimento Livre e Esclarecido , Masculino , Métodos , Pré-Medicação , Reoperação , Fatores de TempoRESUMO
The Y-shaped alopecia reduction is used less frequently than indicated. This article outlines the advantages of this pattern, describes the technique of excision in detail, discusses the many variations possible, and advocates greater utilization of this procedure.
Assuntos
Alopecia/cirurgia , Couro Cabeludo/cirurgia , Adulto , Humanos , Masculino , Métodos , Retalhos Cirúrgicos , SuturasRESUMO
Since the number of grafts that are available in any given patient is a fixed quantity, significant benefits may be derived by surgically reducing the size of the area of alopecia in combination with prior and later punch hair transplantation. This paper outlines and describes techniques of excisions that achieve such reductions.