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Baldness surgery--reduction versus flap.
Handchirurgie, Mikrochirurgie, Plastische Chirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Handchirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Mikrochirurgie Der Peripheren Nerven Und Gefasse : Organ Der V
|December 1, 1983
Summary
This study presents a technique to reduce large bald scalp areas before hair restoration surgery. It aims to prevent hypertrophic scars and hair follicle absence by resecting hairless portions and using a smaller flap.
Area of Science:
- Plastic Surgery
- Dermatology
- Hair Restoration Surgery
Background:
- Extensive bald areas on the superior and frontal scalp often require large temporo-parieto-occipital (TPO) flaps for coverage.
- Donor site closure after TPO flap elevation can lead to undesirable outcomes such as hypertrophic scarring and alopecia.
Observation:
- Standard TPO flap elevation for large bald areas can result in poor cosmetic results.
- Hypertrophic scars and absence of hair follicles are common complications at the donor site.
Findings:
- A novel surgical approach involves reducing the bald area by resecting hairless scalp portions.
- The anterior bald area is subsequently covered in a single stage using a smaller flap, minimizing donor site morbidity.
Implications:
- This technique offers a method to prevent donor site complications like hypertrophic scars and hair follicle loss.
- It provides a more aesthetically pleasing outcome for patients undergoing extensive scalp reconstructions.