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Scalp lifting. An 8-year experience with over 1,230 cases
Background:
This article reviews the author's 8-year experience with extensive scalp-lifting, which includes 1,230 cases.
Objective:
To overview extensive scalp-lifting paying particular attention to the areas of complications and the ways to reduce them.
Method:
Retrospective analysis of 1,230 cases was done. Necrosis, infection, hematoma, numbness, and scarring were evaluated.
Results:
1) Vertical incision occipital artery ligatory should be performed 4 to 8 weeks prior to a scalp lift. 2) Use a delay procedure prior to a frontoparietal advancement flap. 3) Use only lateral lifts on patients with prior punch-grafting. 4) Locate the temporal arteries preoperatively with Doppler ultrasonography. 5) Do not perform frontoparietal advancement flaps on patients with prior punch-grafts.
Conclusion:
Scalp lifting is an extremely effective and expedient method to treat alopecia; however, certain precautionary measures must be taken to obtain excellent, consistent results.