Houston Plastic Surgery Clinic Cosmetic Surgeons of Houston Plastic Surgery Houston plastic surgery and Houston plastic surgeon in Texas providing liposuction breast augmentation enlargement and facelift or face-lift cosmetic surgery by Board Certified cosmetic surgeons. Houston Texas plastic surgeon providing liposuction breast augmentation enlargement and facelift cosmetic surgery Board Certified.

Discussion
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The loss of the sideburn after a face lift procedure is a topic not frequently discussed. When mild, it often goes unnoticed; but when it is more severe, the patient is usually told to simply style the hair carefully to hide the deformity. Several other techniques to correct the problem have been described. I believe that using micrografts and minigrafts is a simple and safe solution that can completely correct this deformity in a single session, as demonstrated.

I have also noticed that when the donor hair is harvested from the nape of the neck to harvest finer hairs, there is a greater tendency to develop hypertrophic scarring of the donor site. I prefer to harvest from a more cephalic location in the occipital area, as in cases of male-pattern baldness, where such a tendency is almost totally eliminated. I have had a high level of patient satisfaction. If desired, as in the treatment of male-pattern baldness, the procedure may be repeated for additional density.

Conclusion
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The use of micrografts and minigrafts for the correction of the lost sideburn after rhytidectomy is safe and effective in obtaining an excellent and natural result in a single session.

Summary
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A tell-talc and unsightly deformity that can result from a rhytidectomy is the loss of the sideburn. As redundant skin is lifted, the hairless skin of the cheek may be advanced into the sideburn area. Several techniques have been described for sideburn reconstruction, mainly punch grafts and various scalp flaps.

I use micrografts and minigrafts to effectively correct this deformity in a single session, under local anesthesia and mild intravenous sedation. I use basically the same technique previously described for the treatment of male-pattern baldness, with the direction of graft insertion being at a very acute angle to obtain the growth of hair in a natural downward direction. I found the procedure safe and predictable, and the patients treated were very satisfied with the aesthetically pleasing and natural result.

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