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Results
Significant improvement is usually evident in 3 to 4 months. You can see the final result after 8 to 10 months. Patients are usually very satisfied with 1 session; however, if the patient desires greater density, a second session can be arranged. Of the 15 patients in this series, 13 were satisfied with 1 session and 2 patients underwent 2 sessions. No patients experienced infection, keloid scars, inclusion cysts, or any significant problem.
Although other techniques such as scalp flaps and tissue expansion can be used to correct this deformity, all leave a scar in front of the new hairline.
The safety, simplicity, and natural appearance achieved with the use of follicular unit micorgrafts and minigrafts make this technique, without a doubt, a better way to correct such deformity. Furthermore, this technique leaves no scars in front of the new hairline (Figures 1 and 2).
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Figure 1. A, This 45 year old woman underwent a face lift procedure elsewhere 2 years ago. B, Surgical planning. C, Postoperative view 1 year after a single session in which 200 micrografts were implanted, 100 in each side. |
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Figure 2. A, Preoperative view of a 59-year old woman who underwent a face lift procedure elsewhere. B, Surgical planning. C, Postoperative view 6 months after a single session of 1700 grafts implanted in temples, retroauricular area, and vertex. |
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References
1. Headington, JT. Transverse microscopic anatomy of the human scalp. Arch Dermatol 1984; 120:449-456.
2. Barrera A. The use of micrografts and minigrafts for the correction of the postrhytidectomy lost sideburn. Plast Reconstr Surg 1998;102:2237-2240.
3. Barrera A. Hair grafting tips and techniques. Perspect Plast Surg 2001;15:147.
4. Barrera A. The use of micrografts and minigrafts for te treatment of burn alopecia. Plast Reconstr Surg 1999;103:581.
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