Hair restoration:
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
Philadelphia, Pa.
Elsevier
2013
|
| Schriftenreihe: | Facial plastic surgery clinics of North America
21,3 |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | XVI S., S. 318 - 549 zahlr. Ill., graph. Darst. |
| ISBN: | 9780323186032 |
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| 245 | 1 | 0 | |a Hair restoration |c ed.: Raymond J. Konior ... |
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| 300 | |a XVI S., S. 318 - 549 |b zahlr. Ill., graph. Darst. | ||
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Datensatz im Suchindex
| _version_ | 1804151469337739264 |
|---|---|
| adam_text | Hair Restoration
Contents
Preface: Hair Restoration: A Sophisticated Art Form
xv
Raymond J. Konior and Steven P.
Gabel
Phenotype of Normal Hairline Maturation
317
William R. Rassman, Jae P.
Pak, andJino
Kim
Hairlines change shape with age, starting at birth. A good head
oí
hair is frequently
present some time after ages
3
to
5
years. The look of childhood has its correspond¬
ing hairline, and, as the child grows and develops into adulthood, facia! morphology
migrate changes from a childlike look to a more mature look. This article discusses
the dynamics of hairline evolution and the phenotypic variations of the front and
side hairlines in men and women. A modeling system is introduced that provides
a common language to define the various anatomic points of the full range of
hairlines.
Imposters
of Androgenetic Alopecia: Diagnostic Pearls for the Hair Restoration
Surgeon
325
Nicole Rogers
It is crucial that hair restoration surgeons understand the basic clinical diagnosis
and pathologic condition of other hair loss conditions that are not always amena¬
ble to successful hair transplantation. In this article nonscarnng and scarring
mimickers of androgenetic alopecia are discussed. Nonscarnng conditions in¬
clude alopecia areata, telogen effluvium, and tinea capitis. Some of the more
common scarring alopecias include lichen planopilaris, frontal fibrosing alopecia,
and central centrifugal cicatricial alopecia. Less common inflammatory conditions
include
pseudopelade
of Brocq, discoid lupus erythematosus, and folliculitis
decalvans.
Nonsurgical Therapy for Hair Loss
335
Aron
G.
Nusbaum, Paul
T.
Rose, and Bernard P. Nusbaum
This article is an update of the currently available options for medical therapies to
treat androgenetic alopecia in men and women. Emerging novel therapeutic modal¬
ities with potential for treating these patients are discussed. Because androgenetic
alopecia is progressive in nature, stabilization of the process using medical therapy
is an important adjunct to any surgical hair-restoration plan.
Patient Selection, Candidacy, and Treatment Planning for Hair Restoration Surgery
343
Raymond
і
.
Konior and Cam Simmons
Patient consultation, examination, and selection are crucial for successful outcomes
in hair restoration surgery. The hair restoration surgeon must take a holistic
approach in identifying those patients who are and who are not candidates for sur¬
gery. In this article, an overview of the consultation, pertinent physical examination
features relating to patient candidacy, and several treatment paradigms are dis¬
cussed. Additionally, those findings that may lead to poor results and conditions
that are contraindications to hair restoration surgery are reviewed.
vi
Contents
Hairline Design and Frontal Hairline Restoration
351
Ronald Shapiroand Paul Shapiro
The authors techniques fur creating a natural frontal hairline are presented
in a video that accompanies this article
Creating a natural hairline is one of the most important elements of a successful hair
transplant. This article discusses the key skills needed to design a natural hairline.
These are locating borders of the hairline as well as understanding and being able
to mimic the visual characteristics of a hairline. Methods to locate the major borders
and how to adjust them based on donor/recipient ratio are discussed. The visual
characteristics of different hairline zones are described as well as techniques to
recreate these characteristics using follicular unit grafting.
Graft Harvesting and Management of the Donor Site
363
Kenneth A.
Buchwach
The strip technique remains the most popular method of harvesting grafts. The chal¬
lenge in every patient is to maximize the number of grafts while minimizing the scar.
Fortunately, there are many ways to ensure that the donor site
wíl!
be inconspicuous.
This article reviews the details of planning for follicle graft harvesting, including for¬
mulae for assessing scalp laxity and calculating strip dimensions. The procedure is
discussed in detail, from preparation of the donor site and estimation of graft total
through closure of the incision. The author presents his preferences for the tech¬
nique with rationale and surgical tips.
Follicular Unit Extraction
375
James A. Harris
The purpose of this article is to introduce the reader to the topic of follicular unit
extraction
(FUE)
and to present an overview of the value of
FUE
to patients and phy¬
sicians. In addition to this, the various methods and instrumentation for performing
this method of graft harvest are discussed as well as some of the technique s inher¬
ent advantages and disadvantages. Topics unique to
FUE,
including body hair graft¬
ing, plug/minigrafts repair, and donor area management are addressed as well.
Management of Advanced Hair Loss Patterns
385
Michael L. Beehner
This article covers how to manage patients with extensive hair loss in whom com¬
plete, dense coverage is not possible. In addition to discussing planning a transplant
pattern for already bald men, I discuss a conservative approach for recognizing and
transplanting younger patients who have telltale warning signs that may evolve to
extensive hair loss. For both groups, a variant of a frontal forelock-type pattern is
usually the best course to follow.
Management of the Crown
397
Jean Devroye
Treatment of alopecia of the crown possesses several unique challenges for hair res¬
toration physicians. In this article, the distinctive anatomic features and specific
management paradigms related to the crown are discussed. This review also offers
details on which surgical technique to implement for obtaining the most natural
result possible that also yields the best possible apparent density.
Contents
vii
Female Hair Restoration
407
Robin H.
Unger
Female hair loss is a devastating issue for women that has only relatively recently
been publicly acknowledged as a significant problem. Hair transplant surgery is
extremely successful in correcting the most cosmetically problematic areas of alo¬
pecia. This article discusses the surgical technique of hair transplantation in women
in detail, including pearls to reduce postoperative sequelae and planning strategies
to ensure a high degree of patient satisfaction. A brief overview of some of the med¬
ical treatments found to be helpful in slowing or reversing female pattern hair loss is
included, addressing the available hormonal and topical treatments.
Megasessions: Surgical Indications and Technical Perspectives
419
Steven
Gabel
Surgical hair restoration allows male and female patients to achieve aesthetically
natural results. The term megasession refers to transplanting greater then
3000
fol-
licular unit grafts in a single procedure. By transplanting a large number of grafts,
megasessions are capable of definitively treating a significant area of the scalp in
1
session. Patients must be carefully selected to determine whether they are appro¬
priate candidates for an extended procedure. An experienced and well-organized
surgical team is mandatory to meet the demands of this technically challenging
and lengthy procedure. This article reviews the indications, contraindications, and
technical perspectives surrounding megasession hair transplantation.
Dense Packing: Surgical Indications and Technical Considerations
431
Bessam Farjo and Nilofer Farjo
Dense packing is the philosophy of fitting more than
30
to
35
follicular unit grafts per
square centimeter in one operation. The aim is to produce a more even, consistent,
and natural looking flow of hair after just one procedure. Although desirable in prin¬
ciple, not all patients are suitable candidates nor is it possible to achieve in certain
patients (eg, coarse or curly hair). Patients who have sufficient donor availability, rea¬
sonably stable hair loss, and high hair-to-skin color ratios are the ideal candidates.
The authors highlight their philosophies and strategies for dense packing.
An Analysis of Follicular Punches, Mechanics, and Dynamics in Follicular Unit
Extraction
437
John P. Cole
Success in follicular unit extraction requires an understanding of forces, fluid dynam¬
ics, instrumentation, and individual patient variation. Sharp punches require a lower
axial and tangential force to dissect follicular groups. The angle of hair emergence
and the size of a punch influence the wound size and the depth of an incision. A pro¬
cedure must be individualized based on surface follicular group characteristics; hair
splay; and strength of attachment between the outer root sheath, inner root sheath,
and adipose with regard to hair follicles.
Optimal Graft Growth
449
Jerry E. Cooley
Excellent surgical results and high patient satisfaction with hair transplantation
depend on attaining optimal growth. Unfortunately, even experienced surgeons
viii
Contents
acknowledge that graft survival often is not as high as is commonly stated. Hair
transplant surgeons should be thoroughly familiar with the many variables that affect
graft survival and refine their surgical techniques accordingly. This article provides
a brief overview of the key factors that most significantly influence graft survival,
including graft trauma, vascular/oxygenation factors, and biochemical injury.
Facial Hair Restoration: Hair Transplantation to Eyebrows, Beard, Sideburns,
and Eyelashes
457
Jeffrey Epstein
Refinements in hair transplantation techniques allow the experienced surgeon to
create natural-appearing facial hair transplants. Restoring eyebrows, beards/goa¬
tees, and sideburns have all become popular procedures, and the results can be
outstanding. This article provides a comprehensive review of hair grafting tech¬
niques to achieve the best results in restoring various hair-bearing areas of the
face, including the eyebrows, beard/goatee, and sideburns, and repairing the
alope¬
cie
scarring from prior facial plastic surgery.
Use of Body Hair and Beard Hair in Hair Restoration
469
Sanusi Umar
For many hair restoration patients with limited scalp donor hair it is possible to use
nonhead hair sources to increase the potential follicle supply. Follicular unit extrac¬
tion provides the hair restoration surgeon with a useful surgical means for accessing
this valuable source of donor reserve. Nonhead hair can also be used to restore eye¬
brows, eyelashes, and moustaches. This article focuses on the use of body hair and
beard in hair restoration. Discussed
are
the indications and effective techniques for
performing hair transplants using
non
head hair donor sources, along with the pitfalls
and risks of this surgical modality.
Hairline Lowering
479
Sheldon S. KabakerandJason P. Champagne
Hairline lowering or advancement, also known as forehead reduction, is a procedure
that has been adapted and honed from scalp reduction and flap techniques.
Although the high hairline can be found in both men and women of all races and eth¬
nicities due to various diagnoses, hairline advancement is best suited for individuals,
typically women, with a lifelong history of a high hairline and no familial or personal
history of progressive hair loss. It is a procedure that is both effective and efficient in
lowering the congenially high hairline with very high patient satisfaction.
Scalp Repair Using Tissue Expanders
487
E. Antonio Mangubat
Repair of scalp defects is often challenging, because without careful planning, exci¬
sion of the defect may leave unsatisfactory cosmesis. Contemporary techniques in
hair restoration surgery allow creation of natural and undetectable results, but these
techniques are often unsuitable for repairing large scarred areas of hair loss. How¬
ever, by using older techniques of scalp reduction and tissue expansion, excision
of many large scarring defects can be accomplished. Combining older methods
with modern hair restoration surgery permits the satisfactory treatment of many
previously unbeatable conditions. This article focuses on tissue expansion as an
adjunct to repairing large scalp defects.
Contents ix
Scalp Micropigmentation: A
Useful Treatment for Hair Loss
497
William R. Rassman, Jae P.
Pak, andJino
Kim,
Scalp micropigmentation (SMP) is a highly sophisticated medical tattoo process for
balding or thinning hair. SMP looks amazingly simple, but this novel technique must
be customized for each patient because the skin in each patient differs with regard
to how the scalp reacts as it holds on to the tattoo dye. There are many variables
involved with performing SMP that makes this process more of an art form than a sci¬
ence. SMP is a very labor-intensive process that could require multiple sessions and
up to
20
hours of procedural time to satisfy the patient. This review discusses appli¬
cations and technical considerations of the SMP process.
Complications in Hair-Restoration Surgery
505
Raymond! Konior
Most complications associated with hair restoration are completely preventable and
arise from variables that are directly controlled by the surgeon and the patient. Phy¬
sicians who thoroughly grasp the nuances of modern surgical techniques and fully
understand the physiologic dynamics of the balding process are least likely to gen¬
erate a physician-controlled error. Highly motivated, well-educated patients who
carefully follow instructions and take an active role in the postoperative recovery
process minimize the chance of patient-controiled errors. This article discusses
potential complications associated with surgical hair restoration, and the roles of
the patient and physician in minimizing the risk of complications.
Future Horizons in Hair Restoration
521
Bryan T. Marshall, Chris A. Ingraham, Xunwei Wu, and Ken Washenik
This article reviews the history of hair follicle regeneration from follicular fragments
and dissociated cells. The challenges of trichogenic in vitro culture and subsequent
delivery into the patient are discussed, as well as cosmetic acceptance, recent
achievements on regeneration of human hair follicles, and new potential cell sources
for hair regeneration.
Index
529
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| spelling | Hair restoration ed.: Raymond J. Konior ... Philadelphia, Pa. Elsevier 2013 XVI S., S. 318 - 549 zahlr. Ill., graph. Darst. txt rdacontent n rdamedia nc rdacarrier Facial plastic surgery clinics of North America 21,3 Clinics review articles Haarwuchs (DE-588)7527331-7 gnd rswk-swf Kosmetische Chirurgie (DE-588)4032562-3 gnd rswk-swf (DE-588)4143413-4 Aufsatzsammlung gnd-content Kosmetische Chirurgie (DE-588)4032562-3 s Haarwuchs (DE-588)7527331-7 s DE-604 Konior, Raymond J. Sonstige (DE-588)11547448X oth Facial plastic surgery clinics of North America 21,3 (DE-604)BV010166768 21,3 Digitalisierung UB Regensburg - ADAM Catalogue Enrichment application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=026824313&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
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| title | Hair restoration |
| title_auth | Hair restoration |
| title_exact_search | Hair restoration |
| title_full | Hair restoration ed.: Raymond J. Konior ... |
| title_fullStr | Hair restoration ed.: Raymond J. Konior ... |
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| title_short | Hair restoration |
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