Previous Techniques And New Techniques Of Hair Transplantation


The first operations of hair transplantation, which began in the 1960s and continue for the next 40 years, are known for their highly invasive, painful and acute nature and unattractive results.

Surgery With Flap:
Most recently, plastic surgeons have used the transfer of vascularized skin flaps from the scalp (flap surgery) to cover defects in the cutaneous and regions. During these operations, they cut units of the skin, and covered them with strips of flap taken from adjacent areas of the scalp. These operations were particularly painful and cruelties and they are performed under general anesthesia and the final aesthetic result was often very weak.

Nowadays, in the field of plastic surgery, the application of skin flaps in cases of specific clues, such as extensive traumatic cutaneous ablations in the scalp, extensive burns that cause destruction of the skin, or in the case of extensive skin cancer, is constantly continual. The use of flaps (flap surgery) for the invasive and operative repair of androgenetic alopecia is almost entirely abandoned and is mentioned for medical reasons only.

Scalp Reduction:
Another technique of plastic surgery applied to the treatment of male pattern baldness, which was widely used in recent years, was the reduction of scalp skin (reduction of the scalp) . During this technique, a specific section of the skin was cut, it was activated, by caving up the neighboring skin and sutures were placed in the wound, aiming at reducing the extension of the part of the skin. Scalp. These operations are characterized by the existence of large and malformed postoperative scars with a low aesthetic result.

A modern and more improved form of the scalp reduction technique, applied in cases of extensive skin deficiency, or in the case of scars formed after burns or wounds in the scalp, is the use of extensor tissues . During this procedure, often performed under general anesthesia, the extensor tissue is inserted into the healthy subcutaneous region of the scalp and the wound is stapled. Then, within 8 to 12 weeks, the extensor tissue is distended using saline, progressively distending the superimposed skin of the scalp. 

When the distension is completed, a second surgical procedure is performed, where the extensor tissue is extracted and a part of the region or the region is cut off from the scalp and then the cutaneous defects formed after the distention of the skin of the scalp are covered. Scalp. This complex, painful and long procedure has precise and restorative indices but is no longer used to treat male pattern baldness because of aesthetic reasons and its very invasive nature.

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