ARTICLE | hair research |
we can imagine in the future the
development of cell hair implantation and the possible help of robotics, but the artistry and final
result will always be in the hands of the surgeon.
Figure 19 Traction alopecia on African– American patient (a) after 2
sessions of follicular unit long hair (b)
Definitive eyebrow alopecia Definitive eyebrow alopecia is mostly the result of trauma or repeated traction (25, 28) (Figure 20). The very fine implantation of hair ‘one-by-one’ allows a complete reconstruction of the eyebrows. Obliquity and orientations must be well respected.
Eyelash alopecia it is now possible to carry out a complete reconstruction or increase the density and the length of the eyelashes with the fine implantation of hair ‘one by one’ (Figure 21). The local application of a new molecule (Lanaprost — off-label usage) increases the growth of the eyelashes, and is under investigation..
definitive frontotemporal occipital alopecia. FUT is
indicated 6 months after stopping the traction and stimulation of the regrowth is done using 2% minoxidil lotion.
Frontal fibrosing post-menopausal alopecia it seems possible to do a follicular unit reconstruction of the definitive fronto-temporal and eyebrow alopecia if the evolution of the disease is completely stopped (25). a prior implant test is recommended.
Post-lifting alopecia sometimes a post-lifting alopecia needs a follicular unit reconstruction of the pre-temporal and the anterior frontal hairline. Transplantation should be fine, with the surgeon having complete respect for the orientation and natural obliquity of hair.
56 ❚ May 2011 |
prime-journal.com
Pubis alopecia The aesthetic reconstruction of the pubis is guided by a number of parameters, such as aetiology, age, ethnic origin, and shape and colour of the hair (25). it is very important to get a natural aesthetic result, to choose the follicular unit in the donor area, and to respect the obliquity and the inward orientation of the transplanted hairs (Figure 22).
Conclusions a new interest in preventing baldness has been stimulated by the publicity given to certain products (minoxidil, finasteride, cyproterone) that have shown an ability to retard or reverse male and female pattern baldness in certain individuals. Newest molecules and cellular therapy with stem
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