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DOI: 10.1055/s-0031-1283055
The Latest Innovations in Hair Transplantation
Publication History
Publication Date:
26 July 2011 (online)
ABSTRACT
Hair restoration began as a result of the fortuitous finding by Dr. Norman Orentreich that hair follicles taken from an area of nonbalding scalp could be implanted into an area of male pattern hair loss and continue to grow terminal hair. Since that time, hair transplants have progressed from the use of large plugs to the use of follicular units (normally occurring clusters of hairs). This has allowed surgeons to create undetectable results in cases of androgenetic alopecia and well as other conditions associated with hair loss. Advances continue in hair restoration technique ranging from surgical approach to instrumentation and ways to enhance growth. In this article, the more recent surgical and medical innovations in hair reconstruction are reviewed.
KEYWORDS
Follicular unit - follicular unit grafting - trichophytic closure - follicular unit extraction/follicular isolation technique - robotic hair transplantation - platelet-rich plasma and hair transplantation - low-level light lasers and hair transplantation
REFERENCES
- 1 Orentreich N. Autografts in alopecias and other selected dermatological conditions. Ann N Y Acad Sci. 1959; 83 463-479
- 2 Uebel C O. Micrografts and minigrafts: a new approach for baldness surgery. Ann Plast Surg. 1991; 27 476-487
- 3 Limmer B L. Recipient site grafts and incisions, the history of the follicular unit micro-grafting technique: a personal view. In: Unger W, Shapiro R, eds. Hair Transplantation. 4th ed. New York: Marcel Dekker; 2004: 383-388
- 4 Limmer B L. Elliptical donor stereoscopically assisted micrografting as an approach to further refinement in hair transplantation. J Dermatol Surg Oncol. 1994; 20 789-793
- 5 Headington J T. Transverse microscopic anatomy of the human scalp. Arch Dermatol. 1997; 23 785-799
- 6 Bernstein R M, Rassman W R, Szaniawski W, Halperin A. Follicular transplantation. Int J Aesthet Rest Surg. 1995; 3 119-132
- 7 Bernstein R M, Rassman W R, Seager D et al.. Standardizing the classification and description of follicular unit transplantation and mini-micrografting techniques. The American Society for Dermatologic Surgery, Inc. Dermatol Surg. 1998; 24 957-963
- 8 Mayer T G, Fleming R W. Aesthetic and Reconstructive Surgery of the Scalp. St. Louis, MO: Mosby-Year Book Inc.; 1992: 121-124
- 9 Ramirez A L, Ende K H, Kabaker S S. Correction of the high female hairline. Arch Facial Plast Surg. 2009; 11 84-90
- 10 Marzola M. Tricophytic closure of the donor area. Hair Transplant Forum Int. 2005; 15 113-116
- 11 Frechet P. Donor harvesting with invisible scars. Hair Transplant Forum Int. 2005; 15 119-120
- 12 Rose P. Ledge closure. Hair Transplant Forum Int. 2005; 15 120
- 13 Westwood C. Tricophytic closure: why use it?. Hair Transplant Forum Int. 2009; 19 97-98
- 14 Puig C. Controlled dissection for tricophytic closure with a ledge knife. Hair Transplant Forum Int. 2008; 18 (6) 207
- 15 Kim D. Planing off the inferior edge in the Frechet and Rose tricophytic closure. Hair Transplant Forum Int. 2008; 18 (6) 211
- 16 Haber R. The Haber Tissue Spreader. Presented at: ISHRS Annual Meeting; San Diego, CA; October 20, 2006
- 17 Rose P. The Rose Spreader. Presented at: ISHRS Annual Meeting; San Diego, CA; October 20, 2006
- 18 Rose P. The Rose Spreader. Hair Transplant Forum Int. 2006; 16 193
- 19 Pitchon M. Preview Long Hair Transplantation from its Creation in 2004 to the Present. 4th Brazilian Congress of Hair Restoration; Belo Horizonte, Brazil; August 18–20, 2010.
- 20 Rassman W R, Bernstein R M, McClellan R, Jones R, Worton E, Uyttendaele H. Follicular unit extraction: minimally invasive surgery for hair transplantation. Dermatol Surg. 2002; 28 720-728
- 21 Cole J, Rose P. Follicular Isolation Technique. Presented at: Aegean Masters Meeting; Athens, Greece; July 6, 2003.
- 22 Harris J A. New methodology and instrumentation for follicular unit extraction: lower follicle transection rates and expanded patient candidacy. Dermatol Surg. 2006; 32 56-61 discussion 61-62
- 23 Hwang S T, Kim H Y, Lee S J, Lee W J, Kim W, Kim J C. Recipient-site influence in hair transplantation: a confirmative study. Dermatol Surg. 2009; 35 1011-1014
- 24 Marritt E. The death of the density debate. Dermatol Surg. 1999; 25 654-660
- 25 Hasson V. The coronal incision recipient site. In: Unger W, Shapiro R, eds. Hair Transplantation. 4th ed. New York: Marcel Dekker; 2004: 898-900
- 26 Hasson V. Perpendicular angle grafting. In: Stough D, Haber R, eds. Hair Transplantation. Philadelphia: Elsevier; 2006: 117-125
- 27 Nakatsui T, Wong J, Groot D. Survival of densely packed follicular unit grafts using the lateral slit technique. Dermatol Surg. 2008; 34 1016-1022 discussion 1022-1025
- 28 Choi Y C, Kim J C. Transplanting areas that need special consideration: eyebrow, eyelash, mustache and pubic area hair. In: Unger W, Shapiro R, eds. Hair Transplantation. 4th ed. New York: Marcel Dekker; 2004: 579-609
- 29 Gandelman M, Epstein J S. Hair transplantation to the eyebrow, eyelashes, and other parts of the body. Facial Plast Surg Clin North Am. 2004; 12 253-261
- 30 Breeling J L. Eyelash transplantation: who, why and how. Hair Transplant Forum Int. 2007; 1 17-20
- 31 Wang J, Fan J, Chai J. Aesthetic eyelash elongation for Asians using a dense-packing single-hair grafting technique. Dermatol Surg. 2010; 36 1155-1160
- 32 Canales M G. The age of surgical robotics. Hair Transplant Forum Int. 2008; 18 95-96
- 33 Marx R E. Platelet-rich plasma: evidence to support its use. J Oral Maxillofac Surg. 2004; 62 489-496
- 34 Yano K L, Brown L F, Detmar M. Control of hair growth and follicle size by VEGF-mediated angiogenesis. J Clin Invest. 2001; 107 409-417
- 35 Takakura N, Yoshida H, Kunisada T, Nishikawa S, Nishikawa S I. Involvement of platelet derived growth receptor alpha in hair canal formation. J Invest Dermatol. 1996; 107 669-670
- 36 Uebel C O. A new advance in baldness surgery with the platelet derived growth factor. Hair Transplant Forum Int. 2005; 15 770-777
- 37 Greco J, Brandt R. The effects of autologous platelet rich plasma and various growth factors on non-transplanted miniaturized hair. Hair Transplant Forum Int. 2009; 19 49-50
- 38 Mester E, Szende B, Gärtner P. The effect of laser beams on the growth of hair in mice. Radiobiol Radiother (Berl). 1968; 9 621-626
- 39 Hawkins D, Houreld N, Abrahamse H. Low level laser therapy (LLLT) as an effective therapeutic modality for delayed wound healing. Ann N Y Acad Sci. 2005; 1056 486-493
- 40 Leavitt M, Charles G, Heyman E, Michaels D. HairMax LaserComb laser phototherapy device in the treatment of male androgenetic alopecia: a randomized, double-blind, sham device-controlled, multicentre trial. Clin Drug Investig. 2009; 29 283-292
- 41 Weiss R, McDaniel D H, Geronemus R G, Weiss M. LED Photomodulation Induced Hair Growth Stimulation. Presented at: American Society of Laser Medicine and Surgery; Orlando, FL; April 2005
- 42 Bernstein E F. Hair growth induced by diode laser treatment. Dermatol Surg. 2005; 31 584-586
- 43 Van Buskirk R G, Rauch J, Robert S et al.. Alamar-Blue-assessment of hypothermic storage of normal human epidermal keratinocyte (NHEK) using Alamar Blue. In Vitro Toxicol. 1996; 9 297-303
- 44 Cook J R, Eichelberger H, Robert S et al.. Cold storage of synthetic human epidermis in HypoThermosol. Tissue Eng. 1995; 1 361-377
- 45 Cooley J E. Achieving optimal growth in hair transplantation. In: Haber R S, Stough D B, eds. Hair Transplantation. Philadelphia: Elsevier; 2006: 111-115
- 46 Cooley J E. Ischemic-reperfusion injury and graft storage solutions. Hair Transplant Forum Int. 2004; 14 121
- 47 Farjo B. Bimatoprost for eyelashes and developing studies on its use in eyebrows and scalp. 4th Brazilian Congress of Hair Restoration; Belo Horizonte, Brazil; August 18–20, 2010.
Paul T RoseM.D. J.D.
Academic Alliance in Dermatology
4238 West Kennedy Blvd, Tampa, FL 33609
Email: paultrose@yahoo.com