Circumferential Scalp Reduction with a Suture-in-Place Silastic-Dacron Extender

Brandy, Dominic A.

doi:10.1111/j.1524-4725.1996.tb00495.x

Cited by 7 publications

(5 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The technique for crown restoration that I believe will be the approach of choice over the next decade for most cosmetic surgeons will be that of utilizing one to two midline scalp reductions 8 with or without extenders 9 followed by sessions of follicular unit hair transplantation (Figure 6). For those patients desiring maximum density, it is necessary to bring patients to full closure with either serial circumferential scalp reductions 10 or scalp‐lifting 11 procedures followed by transpositional flaps in combination with follicular unit hair transplantation 7 . Candidates for the latter approach should be deemed excellent in almost every category discussed in the evaluation system presented in this article.…”

Section: Discussionmentioning

confidence: 99%

An Evaluation System to Enhance Patient Selection for Alopecia-Reducing Surgery

Brandy¹

2002

Dermatol Surg

Self Cite

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

An Evaluation System to Enhance Patient Selection for Alopecia-Reducing Surgery

Brandy¹

2002

Dermatol Surg

Self Cite

View full text Add to dashboard Cite

show abstract

“…19 The most useful component of scalp extension is that it eliminates the stretch-back phenomenon postoperatively and can reduce the number of repetitions. 20 In addition, this method proves more socially presentable and minimizes social limitations. Moreover, this method reduces the length of hospitalization and total treatment time, as well as the number of checkups required to perform periodic pumping.…”

Section: Annals Of Plastic Surgery • Volume 65 Number 3 September 2010mentioning

confidence: 98%

An Algorithmic Approach for Reconstruction of Burn Alopecia

Jeong¹,

Koo²,

Han³

et al. 2010

Annals of Plastic Surgery

View full text Add to dashboard Cite

Although various methods for reconstruction of burn alopecia have been described in case reports and small case series, a comprehensive comparison of these methods has not been performed. The purpose of this study was to assess the appropriateness of the clinical indications for the various reconstructive methods for burn alopecia and suggest an algorithm for individualized reconstruction. A review of 83 patients who underwent reconstruction for burn alopecia between 1995 and 2007 was conducted. Demographics, associated injuries, preoperative findings, surgical techniques, and postoperative complications were collected. From these data, we classified reconstructive methods based on the area, the scar quality, and the location of the burn alopecia, and investigated the clinical outcomes. Reconstructive methods included hair grafting (n = 13), scalp reduction (n = 21), scalp extension (n = 14), and scalp expansion (n = 37). Hair grafting was mainly performed for reconstruction of small, good-quality burn alopecia located in the frontal or parietal area. Scalp reduction was primarily used in small or medium burn alopecia in which scar quality was good or moderate. Scalp extension was mainly performed for reconstruction of medium- and moderate-quality burn alopecia; scalp extension was particularly successful in the vertex region. Scalp expansion was the reconstructive procedure of choice for large, poor-quality burn alopecia. Twenty-eight (33.7%) patients experienced surgical complications and most of the complications were related to alloplastic implants used in scalp extension and expansion. The reconstructive method should be tailored to the conditions of the burn alopecia. Because scalp extension and expansion are associated with a high rate of complications, the authors recommend the use of these methods for large, poor-quality burn alopecia. On the other hand, hair grafting and scalp reduction are more appropriate treatment options for relatively small, good-quality burn alopecia.

show abstract

“…[7][8][9] Scalp reduction was introduced in 1977 by the Blanchards 10 and has had a somewhat variable course of success partly due to two complications, stretch-back 11 and slot deformity. [12][13][14][15] The former problem, in which the reduced, bald scalp partially stretches back after reduction, was brilliantly solved by Frechet 16 in 1993 with the use of an implanted extender ( Figure 1).…”

Section: S M Lam Md B R Hempstead Mt (Ascp) and E F Williammentioning

confidence: 99%

“…Scalp rotational flaps have their origin in the management of cicatricial alopecia but became celebrated as a means of aesthetic hair restoration with the contribution of Juri's eponymous, twice‐delayed temporoparietal‐occipital flap 7–9 . Scalp reduction was introduced in 1977 by the Blanchards 10 and has had a somewhat variable course of success partly due to two complications, stretch‐back 11 and slot deformity 12–15 . The former problem, in which the reduced, bald scalp partially stretches back after reduction, was brilliantly solved by Frechet 16 in 1993 with the use of an implanted extender (Figure 1).…”

mentioning

confidence: 99%