Galea Fixation in Alopecia Reduction Surgery

Seery, Gerard

doi:10.1046/j.1524-4725.2001.01065.x

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S M Lam Md B R Hempstead Mt (Ascp) and E F William1

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Cited by 9 publications

(2 citation statements)

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“…[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%

A Philosophy and Strategy for Surgical Hair Restoration: A 10-Year Experience

Lam

Hempstead²,

Williams

2002

Dermatol Surg

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

confidence: 99%

A Philosophy and Strategy for Surgical Hair Restoration: A 10-Year Experience

Lam

Hempstead²,

Williams

2002

Dermatol Surg

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“…(12)(13)(14)(15) The former problem, in which the reduced, bald scalp partially stretches back after reduction, was solved by Patrick Frechet in 1993 with the use of an implanted extender. (16) This Silastic device with titanium hooks held the reduced, bald scalp in place and permitted only the air-bearing scalp to stretch out ( Fig.…”

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confidence: 99%

Scalp-Reduction Revisited: A 10-Year Experience

Lam¹,

Williams²

2002

International Journal of Cosmetic Surgery and Aesthetic Dermato

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Micro-and minigrafting have become cornerstones of hair-restoration surgery. However, the vertex of the scalp may prove to be a particularly problematic area to address with a follicular-transfer technique. Minigrafting may yield an unnatural "pluggy" appearance, especially when the crown is viewed directly from above. Micrografting may not provide sufficient density for a large area of vertex alopecia. Scalp reduction with extender can close a large defect ( , 12 cm) rapidly over a few sessions and provide density to the crown area that is unachievable with conventional follicular-grafting techniques. This paper reviews the salient preoperative considerations required in selecting the appropriate candidate for scalp reduction. It then discusses the surgical design, implementation of an extender, and transposition z-plasty closure that the authors have used over the past 10 years to achieve a natural, rapid, and dense closure to the exposed vertex. 279

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The Strip: How Long, How Wide, and Where?

Pathomvanich

2010

Hair Restoration Surgery in Asians

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Galea Fixation in Alopecia Reduction Surgery

Abstract: Effective, safe alopecia reduction surgery is possible when incision patterns do not transect either neurovascular structures or collagen and undermining is judicious. Deep plan fixation is regarded as critical to an optimal result.

Cited by 9 publications

References 12 publications

A Philosophy and Strategy for Surgical Hair Restoration: A 10-Year Experience

A Philosophy and Strategy for Surgical Hair Restoration: A 10-Year Experience

Scalp-Reduction Revisited: A 10-Year Experience

The Strip: How Long, How Wide, and Where?

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