CC BY-NC-ND 4.0 · Indian J Plast Surg 2021; 54(04): 446-450
DOI: 10.1055/s-0041-1741038
Review Article

Evolution of Hair Transplant Surgery in India: A Plastic Surgeon's Perspective

K. Ramachandran
1   Department of Cosmetic Surgery, Apollo Spectra Hospitals, Chennai, Tamil Nadu, India
› Author Affiliations

Abstract

This article is mainly aimed to delve into the history of hair transplant and its evolution in India. As a plastic surgeon in practice for the past 35 years, I have seen hair transplant surgery undergoing various transformations starting with initial use of plugs and flaps. Scalp reduction surgery also played an important role. Plugs slowly gave way to mini- and micrografts. With the incorporation of the microscope and popularizing of strip surgery and improved slivering techniques, mega sessions came to the fore thereby covering large areas. Follicular unit extraction and use of body hair have also been discussed.



Publication History

Received: 07 October 2021

Article published online:
31 December 2021

© 2021. Association of Plastic Surgeons of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

 
  • References

  • 1 Orentreich N. Autografts in alopecias and other selected dermatological conditions. Ann N Y Acad Sci 1959; 83: 463-479
  • 2 Okuda S. Clinical and experimental studies of transplantation of living hairs. J Dermatol UORL 1939; 46: 537-587 . (In Japanese)
  • 3 Juri J. Use of parieto-occipital flaps in the surgical treatment of baldness. Plast Reconstr Surg 1975; 55 (04) 456-460
  • 4 Elliott Jr RA. Lateral scalp flaps for instant results in male pattern baldness. Plast Reconstr Surg 1977; 60 (05) 699-703
  • 5 Harii K, Omori K, Omori S. Hair transplantation with free scalp flaps. Plast Reconstr Surg 1974; 53 (04) 410-413
  • 6 Ohmori K. Free scalp flap. Plast Reconstr Surg 1980; 65 (01) 42-49
  • 7 Unger MG, Unger WP. Management of alopecia of the scalp by a combination of excisions and transplantations. J Dermatol Surg Oncol 1978; 4 (09) 670-672
  • 8 Frechet P. Scalp extension. J Dermatol Surg Oncol 1993; 19 (07) 616-622
  • 9 Limmerr BL. Bob Limmer does it all one hair at a time. Hair Transplant Forum Int 1991; 2: 8-9
  • 10 Limmer BL. Elliptical donor stereoscopically assisted micrografting as an approach to further refinement in hair transplantation. J Dermatol Surg Oncol 1994; 20 (12) 789-793
  • 11 Headington JT. Transverse microscopic anatomy of the human scalp. A basis for a morphometric approach to disorders of the hair follicle. Arch Dermatol 1984; 120 (04) 449-456
  • 12 Seager D. The density issue. Hair Transplant Forum Int 1998; 8 (04) 13-14
  • 13 Rassman WR, Bernstein RM, McClellan R, Jones R, Worton E, Uyttendaele H. Follicular unit extraction: minimally invasive surgery for hair transplantation. Dermatol Surg 2002; 28 (08) 720-728
  • 14 Harris JA. Follicular unit extraction. The SAFE system. Hair Transplant Forum Intl 2004; 14: 157-163 , 164