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Facial Plast Surg 2017; 33(06): 613-620
DOI: 10.1055/s-0037-1608782
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

The Role of Hair Transplantation for Managing Facial Trauma

Jeffrey S. Epstein
1   Department of Otolaryngology, University of Miami, Miami, Florida
2   Foundation for Hair Restoration, Miami, Florida
3   Foundation for Hair Restoration, New York City, New York
,
Gorana Kuka
4   Hair Center Serbia, Belgrade, Serbia
5   Division of Clinical Research, Foundation for Hair Restoration, Miami, Florida
› Author Affiliations
Further Information

Publication History

Publication Date:
01 December 2017 (online)

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Abstract

Oftentimes, multiple treatment modalities are indicated for the management of trauma to the face. When this trauma involves a hair-bearing area, such as the eyebrow, eyelid, or beard region, hair transplantation can be an effective modality. While most of these facial hair transplants are performed for elective cosmetic indications, advanced techniques of hair transplantation can assure aesthetic outcomes in the optimizing of appearance after trauma. Because hair regrowth requires a good recipient bed, adjuvant therapies to promote vascularization, such as fat transfer and platelet-rich plasma, can be applied in conjunction with hair transplantation. The authors review the indications and the essential techniques of graft harvesting by follicular unit extraction and follicular unit grafting, and recipient site formation and graft planting and management, and present different case examples illustrating these technique.

Keywords

eyebrow transplantation - eyelash transplantation - beard transplantation - follicular unit extraction - autologous fat transfer
 

  • References

  • 1 Orentreich N. Autografts in alopecias and other selected dermatological conditions. Ann N Y Acad Sci 1959; 83: 463-479
    PubMedGoogle Scholar
  • 2 Bernstein RM, Rassman WR. The logic of follicular unit transplantation. Dermatol Clin 1999; 17 (02) 277-295 , viii, discussion 296
    CrossrefPubMedGoogle Scholar
  • 3 Unger WP. Delineating the ‘Safe’ Donor Area for Hair Transplanting. Am J Cosmet Surg 1994; 11: 239-243
    CrossrefPubMedGoogle Scholar
  • 4 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
    CrossrefPubMedGoogle Scholar
  • 5 Buchwach KA. Graft harvesting and management of the donor site. Facial Plast Surg Clin North Am 2013; 21 (03) 363-374
    CrossrefPubMedGoogle Scholar
  • 6 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
    CrossrefPubMedGoogle Scholar
  • 7 Epstein JS. Hair transplantation for men with advanced degrees of hair loss. Plast Reconstr Surg 2003; 111 (01) 414-421 , discussion 422–424
    CrossrefPubMedGoogle Scholar
  • 8 Harris JA. Follicular unit extraction. Facial Plast Surg 2008; 24 (04) 404-413
    Article in Thieme ConnectPubMedGoogle Scholar
  • 9 Harris JA. Follicular unit extraction. Facial Plast Surg Clin North Am 2013; 21 (03) 375-384
    CrossrefPubMedGoogle Scholar
  • 10 Epstein J. Facial hair restoration: hair transplantation to eyebrows, beard, sideburns, and eyelashes. Facial Plast Surg Clin North Am 2013; 21 (03) 457-467
    CrossrefPubMedGoogle Scholar
  • 11 Neuber G. Über die Wiederanheilung vollständig vom Körper getrennter, die ganze Fettschicht enthaltender Hautstücke. Zbl F Chirurgie 1893; 30: 16
    PubMedGoogle Scholar
  • 12 Klinger M, Caviggioli F, Klinger FM. , et al. Autologous fat graft in scar treatment. J Craniofac Surg 2013; 24 (05) 1610-1615
    CrossrefPubMedGoogle Scholar
  • 13 Linares HA, Larson DL. Elastic tissue and hypertrophic scars. Burns 1976; 3: 4-7
    CrossrefPubMedGoogle Scholar
  • 14 Beer TW, Baldwin HC, Goddard JR, Gallagher PJ, Wright DH. Angiogenesis in pathological and surgical scars. Hum Pathol 1998; 29 (11) 1273-1278
    CrossrefPubMedGoogle Scholar
  • 15 Planat-Benard V, Silvestre JS, Cousin B. , et al. Plasticity of human adipose lineage cells toward endothelial cells: physiological and therapeutic perspectives. Circulation 2004; 109 (05) 656-663
    CrossrefPubMedGoogle Scholar
  • 16 Li F, Guo W, Li K. , et al. Improved fat graft survival by different volume fractions of platelet-rich plasma and adipose-derived stem cells. Aesthet Surg J 2015; 35 (03) 319-333
    CrossrefPubMedGoogle Scholar