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Methods of surgical correction of alopecia
Last reviewed: 23.04.2024
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Surgical methods are resorted only when the treatment is unsuccessful, and various tricks, such as the masking of holes in the remaining strands, look, at least, not serious. Among the surgical approaches to solving this problem, the following directions were determined by the end of the 20th century:
Plastic surgery to remove areas of baldness. The technique that exists in the surgical area of hair transplantation, when the areas of alopecia are cut out, the scalp is tightened and stitched. This method is used most often when they want to cut too extensive scar tissue.
Patchwork plastic. The way when from the donor area in the neck area the doctor cuts out a strip of scalp length along the horizontal dimension of the baldness zone and 1-2 hair follicles in width, turns it over and transplants it to the frontal-parietal zone along the hair growth line.
Subcutaneous expanders are surgical devices consisting of flat inflatable pockets and porticos for injections. Such a device is implanted under the scalp, then by injection of special formulations within a few weeks increases in size, while stretching the scalp, allowing the surgeon to cut and transfer the stretched skin to the hair where the baldness is formed.
Transplantation of artificial hair (microfiber). The transplantation is carried out by the "dive" method. There is a special equipment that allows you to make a puncture or incision on the skin where artificial hair is implanted. At the end of the fiber there is a loop that straightens in the deep layers of the skin, and then sprouts with a connective tissue. Formed with time in this place microrough and keeps the hair in the skin.
The method is attractive primarily simplicity and quick result - a bald man comes, and from the doctor comes out with the hair. These hair are made from biocompatible synthetic material, they do not grow, can be torn off, quite often lead to purulent and other complications, eventually drop out. For these reasons, the use of artificial hair for transplantation in the US and some European countries is prohibited by law. Absolute contraindication are chronic and fungal diseases of the scalp, diabetes mellitus and psychoemotional imbalance.
Autotransplantation of hair. The method consists in the redistribution of one's own genetically healthy hair (follicles) on the bare skin of the scalp.
Autotransplantation is performed if necessary in cases of scarring and androgenic (if it is not susceptible to hormone therapy) alopecia. Separately, the hair transplant is also transplanted in focal alopecia. All this, about the pros and cons of surgical intervention, about methods and tools, you can find a huge amount of information on the sites devoted to the problems of treatment and hair care. Unfortunately, all this information is mixed with advertising clinics offering their services, and it is often difficult to identify the main thing.
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