Skip to main content
Erschienen in: Oral and Maxillofacial Surgery 2/2019

21.02.2019 | Review Article

Alopecia and techniques in hair restoration: an overview for the cosmetic surgeon

verfasst von: Rohan Joshi, Tom Shokri, Austin Baker, Scott Kohlert, Mofiyinfolu Sokoya, Sameep Kadakia, Jeffrey Epstein, Yadranko Ducic, R. Michael Johnson

Erschienen in: Oral and Maxillofacial Surgery | Ausgabe 2/2019

Einloggen, um Zugang zu erhalten

Abstract

Purpose

Alopecia is a debilitating disorder affecting millions of individuals worldwide. Although challenging to treat, advances in hair restoration technologies have led to multiple viable options with excellent clinical results. This paper seeks to provide an overview of hair loss and the currently utilized techniques in hair transplantation in order to serve as a reference source for the facial plastic surgeon.

Methods

A comprehensive review of recent literature regarding the evaluation of, and management modalities for, alopecia was performed.

Results

The follicular unit extraction technique and the strip harvest technique are both widely used for patients desiring transplantation. While both techniques can lead to successful outcomes, each has pros and cons that are important to understand prior to engaging in the procedure.

Conclusion

Advancements in hair restoration technologies implementing robotics, manual, or motorized follicular unit extraction have facilitated optimization of outcomes. Adjuvant treatment modalities including robotics and platelet-rich plasma injections have shown utility in augmenting transplantation.
Literatur
1.
Zurück zum Zitat Rhodes T, Girman CJ, Savin RC et al (1998) Prevalence of male pattern hair loss in 18-49 year old men. Dermatol Surg 24:1330–1332PubMed Rhodes T, Girman CJ, Savin RC et al (1998) Prevalence of male pattern hair loss in 18-49 year old men. Dermatol Surg 24:1330–1332PubMed
2.
Zurück zum Zitat Stough D, Stenn K, Haber R et al (2005) Psychological effect, pathophysiology, and management of androgenetic alopecia in men. Mayo Clin Proc 80:1316–1322CrossRefPubMed Stough D, Stenn K, Haber R et al (2005) Psychological effect, pathophysiology, and management of androgenetic alopecia in men. Mayo Clin Proc 80:1316–1322CrossRefPubMed
3.
Zurück zum Zitat Banka N, Bunagan MJ, Shapiro J (2013) Pattern hair loss in men: diagnosis and medical treatment. Dermatol Clin 31:129–140CrossRefPubMed Banka N, Bunagan MJ, Shapiro J (2013) Pattern hair loss in men: diagnosis and medical treatment. Dermatol Clin 31:129–140CrossRefPubMed
4.
Zurück zum Zitat Birch MP, Messenger JF, Messenger AG (2001) Hair density, hair diameter and the prevalence of female pattern hair loss. Br J Dermatol 144:297–304CrossRefPubMed Birch MP, Messenger JF, Messenger AG (2001) Hair density, hair diameter and the prevalence of female pattern hair loss. Br J Dermatol 144:297–304CrossRefPubMed
5.
Zurück zum Zitat Blume-Peytavi U, Blumeyer A, Tosti A et al (2011) S1 guideline for diagnostic evaluation in androgenetic alopecia in men, women and adolescents. Br J Dermatol 164:5–15CrossRefPubMed Blume-Peytavi U, Blumeyer A, Tosti A et al (2011) S1 guideline for diagnostic evaluation in androgenetic alopecia in men, women and adolescents. Br J Dermatol 164:5–15CrossRefPubMed
6.
Zurück zum Zitat Muller M, Jasmin JR, Monteil RA, Loubiere R (1991) Embryology of the hair follicle. Early Hum Dev 26:159–166CrossRefPubMed Muller M, Jasmin JR, Monteil RA, Loubiere R (1991) Embryology of the hair follicle. Early Hum Dev 26:159–166CrossRefPubMed
7.
Zurück zum Zitat Olsen EA, Dunlap FE, Funicella T et al (2002) A randomized clinical trial of 5% topical minoxidil versus 2% topical minoxidil and placebo in the treatment of androgenetic alopecia in men. J Am Acad Dermatol 47:377–385CrossRefPubMed Olsen EA, Dunlap FE, Funicella T et al (2002) A randomized clinical trial of 5% topical minoxidil versus 2% topical minoxidil and placebo in the treatment of androgenetic alopecia in men. J Am Acad Dermatol 47:377–385CrossRefPubMed
8.
Zurück zum Zitat Jahoda CA (1998) Cellular and developmental aspects of androgenetic alopecia. Exp Dermatol 7:235–248PubMed Jahoda CA (1998) Cellular and developmental aspects of androgenetic alopecia. Exp Dermatol 7:235–248PubMed
9.
Zurück zum Zitat Rousso DE, Kim SW (2014) A review of medical and surgical treatment options for androgenetic alopecia. JAMA Facial Plast Surg 16:444–450CrossRefPubMed Rousso DE, Kim SW (2014) A review of medical and surgical treatment options for androgenetic alopecia. JAMA Facial Plast Surg 16:444–450CrossRefPubMed
10.
Zurück zum Zitat Brockschmidt FF, Hillmer AM, Eigelshoven S et al (2010) Fine mapping of the human AR/EDA2R locus in androgenetic alopecia. Br J Dermatol 162:899–903CrossRefPubMed Brockschmidt FF, Hillmer AM, Eigelshoven S et al (2010) Fine mapping of the human AR/EDA2R locus in androgenetic alopecia. Br J Dermatol 162:899–903CrossRefPubMed
11.
Zurück zum Zitat Yip L, Rufaut N, Sinclair R (2011) Role of genetics and sex steroid hormones in male androgenetic alopecia and female pattern hair loss: an update of what we now know. Australas J Dermatol 52:81–88CrossRefPubMed Yip L, Rufaut N, Sinclair R (2011) Role of genetics and sex steroid hormones in male androgenetic alopecia and female pattern hair loss: an update of what we now know. Australas J Dermatol 52:81–88CrossRefPubMed
12.
Zurück zum Zitat Norwood OT (1975) Male pattern baldness: classification and incidence. South Med J 68:1359–1365CrossRefPubMed Norwood OT (1975) Male pattern baldness: classification and incidence. South Med J 68:1359–1365CrossRefPubMed
13.
Zurück zum Zitat Ludwig E (1977) Classification of the types of androgenetic alopecia (common baldness) occurring in the female sex. Br J Dermatol 97:247–254CrossRefPubMed Ludwig E (1977) Classification of the types of androgenetic alopecia (common baldness) occurring in the female sex. Br J Dermatol 97:247–254CrossRefPubMed
15.
Zurück zum Zitat Leal-Osuna SE, Becerril-Parra DE, Tinoco-Fragoso F, Garcia-Gil AB, Vega-Memije ME, Lammoglia-Ordiales L (2018) Clinical, trichoscopic, and histopathologic characteristics of patients with alopecia and hypothyroidism: an observational study. J Am Acad Dermatol 79:958–960CrossRefPubMed Leal-Osuna SE, Becerril-Parra DE, Tinoco-Fragoso F, Garcia-Gil AB, Vega-Memije ME, Lammoglia-Ordiales L (2018) Clinical, trichoscopic, and histopathologic characteristics of patients with alopecia and hypothyroidism: an observational study. J Am Acad Dermatol 79:958–960CrossRefPubMed
16.
Zurück zum Zitat Asik M, Binnetoglu E, Sen H, Tekeli Z, Uysal F, Ukinc K (2013) Graves’ disease associated with alopecia areata developing after Hashimoto’s thyroiditis. J Nippon Med Sch 80:467–469CrossRefPubMed Asik M, Binnetoglu E, Sen H, Tekeli Z, Uysal F, Ukinc K (2013) Graves’ disease associated with alopecia areata developing after Hashimoto’s thyroiditis. J Nippon Med Sch 80:467–469CrossRefPubMed
17.
18.
Zurück zum Zitat Katoulis AC, Diamanti K, Sgouros D et al (2017) Frontal fibrosing alopecia and vitiligo: coexistence or true association? Skin Appendage Disord 2:152–155CrossRefPubMed Katoulis AC, Diamanti K, Sgouros D et al (2017) Frontal fibrosing alopecia and vitiligo: coexistence or true association? Skin Appendage Disord 2:152–155CrossRefPubMed
19.
Zurück zum Zitat Trueb RM, El Shabrawi-Caelen L, Kempf W (2017) Cutaneous lupus erythematosus presenting as frontal fibrosing alopecia: Report of 2 patients. Skin Appendage Disord 3:205–210CrossRefPubMedPubMedCentral Trueb RM, El Shabrawi-Caelen L, Kempf W (2017) Cutaneous lupus erythematosus presenting as frontal fibrosing alopecia: Report of 2 patients. Skin Appendage Disord 3:205–210CrossRefPubMedPubMedCentral
20.
Zurück zum Zitat House NS, Welsh JP, English JC 3rd (2012) Sarcoidosis-induced alopecia. Dermatol Online J 18:4PubMed House NS, Welsh JP, English JC 3rd (2012) Sarcoidosis-induced alopecia. Dermatol Online J 18:4PubMed
21.
Zurück zum Zitat Oremovic L, Lugovic L, Vucic M, Buljan M, Ozanic-Bulic S (2006) Cicatricial alopecia as a manifestation of different dermatoses. Acta Dermatovenerol Croat 14:246–252PubMed Oremovic L, Lugovic L, Vucic M, Buljan M, Ozanic-Bulic S (2006) Cicatricial alopecia as a manifestation of different dermatoses. Acta Dermatovenerol Croat 14:246–252PubMed
22.
Zurück zum Zitat Asz-Sigall D, Gonzalez-de-Cossio-Hernandez AC, Rodriguez-Lobato E, Ortega-Springall MF, Vega-Memije ME, Arenas Guzman R (2016) Linear lichen planopilaris of the face: case report and review. Skin Appendage Disord 2:72–75CrossRefPubMedPubMedCentral Asz-Sigall D, Gonzalez-de-Cossio-Hernandez AC, Rodriguez-Lobato E, Ortega-Springall MF, Vega-Memije ME, Arenas Guzman R (2016) Linear lichen planopilaris of the face: case report and review. Skin Appendage Disord 2:72–75CrossRefPubMedPubMedCentral
23.
Zurück zum Zitat Sankar J, Raj D, Sankar J, Sharma PK, Lodha R, Kabra SK (2007) HIV infection mimicking autoimmune disorder. Indian J Pediatr 74:777–780CrossRefPubMed Sankar J, Raj D, Sankar J, Sharma PK, Lodha R, Kabra SK (2007) HIV infection mimicking autoimmune disorder. Indian J Pediatr 74:777–780CrossRefPubMed
24.
Zurück zum Zitat Sood I, Kasundra GM, Supriya PS, Gupta A, Bhushan B (2015) A rare case of occult abdominal tuberculosis with Poncet’s disease mimicking adult onset Still’s disease. J Midlife Health 6:125–128PubMedPubMedCentral Sood I, Kasundra GM, Supriya PS, Gupta A, Bhushan B (2015) A rare case of occult abdominal tuberculosis with Poncet’s disease mimicking adult onset Still’s disease. J Midlife Health 6:125–128PubMedPubMedCentral
25.
Zurück zum Zitat Doche I, Hordinsky MK, Valente NYS, Romiti R, Tosti A (2017) Syphilitic alopecia: case reports and trichoscopic findings. Skin Appendage Disord 3:222–224CrossRefPubMedPubMedCentral Doche I, Hordinsky MK, Valente NYS, Romiti R, Tosti A (2017) Syphilitic alopecia: case reports and trichoscopic findings. Skin Appendage Disord 3:222–224CrossRefPubMedPubMedCentral
26.
Zurück zum Zitat Finner AM (2013) Nutrition and hair: deficiencies and supplements. Dermatol Clin 31:167–172CrossRefPubMed Finner AM (2013) Nutrition and hair: deficiencies and supplements. Dermatol Clin 31:167–172CrossRefPubMed
29.
Zurück zum Zitat Haider M, Hamadah I, Almutawa A (2013) Radiation- and chemotherapy-induced permanent alopecia: case series. J Cutan Med Surg 17:55–61CrossRefPubMed Haider M, Hamadah I, Almutawa A (2013) Radiation- and chemotherapy-induced permanent alopecia: case series. J Cutan Med Surg 17:55–61CrossRefPubMed
30.
Zurück zum Zitat Rogers NE, Avram MR (2008) Medical treatments for male and female pattern hair loss. J Am Acad Dermatol 59:547–566CrossRefPubMed Rogers NE, Avram MR (2008) Medical treatments for male and female pattern hair loss. J Am Acad Dermatol 59:547–566CrossRefPubMed
31.
Zurück zum Zitat Tsuboi R, Itami S, Inui S et al (2012) Guidelines for the management of androgenetic alopecia (2010). J Dermatol 39:113–120CrossRefPubMed Tsuboi R, Itami S, Inui S et al (2012) Guidelines for the management of androgenetic alopecia (2010). J Dermatol 39:113–120CrossRefPubMed
32.
Zurück zum Zitat Dawber R, Rundegren J (2003) Hypertrichosis in females applying minoxidil topical solution and in normal controls. J Eur Acad Dermatol Venereol 17:271–275CrossRefPubMed Dawber R, Rundegren J (2003) Hypertrichosis in females applying minoxidil topical solution and in normal controls. J Eur Acad Dermatol Venereol 17:271–275CrossRefPubMed
33.
Zurück zum Zitat Schweiger ES, Boychenko O, Bernstein RM (2010) Update on the pathogenesis, genetics and medical treatment of patterned hair loss. J Drugs Dermatol: JDD 9:1412–1419PubMed Schweiger ES, Boychenko O, Bernstein RM (2010) Update on the pathogenesis, genetics and medical treatment of patterned hair loss. J Drugs Dermatol: JDD 9:1412–1419PubMed
34.
Zurück zum Zitat Kaufman KD, Olsen EA, Whiting D et al (1998) Finasteride in the treatment of men with androgenetic alopecia. J Am Acad Dermatol 39:578–589CrossRefPubMed Kaufman KD, Olsen EA, Whiting D et al (1998) Finasteride in the treatment of men with androgenetic alopecia. J Am Acad Dermatol 39:578–589CrossRefPubMed
35.
Zurück zum Zitat Roberts JL, Fiedler V, Imperato-McGinley J et al (1999) Clinical dose ranging studies with finasteride, a type 2 5α-reductase inhibitor, in men with male pattern hair loss. J Am Acad Dermatol 41:555–563PubMed Roberts JL, Fiedler V, Imperato-McGinley J et al (1999) Clinical dose ranging studies with finasteride, a type 2 5α-reductase inhibitor, in men with male pattern hair loss. J Am Acad Dermatol 41:555–563PubMed
36.
Zurück zum Zitat Iorizzo M, Vincenzi C, Voudouris S, Piraccini BM, Tosti A (2006) Finasteride treatment of female pattern hair loss. Arch Dermatol 142:298–302CrossRefPubMed Iorizzo M, Vincenzi C, Voudouris S, Piraccini BM, Tosti A (2006) Finasteride treatment of female pattern hair loss. Arch Dermatol 142:298–302CrossRefPubMed
37.
Zurück zum Zitat Yeon J, Jung J, Choi J et al (2011) 5 mg/day finasteride treatment for normoandrogenic Asian women with female pattern hair loss. J Eur Acad Dermatol Venereol 25:211–214CrossRefPubMed Yeon J, Jung J, Choi J et al (2011) 5 mg/day finasteride treatment for normoandrogenic Asian women with female pattern hair loss. J Eur Acad Dermatol Venereol 25:211–214CrossRefPubMed
38.
Zurück zum Zitat Amory JK, Wang C, Swerdloff RS et al (2007) The effect of 5α-reductase inhibition with dutasteride and finasteride on semen parameters and serum hormones in healthy men. J Clin Endocrinol Metab 92:1659–1665CrossRefPubMed Amory JK, Wang C, Swerdloff RS et al (2007) The effect of 5α-reductase inhibition with dutasteride and finasteride on semen parameters and serum hormones in healthy men. J Clin Endocrinol Metab 92:1659–1665CrossRefPubMed
39.
Zurück zum Zitat Clark RV, Hermann DJ, Cunningham GR, Wilson TH, Morrill BB, Hobbs S (2004) Marked suppression of dihydrotestosterone in men with benign prostatic hyperplasia by dutasteride, a dual 5α-reductase inhibitor. J Clin Endocrinol Metab 89:2179–2184CrossRefPubMed Clark RV, Hermann DJ, Cunningham GR, Wilson TH, Morrill BB, Hobbs S (2004) Marked suppression of dihydrotestosterone in men with benign prostatic hyperplasia by dutasteride, a dual 5α-reductase inhibitor. J Clin Endocrinol Metab 89:2179–2184CrossRefPubMed
40.
Zurück zum Zitat Hamblin MR, Demidova TN Mechanisms of low level light therapy Mechanisms for low-light therapy: International Society for Optics and Photonics. 2006:614001 Hamblin MR, Demidova TN Mechanisms of low level light therapy Mechanisms for low-light therapy: International Society for Optics and Photonics. 2006:614001
41.
42.
Zurück zum Zitat Leavitt M, Charles G, Heyman E, Michaels D (2009) HairMax LaserComb® laser phototherapy device in the treatment of male androgenetic alopecia. Clin Drug Investig 29:283–292CrossRefPubMed Leavitt M, Charles G, Heyman E, Michaels D (2009) HairMax LaserComb® laser phototherapy device in the treatment of male androgenetic alopecia. Clin Drug Investig 29:283–292CrossRefPubMed
43.
Zurück zum Zitat Greco J, Brandt R (2007) Preliminary experience and extended applications for the use of autologous platelet-rich plasma in hair transplantation surgery. Hair Transplant Forum Int:131–132 Greco J, Brandt R (2007) Preliminary experience and extended applications for the use of autologous platelet-rich plasma in hair transplantation surgery. Hair Transplant Forum Int:131–132
44.
Zurück zum Zitat Uebel CO, da Silva JB, Cantarelli D, Martins P (2006) The role of platelet plasma growth factors in male pattern baldness surgery. Plast Reconstr Surg 118:1458–1466CrossRefPubMed Uebel CO, da Silva JB, Cantarelli D, Martins P (2006) The role of platelet plasma growth factors in male pattern baldness surgery. Plast Reconstr Surg 118:1458–1466CrossRefPubMed
45.
Zurück zum Zitat Li ZJ, Choi HI, Choi DK et al (2012) Autologous platelet-rich plasma: a potential therapeutic tool for promoting hair growth. Dermatol Surg 38:1040–1046CrossRefPubMed Li ZJ, Choi HI, Choi DK et al (2012) Autologous platelet-rich plasma: a potential therapeutic tool for promoting hair growth. Dermatol Surg 38:1040–1046CrossRefPubMed
46.
Zurück zum Zitat Reese R (2008) A single-blinded, randomized controlled study of the use of autologous platelet rich plasma (PRP) as a medium to reduce scalp hair transplant adverse effects. Hair Transplant 18:51–52 Reese R (2008) A single-blinded, randomized controlled study of the use of autologous platelet rich plasma (PRP) as a medium to reduce scalp hair transplant adverse effects. Hair Transplant 18:51–52
47.
Zurück zum Zitat Limmer BL (1994) Elliptical donor stereoscopically assisted micrografting as an approach to further refinement in hair transplantation. J Dermatol Surg Oncol 20:789–793CrossRefPubMed Limmer BL (1994) Elliptical donor stereoscopically assisted micrografting as an approach to further refinement in hair transplantation. J Dermatol Surg Oncol 20:789–793CrossRefPubMed
48.
Zurück zum Zitat Marzola M Trichophytic closure of the donor area. Hair Transplant Forum Int 2005:113–116 Marzola M Trichophytic closure of the donor area. Hair Transplant Forum Int 2005:113–116
49.
Zurück zum Zitat Mayer ML, Perez-Meza D (2001) Managing the donor area to minimize scarring. Int J Cosmet Surg Aesthet Dermatol 3:121–126CrossRef Mayer ML, Perez-Meza D (2001) Managing the donor area to minimize scarring. Int J Cosmet Surg Aesthet Dermatol 3:121–126CrossRef
50.
Zurück zum Zitat Harris JA (2013) Follicular unit extraction. Facial Plast Surg Clin 21:375–384CrossRef Harris JA (2013) Follicular unit extraction. Facial Plast Surg Clin 21:375–384CrossRef
51.
Zurück zum Zitat International Society of Hair Restoration Surgery (2011) Practice census results, July 2011 International Society of Hair Restoration Surgery (2011) Practice census results, July 2011
52.
Zurück zum Zitat Swerdloff J, Kabaker S (1999) The state of the art: donor site harvest, graft yield estimation, and recipient site preparation for follicular-unit hair transplantation. Arch Facial Plast Surg 1:49–52CrossRefPubMed Swerdloff J, Kabaker S (1999) The state of the art: donor site harvest, graft yield estimation, and recipient site preparation for follicular-unit hair transplantation. Arch Facial Plast Surg 1:49–52CrossRefPubMed
53.
Zurück zum Zitat Cole J (2011) Body to scalp in hair transplantation Hair Transplantation. Informa Healthcare, London, pp 304–306 Cole J (2011) Body to scalp in hair transplantation Hair Transplantation. Informa Healthcare, London, pp 304–306
54.
Zurück zum Zitat Harris JA (2006) New methodology and instrumentation for follicular unit extraction: lower follicle transection rates and expanded patient candidacy. Dermatol Surg 32:56–62CrossRefPubMed Harris JA (2006) New methodology and instrumentation for follicular unit extraction: lower follicle transection rates and expanded patient candidacy. Dermatol Surg 32:56–62CrossRefPubMed
55.
Zurück zum Zitat Harris J (2012) CASE REPORT-robotic-assisted follicular unit extraction for hair restoration. Cosmet Dermatol 25:284 Harris J (2012) CASE REPORT-robotic-assisted follicular unit extraction for hair restoration. Cosmet Dermatol 25:284
56.
Zurück zum Zitat Harris J The SAFE system: new instrumentation and methodology to improve follicular unit extraction (FUE). Hair Transplant Forum Int 2004:163 Harris J The SAFE system: new instrumentation and methodology to improve follicular unit extraction (FUE). Hair Transplant Forum Int 2004:163
57.
Zurück zum Zitat Rassman WR, Bernstein RM, McClellan R, Jones R, Worton E, Uyttendaele H (2002) Follicular unit extraction: minimally invasive surgery for hair transplantation. Dermatol Surg 28:720–728PubMed Rassman WR, Bernstein RM, McClellan R, Jones R, Worton E, Uyttendaele H (2002) Follicular unit extraction: minimally invasive surgery for hair transplantation. Dermatol Surg 28:720–728PubMed
58.
Zurück zum Zitat Harris J (2010) Powered blunt dissection with the SAFE system for FUE (part I and II). Hair Transplant Forum Int 20:188–189 Harris J (2010) Powered blunt dissection with the SAFE system for FUE (part I and II). Hair Transplant Forum Int 20:188–189
59.
Zurück zum Zitat Bernstein RM, Wolfeld MB (2016) Robotic follicular unit graft selection. Dermatol Surg 42:710–714CrossRefPubMed Bernstein RM, Wolfeld MB (2016) Robotic follicular unit graft selection. Dermatol Surg 42:710–714CrossRefPubMed
60.
Zurück zum Zitat Bernstein RM, Rassman WR (1999) The logic of follicular unit transplantation. Dermatol Clin 17:277–296CrossRefPubMed Bernstein RM, Rassman WR (1999) The logic of follicular unit transplantation. Dermatol Clin 17:277–296CrossRefPubMed
61.
Zurück zum Zitat Bernstein RM Integrating robotic FUE into a hair transplant practice Hair Transplant Forum Intl 2012:228–229 Bernstein RM Integrating robotic FUE into a hair transplant practice Hair Transplant Forum Intl 2012:228–229
62.
Zurück zum Zitat Avram MR (2005) Polarized light-emitting diode magnification for optimal recipient site creation during hair transplant. Dermatol Surg 31:1124–1127CrossRefPubMed Avram MR (2005) Polarized light-emitting diode magnification for optimal recipient site creation during hair transplant. Dermatol Surg 31:1124–1127CrossRefPubMed
63.
Zurück zum Zitat Salanitri S, Gonçalves AJ, Helene A Jr, Junqueira Lopes FH (2009) Surgical complications in hair transplantation: a series of 533 procedures. Aesthet Surg J 29:72–76CrossRefPubMed Salanitri S, Gonçalves AJ, Helene A Jr, Junqueira Lopes FH (2009) Surgical complications in hair transplantation: a series of 533 procedures. Aesthet Surg J 29:72–76CrossRefPubMed
64.
Zurück zum Zitat Lam SM (2013) Complications in hair restoration. Facial Plast Surg Clin 21:675–680CrossRef Lam SM (2013) Complications in hair restoration. Facial Plast Surg Clin 21:675–680CrossRef
65.
Zurück zum Zitat Konior RJ (2013) Complications in hair-restoration surgery. Facial Plast Surg Clin 21:505–520CrossRef Konior RJ (2013) Complications in hair-restoration surgery. Facial Plast Surg Clin 21:505–520CrossRef
66.
Zurück zum Zitat Langtry JA, Maddin WS, Carruthers JA, Rivers JK (1998) Is there a rationale for the drugs used in hair transplantation surgery? Dermatol Surg 24:967–971PubMed Langtry JA, Maddin WS, Carruthers JA, Rivers JK (1998) Is there a rationale for the drugs used in hair transplantation surgery? Dermatol Surg 24:967–971PubMed
67.
68.
Zurück zum Zitat Singh G (1998) Effect of minoxidil on hair transplantation in alopecia androgenetica. Indian J Dermatol Venereol Leprol 64:23–24PubMed Singh G (1998) Effect of minoxidil on hair transplantation in alopecia androgenetica. Indian J Dermatol Venereol Leprol 64:23–24PubMed
Metadaten
Titel
Alopecia and techniques in hair restoration: an overview for the cosmetic surgeon
verfasst von
Rohan Joshi
Tom Shokri
Austin Baker
Scott Kohlert
Mofiyinfolu Sokoya
Sameep Kadakia
Jeffrey Epstein
Yadranko Ducic
R. Michael Johnson
Publikationsdatum
21.02.2019
Verlag
Springer Berlin Heidelberg
Erschienen in
Oral and Maxillofacial Surgery / Ausgabe 2/2019
Print ISSN: 1865-1550
Elektronische ISSN: 1865-1569
DOI
https://doi.org/10.1007/s10006-019-00750-9

Weitere Artikel der Ausgabe 2/2019

Oral and Maxillofacial Surgery 2/2019 Zur Ausgabe

Wie erfolgreich ist eine Re-Ablation nach Rezidiv?

23.04.2024 Ablationstherapie Nachrichten

Nach der Katheterablation von Vorhofflimmern kommt es bei etwa einem Drittel der Patienten zu Rezidiven, meist binnen eines Jahres. Wie sich spätere Rückfälle auf die Erfolgschancen einer erneuten Ablation auswirken, haben Schweizer Kardiologen erforscht.

Hinter dieser Appendizitis steckte ein Erreger

23.04.2024 Appendizitis Nachrichten

Schmerzen im Unterbauch, aber sonst nicht viel, was auf eine Appendizitis hindeutete: Ein junger Mann hatte Glück, dass trotzdem eine Laparoskopie mit Appendektomie durchgeführt und der Wurmfortsatz histologisch untersucht wurde.

Mehr Schaden als Nutzen durch präoperatives Aussetzen von GLP-1-Agonisten?

23.04.2024 Operationsvorbereitung Nachrichten

Derzeit wird empfohlen, eine Therapie mit GLP-1-Rezeptoragonisten präoperativ zu unterbrechen. Eine neue Studie nährt jedoch Zweifel an der Notwendigkeit der Maßnahme.

Ureterstriktur: Innovative OP-Technik bewährt sich

19.04.2024 EAU 2024 Kongressbericht

Die Ureterstriktur ist eine relativ seltene Komplikation, trotzdem bedarf sie einer differenzierten Versorgung. In komplexen Fällen wird dies durch die roboterassistierte OP-Technik gewährleistet. Erste Resultate ermutigen.

Update Chirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

S3-Leitlinie „Diagnostik und Therapie des Karpaltunnelsyndroms“

Karpaltunnelsyndrom BDC Leitlinien Webinare
CME: 2 Punkte

Das Karpaltunnelsyndrom ist die häufigste Kompressionsneuropathie peripherer Nerven. Obwohl die Anamnese mit dem nächtlichen Einschlafen der Hand (Brachialgia parästhetica nocturna) sehr typisch ist, ist eine klinisch-neurologische Untersuchung und Elektroneurografie in manchen Fällen auch eine Neurosonografie erforderlich. Im Anfangsstadium sind konservative Maßnahmen (Handgelenksschiene, Ergotherapie) empfehlenswert. Bei nicht Ansprechen der konservativen Therapie oder Auftreten von neurologischen Ausfällen ist eine Dekompression des N. medianus am Karpaltunnel indiziert.

Prof. Dr. med. Gregor Antoniadis
Berufsverband der Deutschen Chirurgie e.V.

S2e-Leitlinie „Distale Radiusfraktur“

Radiusfraktur BDC Leitlinien Webinare
CME: 2 Punkte

Das Webinar beschäftigt sich mit Fragen und Antworten zu Diagnostik und Klassifikation sowie Möglichkeiten des Ausschlusses von Zusatzverletzungen. Die Referenten erläutern, welche Frakturen konservativ behandelt werden können und wie. Das Webinar beantwortet die Frage nach aktuellen operativen Therapiekonzepten: Welcher Zugang, welches Osteosynthesematerial? Auf was muss bei der Nachbehandlung der distalen Radiusfraktur geachtet werden?

PD Dr. med. Oliver Pieske
Dr. med. Benjamin Meyknecht
Berufsverband der Deutschen Chirurgie e.V.

S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“

Appendizitis BDC Leitlinien Webinare
CME: 2 Punkte

Inhalte des Webinars zur S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“ sind die Darstellung des Projektes und des Erstellungswegs zur S1-Leitlinie, die Erläuterung der klinischen Relevanz der Klassifikation EAES 2015, die wissenschaftliche Begründung der wichtigsten Empfehlungen und die Darstellung stadiengerechter Therapieoptionen.

Dr. med. Mihailo Andric
Berufsverband der Deutschen Chirurgie e.V.