Alopecia surgery

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Ogechukwu hannah Nnabude

Overview

Surgery is another method of reversing hair loss and baldness, although it may be considered an extreme measure. The surgical methods used include hair transplantation, whereby hair-producing follicles are taken from the back and sides of the head and injected into bald or thinning areas.

Surgery

Hair transplantation involves transplantation of healthy hair taken from the back and sides of the head to the affected areas. [1] The procedure can take between four and eight hours. Additional sessions can be performed to make hair thicker. Transplanted hair falls out within a few weeks, but regrows permanently within months.

  • Other surgical options, such as follicle transplants, scalp flaps, and hair loss reduction, are available. However, they are expensive and painful, carry a risk of infection and scarring. Once surgery has occurred, six to eight months are needed before the quality of new hair can be assessed.
    • Scalp reduction is the process is decreasing of the area of bald skin on the head. In time, the skin on the head becomes flexible and stretched enough that some of it can be surgically removed. After the hairless scalp is removed, the space is closed with hair-covered scalp. Scalp reduction is generally done in combination with hair transplantation to provide a natural-looking hairline, especially those with extensive hair loss.
    • Hairline lowering can sometimes be used to lower a high hairline secondary to hair loss, although there may be a visible scar after further hair loss.

References

  1. Rose PT (2015). "Hair restoration surgery: challenges and solutions". Clin Cosmet Investig Dermatol. 8: 361–70. doi:10.2147/CCID.S53980. PMC 4507484. PMID 26203266.

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