History
In 1939, Micrografting of human scalp in Japan by a dermatologist “Okuda”
In 1959, Norman Orentreich started Modern Day hair transplant in America.
In 2004, A state of art of surgical hair replacement using donor site of non bald scalp to crown.
Androgenetic Alopecia affects up to 50% of males and 40% of females
Autosomal dominant with variable penetrance
85% : +ve family history
Androgenetic Alopecia
5 ALPHA Reductase
Testosterone
DihydorTestosterone (Active)
X Fenastride
Systemic Treatment
Miniaturization of Terminal Hairs
Goals
The Hair should be Nartural Looking. Natural Frontal hair line. Male/ female pattern hairloss.
Evaluation
Goals of Patients. Family History Available Donor site. Grading of Baldness. Characteristics of Hair. Hair Line.
Pre operative Period
Patient care co-ordinator. Discontinue medications. Informed consent. Photo consent. Planning session.
Operation
Local anaesthasia / I/V sedation. Pre medication. Donor site shaved. Marking for excision. Local Anaesthesia. Normal Saline.
Post Operative Period.
Two layered Dressing. Discomfort/Pain. Swelling. Scab. Hair loss. Numbness/Paraesthesia.
Donor Site Complications
Infection. Hematoma. Wound dehiscence. Neuralgia/Neuroma. Hpertrophic Scar/ Keloid. Atreriovenous fistula.
Recipient Site Complications
Change in hair texture. Poor Graft Survival. Elevated/ depressed graft. Chronic folliculitis. Epidermal inclusion cysts. Post frontal graft necrosis.
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