Hair Swirls

Scalp reduction has become popular at a time when the alternatives have been taken and large components. In the modern era of hair restoration surgery, where transplantation of a large number of very small grafts are possible, it should reconsider the usefulness of this procedure. The recent surge reduction surgery the scalp was overcome its technical problems, such as reducing back (to the expansion of tissue and the removal of the scalp), avoiding mid-line scars with modes most creative movement of tissue and shorten the total time to achieve a desired result. The problems, however, are not just technical, they are theoretical.

One patient baldness? Appearance is enhanced by up hair in the cosmetic field the most important - the front of the scalp. A frontal hairline used to frame the face and is supported by the balanced density behind it will produce the best aesthetic result. Since the crown is generally less cosmetically important areas of hair loss (and potentially the largest), the coverage of the Crown should not be the first priority. It must be addressed by field aesthetically more important were transplanted satisfactorily. If treated quickly, there must be sufficient reserves to handle any future loss or donor surgeon must be certain that the front has some risk of baldness.

In all hair restoration surgery, cosmetic improvement potential is ultimately limited by a finite supply of donors. This, in turn, depends on the density of donors and the laxity of the scalp. Scalp reduction undesirable effect of reducing the actual amount of hair that can be moved forward and cosmetically critical upper scalp decreasing donor density and scalp laxity.

Following the reduction of the scalp, a larger area of donors must be harvested to produce the same amount of hair. This amount of hair becomes more difficult to remove due to a tightening of the scalp, especially after multiple cuts. When the tape is removed, a portion of the hair should then be submitted to the Crown to cover the scar produced by the reduction. It was explained by the promoters of the operation that the reduction of the scalp "hair keeps reducing the size of the bald crown, but in reality, the hair that is used to cover the crown will not be available for front and top. The reduction in moving the relatively high density of the back and sides is increasing, in fact, committed large amounts of hair on the scalp later.

In many patients, the supply of donors is very limited compared to the request recipient. This is evident in the potential of Norwood Class 7 patients with average or below average density of potential donors or Class 6 patients having a density less than the average. Because the anterior aesthetic criticism of the scalp is significantly smaller than the posterior, the transplantation of an extensive number of transplants from very small companies can almost always produce a satisfactory coverage of the front and top of scalp . For these patients, the limited donor reserves do often cover the entire scalp, and it is in the best interest of the patient for very light coverage to the crown, or leave it bare. Once the crown is affected by a reduction in the scalp, however, the dynamics change completely. Hair must now be placed in the crown to cover the scar and to solve the problem of a natural pattern baldness. The resulting scar will always eliminate the possibility of leaving the crown is not treated, and in one patient who becomes much bald, it can be a disaster.

Some authors have advocated a cautious approach to the reduction of alopecia on the removal of only 1.5 to 2.5 cm from the scalp and the closure of a non-tension. Although this technique has resulted in the reduced postoperative pain and several other undesirable side effects of alopecia reduct.