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Microrefined microfollicular hair transplant: a new modification in hair transplant.

Ann Plast Surg

September 2014

From the Divine Cosmetic Surgery, Delhi, India.

: Hair transplant is the most common cosmetic surgery procedure in men; at our center, we perform nearly 40 transplants a month, with nearly 450 procedures in a year. Current techniques of hair transplant are well established and several authors have had remarkable results using the current techniques of microfollicular hair transplant. Orentreich described hair transplant, Shiell has reviewed current techniques in his paper, whereas Rose reviews the latest innovations in hair transplant including Neograft and robotic procedures.

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The scalp has traditionally presented a challenge to the reconstructive surgeon. Although a variety of techniques exists for providing stable coverage to the cranium that has become exposed secondary to trauma, infection, or surgical ablation, these techniques tend to require multiple operations and a significant time commitment on the part of the patient and the surgeon. Unfortunately, most if not all of these techniques are unable to recreate the appearance of natural-appearing hair on the reconstructed scalp.

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The pivotal role that eyebrows play in facial expression and aesthetics is widely accepted, along with the difficulties faced by surgeons in reconstructing defects in this area. The case study presented demonstrates reconstruction of a traumatic eyebrow defect using a post-auricular composite graft in combination with a microfollicular hair transplant technique. The advantage of the combined approach is discussed with reference to the fine tuning of the adjoining areas between reconstructed and undamaged hair-bearing regions.

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Reconstruction of the eyebrow using a combination of hair-bearing composite graft and microsurgical hair follicle transplant techniques.

Br J Oral Maxillofac Surg

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Department of Oral and Maxillofacial Surgery, The Eastman Dental Institute for Oral Health Care Sciences, University College London, 256 Gray's inn Road, London, UK.

We present a patient whose eyebrow was restored following a road vehicle crash by a postauricular composite graft together with microfollicular hair transplants.

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