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Aulus Cornelius Celsus (ca 25 BC—ca 50), who lived in the first century AD, described plastic surgery of the face, using skin from other parts of the body.




Sir Archibald McIndoe CBE FRCS (4 May 1900 — 11 April 1960) was a pioneering New Zealand plastic surgeon who worked for the Royal Air Force during World War II. He greatly improved the treatment and rehabilitation of badly burned aircrew.


Hair Replacement

Purpose


Hair restoration techniques have evolved through the ages. Scalp flaps and expansion techniques are still used but increasingly suitable instances of baldness are treated with hair transplantation.


Details


Different causes can result in baldness and the exact aetiology must first be identified. A most common cause for the procedure is the male pattern baldness which is an inherited condition. Only individuals with a favourable donor scalp with sufficient density relative to the bald area are suitable candidates.


Surgery is provided concurrently with the administration of medications known to be effective in reducing the progression of hair loss.


Unusually a strip of hair bearing scalp is removed from the occipital area. Medical personnel then work on a bench to harvest follicullar units of hair grafts from this strip whilst the donor wound is repaired.


The grafts are prepared and aligned on a piece of wet towel and chilled with cold saline.


Tiny stabs are then made in the bald scalp and grafts are inserted.


The surgeon usually aims at establishing a full anterior hairline and enough grafts behind that to restore a good look.


As the number of grafts transferred may be up to the thousands, surgery is usually up to many hours.


Caution


The result depends on the proportion of surviving grafts. Sometimes a second session of surgery may be required to add up density to the transplanted scalp.

Aesthetic Surgery Journal

The Hong Kong Society of Plastic, Reconstructive and Aesthetic Surgeons is affiliated with Aesthetic Surgery Journal, the official publication of The American Society for Aesthetic Plastic Surgery