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OUTCOME AND PROGNOSIS

The goal is to make the final product look so natural that it cannot be distinguished as a transplant. The tight packing of grafts provided by microscopic dissection generates a natural appearance acceptable to most patients. Although this method is time and labor intensive, the results justify the meticulous attention to detail.

PICTURES

Caption: Picture 1. Pattern VI alopecia before and after follicular unit micrografting
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Caption: Picture 2. Dorsal view of pattern V alopecia before and after approximately 2000 follicular unit micrografts
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Caption: Picture 3. Frontal and temporal hairline design and transplant results
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Caption: Picture 4. Hairline design. Note that the frontotemporal design rises slightly above the horizontal plane.
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Caption: Picture 5. Comparison of donor densities. Left donor has 72 follicular units per cm2; right donor has 134 units per cm2.
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Caption: Picture 6. Donor ellipse and sutured donor site
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Caption: Picture 7. Margin of donor ellipse and follicular unit micrografts of 1, 2, and 3 hairs
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Caption: Picture 8. Recipient sites. Left is immediately postoperative. Right is 7 days postoperative (note complete healing characteristically present by 7 d).
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Caption: Picture 9. Eyebrow transplantation. Left is preoperative. Right is after 400 follicular unit micrografts.
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Caption: Picture 10. Close-up view of frontal hairline before and after micrografts
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BIBLIOGRAPHY

• Szaniawski W: Follicular transplantation. Int J Aesthetic Restor Surg 1995; 3: 119-32.
• Bradshaw W, Unger WP, Nordstrom REA, eds: Quarter-grafts: a technique for minigrafts. In: Hair Transplantation. 2nd ed. Marcel Dekker; 1988: 333-51.
• Fujita K: Reconstruction of eyebrow. La Lepro 1943; 22: 364.
• Hamilton JB: Patterned loss of hair in a man: types and incidence. Ann N Y Acad Sci 1951; 53: 708-28.
• Headington JT: Transverse microscopic anatomy of the human scalp. A basis for a morphometric approach to disorders of the hair follicle. Arch Dermatol 1984 Apr; 120(4): 449-56[Medline].
• Limmer BL, Buchwach KA: Hair transplantation using follicular unit micrografting. Facial Plast Surg 1999 Nov; 7(4): 523-35, viii[Medline].
• Limmer BL: Elliptical donor stereoscopically assisted micrografting as an approach to further refinement in hair transplantation. J Dermatol Surg Oncol 1994 Dec; 20(12): 789-93[Medline].
• Marritt E: Single-hair transplantation for hairline refinement: a practical solution. J Dermatol Surg Oncol 1984 Dec; 10(12): 962-6[Medline].
• Nordstrom REA: "Micrografts" for improvement of the frontal hairline after transplantation. Aesthetic Plast Surg 1981; 5: 97-101.
• Norwood O, Limmer BL: Advances in hair transplantation. Adv Dermatol 1999; 14: 89-113; discussion 114[Medline].
• Norwood O: Follicular unit transplant. Hair Transplant Forum Int 1998; 8(2): 10-11.
• Okuda S: [Clinical and experimental studies of transplantation of living hairs]. Jpn J Dermatol Urol 1939; 46: 135-8.
• Orentreich N: Autografts in alopecias and other selected dermatological conditions. Ann NY Acad Sci 1959; 83: 463.
• Seager D: Binocular stereoscopic dissecting microscoping-should we use them? Hair Transplant Forum Int 1996; 6: 2-5.
• Stough DB 4th, Nelson BR, Stough DB 3rd: Incisional slit grafting. J Dermatol Surg Oncol 1991 Jan; 17(1): 53-60[Medline].
• Tamura H: Pubic hair transplantation. Jpn J Dermatol 1943; 53: 76.
• Uebel CO: Micrografts and minigrafts: a new approach for baldness surgery. Ann Plast Surg 1991 Nov; 27(5): 476-87[Medline].
• Vallis CP: Surgical treatment of the receding hairline. Plast Reconstr Surg 1967 Aug; 40(2): 138-46[Medline].
• Vallis CP: Surgical treatment of the receding hairline. Plast Reconstr Surg 1969 Sep; 44(3): 271-8[Medline].

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