In the main, the development of modern hair restoration surgical techniques has involved a few revolutions and a number of small evolutions. These evolutions have improved upon earlier techniques after carefully analyzing both the benefits and shortcomings of these pioneer techniques. Longer-term shortcomings in surgical planning have equally demonstrated the potential dangers of aggressive radical technique changes. Modern megasessions require a gradual increase in graft numbers to accommodate the need for development of staff skills unique to these procedures. Innovation is important, but it is more safely expressed in gradual improvements to existing techniques.
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References
1.
OrentreichN: Autografts in alopecias and other selected dermatological conditions. Ann NY Acad Sci1959;83:463–479.
2.
BlanchardGBlanchardB: Obliteration of alopecia by hair-lifting: a new concept and technique. J Natl Med Assoc1977;69:639–641.
3.
SparkuhlK: Scalp Reduction: Serial Excision of the Scalp with Flap Advancement. The International Hair Transplant Symposium, Lucerne, Switzerland, February 4, 1978.
4.
UngerMGUngerWP: Management of alopecia of the scalp by a combination of excisions and transplantations. J Dermatol Surg Oncol1978;4:670–672.
5.
JuriJ: Use of parieto-occipital flaps in the surgical treatment of baldness. Plast Reconstr Surg1975;55:456.
6.
UebelCO: Punctiform Technique with Micrografts—A New Method for Pattern Baldness Surgery. Jornada Carioca Cir Plast, Rio de Janiero, Brazil, August 1986.
7.
BradshawW: Quarter-grafts: a technique for minigrafts. In UngerWPNordstromREA (eds.), Hair Transplantation. 2nd edition.New York, New York, Marcel Dekker, 1988, pp. 333–351.
8.
UngerWP: Hair Transplant Forum International. 1995;5(6):14.
9.
TrueR: Current Advances in Large Transplant Sessions—Meagasessions and Maxisessions. Fourth Annual ISHRS Meeting, Nashville, Tennessee, September 19, 1996.
10.
LucasM: Trouble with megasessions. Hair Transplant Forum International. 1995;5(1):6.
11.
UngerWP: Laser hair transplanting. Hair Transplant Forum International. 1994;4(3):6–7.
12.
MayP: Laser troubles. Hair Transplant Forum International. 1995;5(4):11.
13.
MoserC: Laser adventures in Germany. Hair Transplant Forum International. 1995;5(2):6.
14.
BernsteinR: Are scalp reductions still indicated?Hair Transplant Forum International. 1996;6(3): 12–13.
15.
NorwoodOTShiellRCMorrisonIA: Complications of scalp reductions. J Dermatol Surg Oncol1983;9:831–834.
16.
MarzolaM: In NorwoodOTShiellRC (eds.): An alternative hair replacement method. Hair Transplant Surgery. 2nd edition.Springfield, Illinois, Charles C Thomas, 1984, pp. 315–324.
17.
BrandyDA: The bilateral occipito-parietal flap. J Dermatol Surg Oncol1986;10:1062–1066.
ElliottRA: Lateral scalp flaps for instant results in male pattern baldness. Plast Reconstr Surg1977;57:60–69.
20.
NatafJElbazJSPolletJ: Etude critique des transplantations des cuir chevelu et proposition d'une optique. Ann Chir Plast1976;21:199–206.
21.
MayerTGFlemingRW: Fleming-Mayer Flap (modified after Juri). In MayerTGFlemingRW (eds.), Aesthetic and Reconstructive Surgery of the Scalp. St. Louis, Missouri, Mosby, 1992, pp. 93–181.
22.
FlemingRWMayerTG: Short v long flaps in the treatment of male pattern baldness. Arch Otolaryngol1981;107:403–408.
23.
NordstromREA: “Micrografts” for improvement of the frontal hairline after hair transplantation. Aesthetic Plast Surg1981;5:97–101.
24.
KabakerS: Tissue expansion in the treatment of alopecia. Arch Otolaryngol1986;11:720.
25.
AndersonRD: The expanded “BAT” flap for treatment of male pattern baldness. Ann Plast Surg1993;31:385–391.
26.
SeagerD: The ultimate question … about the laser. Hair Transplant Forum International. 1995;5(3):8.
27.
UngerWP: More on laser use. Hair Transplant Forum International. 1996;6(1):15–16.
28.
VillnowM: 2300 grafts/laser session. Hair Transplant Forum International. 1994;4(6):6.
29.
MarzolaM: The man who went bald twice. Hair Transplant Forum International. 1995;5(5):14–15.
30.
MarzolaM: A New Scalp Reduction Technique—No Visible Scarring. Fourth Annual ISHRS Meeting, Nashville, Tennessee, September 19, 1996.
31.
FrechetP: A new method for correction of the vertical scar observed following scalp reduction for extensive alopecia. J Dermatol Surg Oncol1990;17:7.
