Hair Transplantation

1. Basic Science


1A. Hair Anatomy and Histology


1B1. Anatomy of the Scalp


1B2. Surgical Ramifications of Scalp Anatomy


1C. New Software for Making Density and Surface Area Measurements in Hair Transplantation


1D. Recipient Site Influence on Transplanted Hairs


1E. Genetic Screening Tests in Androgenetic Alopecia: The Androgen Receptor Gene


1F. The Promise of Cell Therapy


1G. The Impact of Culture Conditions on In Vitro Hair Follicle Growth


1H. Differences in Gene Expression in Bald and Nonbald Dermal Papillae


2. Male and Female Pattern Hair Loss


2A. Current Views on the Pathogenesis of Patterned Hair Loss


2B1. Classification of Androgenetic Alopecia


2B2. The Incidence and Degree of MPB and FPHL at Various Ages in Men and Women


2C. The Cohen Hair Loss Index, Profile, and Severity Scale


3. Unpatterned Hair Loss


4. The Initial Interview and Evaluation


4A1. The Physician-Patient Relationship


4A2. Commentary


4B. My Personal Approach to the Consultation


4C. "Red Flags" in Hair Restoration Surgery


4D. Enhanced Patient Selection: The Folliscope (R)


4E1. Assessment and Management of the Patient with Body Dysmorphic Disorder


4E2. Commentary


4F1. Nonphysician Consultations: Advantages/Disadvantages


4F2. Commentary


5. Pharmacotherapy


5A. Medical Treatments for Male and Female Pattern Hair Loss


5B. The Emerging Role of Pharmacogenetics in the Treatment of Patterned Hair Loss


6. Surgical Planning and Organization


6A. Planning and Organization


6B1. Hair Transplant Goals Based on Natural Patterns of Hair Loss


6B2. Commentary


6C. Maximum Density Vs. Cosmetic Density


6C1. Maximum Density


6C2. Cosmetic Density


6D. Hair Transplanting in Early Stage Male and Female Pattern Hair Loss


6D1. Earlier and Younger


6D2. Later and Older


6D3. Commentary


6E. Transplanting the Vertex


6E1. Sometimes


6E2. Virtually Never


6E3. Commentary


6F. Isolated Frontal Forelock


6G1. Planning in Female Patients


6G2. Evaluation of Female Patients: Red Flags for Hair Restoration Surgery in Women


6H1. Long-Term Follow-Up of Hair Transplantation Patients


6H2. Commentary


6I. Effect of Medical Therapy on Planning for Hair Restoration Surgery


7. The Preoperative Phase


7A. Preoperative Preparation and Instructions


7B. OSHA and Laboratory Screening


7C. Preventing Infectious Complications in Scalp Surgery


7D. Standards of Hair Photography


7E1. Conventional and Nonconventional Medications in Hair Transplantation


7E2. Commentary


8. Anesthesia


8A1. Overview of Anesthesia


8A2. Field Blocks: A Practical Approach


8B. Tumescent Anesthesia in Hair Transplantation


8C. Supraorbital Nerve Blocks in Hair Restoration Surgery


8D. Emergency Intervention in Hair Restoration Surgery


9. Donor Area Harvesting


9A1. An Overview of the Donor Area: Basic Principles


9A2. A Practical Approach to the Donor Area


9A3. Commentary


9B. Evaluation of Scalp Elasticity


9C1. Donor Area Vascular Damage and Sequelae


9C2. Donor Harvesting with Doppler Guidance and In Situ Dissection


9D1. Managing Wide Donor Strips


9D2. Commentary


9E. Minimizing Follicular Trauma During Harvesting


9E1. Skin Hook Technique


9E2. The "Spreader": Technique and Indications


9F. Trichophytic Closure


9F1. Overview


9F2. Trichophytic Closure in Asians


9F3. Frechet Closure for Invisible or Minimal Scar


9F4. Trichophytic Closure: Always or Sometimes?


9G. Follicular Unit Extraction (FUE)


9G1A. Conventional FUE


9G1B. Commentary


9G1C. Commentary to Chapters 9G1A and 9G1B


9G2. Beard to Scalp


9G3. Body to Scalp


9G4. Commentary


10. Graft Preparation and Storage


10A1. Ergonomics in Graft Preparation


10A2. Commentary


10B. Classic Microscope Dissection of Follicular Units


10C. Preparing Grafts for High FU Density Follicular Unit Transplants


10D. Preparation of Multi-Unit Grafts


10E. Holding Solutions


10F. Graft Sorting and Distribution


11. Graft Survival and Growth Studies


11A1. Introduction: Practical Problems and Limitations of Hair Survival Studies


11A2. Studies on Graft Hair Survival


11B. Hair Survival of Partial Follicles: Implications for Pluripotent Stem Cells


11C. Methods of Studying Hair Survival and Growth


11C1. A Technique for Counting Hairs in a Research Study Box


11C2. The Cross-Section Trichometer


11C3. Enhanced Patient Selection: A New Method for Measuring Hair Growth Parameters - The TrichoScan (R)


11C4. Commentary


12. The Recipient Site


12A1. The History of Follicular Unit Transplantation


12A2. Commentary


12B1. The Pitfalls of FUT Incisions and How to Avoid Them


12B2. Commentary


12C1. High-Density Follicular Unit Transplant


12C2. Commentary


12D1. Mega Session Follicular Unit Transplantation


12D2. Commentary


12E. Recombinant Follicular Unit Transplantation


12F1. The Hairline Zone and "Egg"


12F2. Principles of Creating a Natural Hairline


12G. The Anterior Temporal Area


12H. Transplanting the Vertex


12I1. Combination Grafting Indications and Techniques


12I2. Commentary


12I3. Response to Commentary


13. Graft Insertion


13A. Atraumatic Graft Insertion for Premade Incisions


13B1. "Stick-And-Place" Technique of Graft Insertion


13B2. Commentary


13C. Different Orientation for the Incision: An Effi cient Method of Controlling Graft Implantation Design and Location


13D1. Graft Implanters


13D2. Commentary


13E. Insertion of Multi-FU Grafts


13F. Problematic Graft Quality and Handling


13G. The Spread and Place Technique


14. Postoperative Phase


14A. Management of the Postoperative Period


14B. Donor Area Complications


14C. Recipient Area Complications


14D. Postoperative Bandaging


15. Hair Transplanting in Asian and Black Patients


15A. Hair Transplantation in East Asian Males


15B. Hair Transplantation in Black Patients


15C. Hair Transplantation in Asian Women


16. Transplanting That Requires Special Consideration


16A. Preview Long Hair Follicular Unit Transplanting


16B1. Transplanting into Areas of Cicatricial Alopecia


16B2. Hair Transplantation into Cicatricial Alopecia Secondary to Artificial Hair Implantation


16C. Hair Transplanting in the Pubic Area


16D. Cosmetic and Reconstructive Eyelash Transplantation


16D1. Part 1: Direct Insertion


16D2. Part 2: Sewing Needle Eyelash Insertion


16D3. Commentary


16E1. Eyebrow Transplantation


16E2. Commentary


16F. Moustache and Beard Hair Transplanting


16G. Hair Transplantation in Transgender Patients


16H1. Single Hair Follicular Grafting for Vitiligo Treatment


16H2. Commentary


17. Correction of Cosmetic Problems Secondary to Hair Transplantation


17A. Commentary


18. Ancillary Surgical Procedures


18A. Alopecia Reduction


18B. Scalp Extensions and Triple Flaps


18C. Flaps


19. Setting Up an Office


19A. The Surgical Suite


19B. Instrumentation and Supplies Used in Hair Restoration Surgery


19C. Surgical Assistants


19D. Medicolegal Issues in Hair Replacement


19E1. Building and Promoting Your Practice


19E2. Commentary