Abstract
Background
Rhytidoplasty may cause permanent and unwanted stigmas, such as dislocation of the temporal and cervical hairline. Widened scars inside the hairline may cause considerable social embarrassment. Furthermore, pretrichial incisions, even if well placed, may widen or become hypochromic, thus revealing that an aesthetic procedure has been performed. Various procedures for the correction of these undesirable telltale signs of a face-lift have been published. This report aims to present the results of correction for postrhytidoplasty stigmas using follicular transplantation. Patient assessment is discussed, and relevant technical aspects are detailed and illustrated.
Methods
A prospective study at the Ivo Pitanguy Clinic investigated patients who underwent hair transplantation to correct unaesthetic signs secondary to rhytidoplasty from January 2001 to December 2004. The aesthetic results and complications were evaluated, as well as the patients’ satisfaction rate. The patients presented in this series either were referred from another service or had their rhytidoplasty originally performed in the authors’ service.
Results
A total of 33 female patients were included in this study. Two patients were lost to follow-up evaluation and not included. The complications were minor. In the late follow-up assessment, 24 patients classified the result as excellent, 4 as satisfactory, and 3 as unsatisfactory. Only the patients who classified the results as unsatisfactory requested a second procedure (i.e., another follicular transplantation).
Conclusions
When performed by an experienced surgical team, the follicular unit transplantation technique is a simple, safe, and efficient way to correct stigmas secondary to a rhytidoplasty, such as a visible scar or a displaced hairline, with satisfactory results and a very low complication rate.
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References
Barrera A: Hair transplantation: The art of micrografting and minigrafting. Quality Medical Publishing, St. Louis, 2002
Barrera A: The use of micrografts and minigrafts for the correction of the postrhytidectomy loss of sideburn. Plast Reconstr Surg 102:2237–2240, 1998
Bernstein RM, Rassman WR: Follicular unit transplantation. In: Haber RS, Stough DB (eds) Hair transplantation. Elsevier, Philadelphia, U.S.A. pp. 91–98, 2006
de Castro CC: Preauricular, sideburn operating procedures for a natural look in face-lifts. Aesth Plast Surg 15:149–153, 1991
Giraldo F, Gonzalez C, Garnica I, Ferron M, Rus JA: Sideburn reconstruction with an expanded supra-auricular trapezoidal flap. Plast Reconstr Surg 100:257–259, 1997
Guyuron B, Watkins F, Totonchi A: Modified temporal incision for facial rhytidectomy: An 18-year experience. Plast Reconstr Surg 115:609, 2005
Hamra ST: Prevention and correction of the “face-lift” appearance. Facial Plast Surg 16:215–229, 2000
Headington JT: Transverse microscopic anatomy of the human scalp. Arch Dermatol 120:449–451, 1984
Matarasso A, Elkwood A, Rankin M, Elkowitz M: National plastic surgery survey: Face-lift techniques and complications. Plast Reconstr Surg 106:1185–1195, 2000
Nordström REA: Sideburn reconstruction. Plast Reconstr Surg 88:1107–1111, 1991
Nordström REA, Greco M, Vitagliano T: Correction of sideburn defects after face-lift operations. Aesth Plast Surg 24:429–439, 2000
Pitanguy I: Facial cosmetic surgery: A 30-year perspective. Plast Reconstr Surg 105:1517–1526, 2000
Pitanguy I, Brentano JMS, Salgado F, Radwanski HN, Carpeggiani R: Incisions in primary and secondary rhytidoplasties. Rev Bras Cir 85:165–176, 1995
Radwanski HN, Jaimovich CA: Case report: Reconstruction of the temporal hairline following tumor removal. Rev Soc Bras Cir Plast 18:9–16, 2003
Radwanski HN, Pitanguy I, Nunes D, Nazima F: Transplante capilar como alternativa para a correção da elevação da linha de implantação pilosa temporal após ritidoplastias (Hair transplantation as an alternative for the correction of sideburn defects after rhytidoplasty). Rev Soc Bras Cir Plast 20:167–172, 2005
Rodriguez-Camps S: Reconstruction of sideburn and temporal area after a face-lift. Aesth Plast Surg 26:181–183, 2002
The authors state that no financial support was given in the preparation of this article. They also state that there are no commercial associations that might create a conflict of interest with any information presented in this article. All the authors are in agreement with the final version of the article.
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Radwanski, H.N., Nunes, D., Nazima, F. et al. Follicular Transplantation for the Correction of Various Stigmas After Rhytidoplasty. Aesth Plast Surg 31, 62–68 (2007). https://doi.org/10.1007/s00266-006-0141-5
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DOI: https://doi.org/10.1007/s00266-006-0141-5