eMedicine Specialties > Plastic Surgery > Hair

Hair Replacement Surgery, Hair Transplantation: Workup

Author: Jorge I de la Torre, MD, FACS, Professor of Surgery and Physical Medicine and Rehabilitation, Residency Program Director, Division of Plastic Surgery, University of Alabama at Birmingham; Director, Center for Advanced Surgical Aesthetics
Coauthor(s): Gary D Monheit, MD, Associate Professor, Department of Dermatology, University of Alabama at Birmingham
Contributor Information and Disclosures

Updated: Jun 2, 2009

Workup

Laboratory Studies

  • Preoperative evaluation includes a complete history and physical examination. Appropriate lab studies should be obtained for a patient undergoing a procedure with local anesthesia. Specific areas of concern include bleeding, dysesthesias, smoking, or medical diseases that may be problematic before or after surgery. This includes hypertension, coronary artery disease, hepatorenal disease, or any condition that impairs healing or hair growth.

Staging

Staging alopecia into both pattern and degree of severity can be accomplished through the Hamilton classification. Patients with Hamilton patterns I and II have very early limited alopecia requiring minimal treatment if accepted as candidates. Conversely, patients with patterns VI and VII may no longer be candidates for the surgery since their alopecia is so extensive. The very best candidates fall into patterns IV to V, which produce the best, most natural results.

Hamilton classification of common types of male p...

Hamilton classification of common types of male pattern baldness.

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Hamilton classification of common types of male p...

Hamilton classification of common types of male pattern baldness.

More on Hair Replacement Surgery, Hair Transplantation

Overview: Hair Replacement Surgery, Hair Transplantation
Workup: Hair Replacement Surgery, Hair Transplantation
Treatment: Hair Replacement Surgery, Hair Transplantation
Follow-up: Hair Replacement Surgery, Hair Transplantation
Multimedia: Hair Replacement Surgery, Hair Transplantation
References
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References

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  4. Unger W, Nordstrom, Rolf EA. Hair Transplantation. 2nd ed. New York: Marcel Dekker, Inc; 1988.

  5. Alt TH. Scalp reduction as an adjunct to hair transplantation. Review of relevant literature and presentation of an improved technique. J Dermatol Surg Oncol. Dec 1980;6(12):1011-8. [Medline].

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  8. Brandy D. The exclusive use of mini-micrografting. American Journal of Cosmetic Surgery. 1993;10:111-115.

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Further Reading

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Keywords

hair replacement surgery, hair transplant, hair transplantation, micrograft, minigraft, alopecia, hair growth, male pattern baldness, baldness, androgenic alopecia, male pattern alopecia, cicatricial alopecia, traumatic alopecia, traction alopecia

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Contributor Information and Disclosures

Author

Jorge I de la Torre, MD, FACS, Professor of Surgery and Physical Medicine and Rehabilitation, Residency Program Director, Division of Plastic Surgery, University of Alabama at Birmingham; Director, Center for Advanced Surgical Aesthetics
Jorge I de la Torre, MD, FACS is a member of the following medical societies: American Association of Plastic Surgeons, American Burn Association, American College of Surgeons, American Medical Association, American Society for Laser Medicine and Surgery, American Society for Reconstructive Microsurgery, American Society of Maxillofacial Surgeons, American Society of Plastic Surgeons, Association for Academic Surgery, and Medical Association of the State of Alabama
Disclosure: Nothing to disclose.

Coauthor(s)

Gary D Monheit, MD, Associate Professor, Department of Dermatology, University of Alabama at Birmingham
Gary D Monheit, MD is a member of the following medical societies: American Academy of Cosmetic Surgery, American Academy of Dermatology, American Academy of Facial Plastic and Reconstructive Surgery, American College of Mohs Micrographic Surgery and Cutaneous Oncology, American Medical Association, American Society for Dermatologic Surgery, and International Society for Dermatologic Surgery
Disclosure: Nothing to disclose.

Medical Editor

Joseph A Molnar, MD, PhD, FACS, Associate Professor of Plastic and Reconstructive Surgery, Associate Director, Burn Unit, Wake Forest University School of Medicine
Joseph A Molnar, MD, PhD, FACS is a member of the following medical societies: American Association of Plastic Surgeons, American Burn Association, American College of Surgeons, American Medical Association, American Society for Parenteral and Enteral Nutrition, American Society of Plastic Surgeons, North Carolina Medical Society, Peripheral Nerve Society, and Wound Healing Society
Disclosure: KCI, Inc.  Honoraria Speaking and teaching; Integra Life Sciences Honoraria Speaking and teaching; Clincal Cell Culture Grant/research funds Co-investigator; KCI, Inc Wake Forest University receives royalties Other

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: Nothing to disclose.

Managing Editor

Mark E Krugman, MD, Assistant Professor of Plastic Surgery and Clinical Professor of Otolaryngology-Head and Neck Surgery, University of California at Irvine School of Medicine
Mark E Krugman, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Facial Plastic and Reconstructive Surgery, American College of Surgeons, American Society for Aesthetic Plastic Surgery, American Society for Laser Medicine and Surgery, and American Society of Plastic and Reconstructive Surgery
Disclosure: Nothing to disclose.

CME Editor

Nicolas (Nick) G Slenkovich, MD, Director, Colorado Plastic Surgery Center
Nicolas (Nick) G Slenkovich, MD is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery, American College of Surgeons, American Medical Association, American Society of Aesthetic Plastic Surgery, American Society of Plastic Surgeons, and Colorado Medical Society
Disclosure: Nothing to disclose.

Chief Editor

Al Aly, MD, FACS, Consulting Surgeon, Iowa City Plastic Surgery
Disclosure: Ethicon  Consulting fee Consulting; QMP Royalty Book royalty; Insorb Stapler Consulting fee Consulting; Insorb Stapler Ownership interest None; Medicis Intellectual property rights None

 
 
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