Hong C K, Choi H G
Department of Dermatology, College of Medicine, Chung Ang University, Seoul, Korea.
Dermatol Surg. 1999 Jun;25(6):475-9. doi: 10.1046/j.1524-4725.1999.09002.x.
Hypotrichosis of the pubis is not an uncommon condition, especially in oriental women. Besides the aesthetic problem, this condition may cause low self-esteem, social embarrassment, and psychologic problems to patients. There have been many efforts to correct this condition medically and surgically for decades. Among them hair restoration surgery is thought to be the only definitive therapeutic modality at present.
Our purpose was to show the importance of preoperative evaluation of what type of pubic hair patterns the patients may seek and thereafter to make a design based on the patients' desire and physiologic feature of pubic hair for the natural-appearing results and satisfaction of the patients.
Ten female patients were enrolled in this study aged between 23 and 48 years with pubic hair maturity index class I-III. For selection of a patients' favored pubic hair pattern, we provided photograph samples of pubic hair patterns that consisted of four types as previously documented: horizontal, sagittal, acuminate, and disperse. We restored hairless mons using a conventional one- to three-haired mini-micrograft technique.
Five patients belonged to the pubic hair maturity index class I, four to class II, and one to class III. Seven of 10 patients wanted a horizontal (inverted triangular) type, which is most commonly seen in young females, 2 patients wanted acuminate, and 1 wanted sagittal. Eight patients underwent a single-session operation, while two others underwent operations twice. The two patients requiring two operation sessions belonged to a group of class I pubic hair and desired acuminate-type hair. Most patients were satisfied with the results of their operations.
In designing a pubic hair graft, it is important to know the patients' desire and to make a design based on it for the satisfaction of the patients and for natural-appearing results. Before the procedure, dermatologic surgeons should have to consider a grafted hair line, the distribution, density, and directions of the hair shaft, and the angling of the hair to the skin.
耻骨部毛发稀少并非罕见病症，尤其在东方女性中。除了美观问题，这种情况可能会给患者带来自卑、社交尴尬及心理问题。几十年来，人们在医学和外科方面为矫正此状况付出了诸多努力。其中，毛发移植手术被认为是目前唯一的确定性治疗方式。
我们的目的是展示术前评估患者可能期望的耻骨毛发类型的重要性，并在此基础上根据患者的需求和耻骨毛发的生理特征进行设计，以获得自然的效果并让患者满意。
本研究纳入了10名年龄在23至48岁之间、耻骨毛发成熟指数为I - III级的女性患者。为了选择患者喜爱的耻骨毛发类型，我们提供了先前记录的四种类型的耻骨毛发图案照片样本：水平型、矢状型、尖型和分散型。我们使用传统的单根至三根毛发的微型移植技术修复无毛的阴阜。
5名患者属于耻骨毛发成熟指数I级，4名属于II级，1名属于III级。10名患者中有7名想要水平（倒三角形）类型，这在年轻女性中最为常见，2名患者想要尖型，1名想要矢状型。8名患者接受了单次手术，另外两名患者接受了两次手术。需要进行两次手术的两名患者属于I级耻骨毛发组，想要尖型毛发。大多数患者对手术结果满意。
在设计耻骨毛发移植时，了解患者的需求并据此进行设计对于让患者满意和获得自然的效果非常重要。在手术前，皮肤科医生应考虑移植毛发的发际线、毛干的分布、密度和方向以及毛发与皮肤的角度。
