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微色素沉着作为头皮整形手术的辅助手段。

Micropigmentation as an adjuvant in cosmetic surgery of the scalp.

作者信息

Traquina A C

机构信息

Hair Transplantation Clinic of Sacramento, Sacramento, California, USA.

出版信息

Dermatol Surg. 2001 Feb;27(2):123-8.

PMID:11207683
Abstract

BACKGROUND

Unsightly scalp scars, refractory to surgical revision, can pose a difficult therapeutic problem. Application of cosmetics for camouflage is time consuming, repetitive, expensive, and seldom satisfactory. Treatment of scalp scars with micropigmentation has never been reported.

OBJECTIVE

To show that iron oxide micropigmentation of scalp scars is simple, safe, and effective.

METHODS

A commercially available micropigmentation system, sterile needle assemblies, and appropriately colored iron oxide pigments were used in all procedures. Due to the varying textures of scalp scars, greater force was required in some areas to achieve proper needle penetration. Once the scar area was pigmented, the surrounding scalp was also pigmented to obtain a "feathering" effect.

RESULTS

The cosmetic improvement after micropigmentation was always dramatic and all patients were pleased with the results. About 22% of the patients requested a touch-up of the micropigmentation to reinforce the residual pigment. Frontal edema was the only complication and was seen in one patient.

CONCLUSION

Micropigmentation of the scalp is a safe and effective technique for camouflaging scalp scars.

摘要

背景

难看的头皮瘢痕难以通过手术修复,会带来棘手的治疗难题。使用化妆品进行遮盖耗时、重复、昂贵且效果往往不尽人意。头皮瘢痕的微色素沉着治疗此前从未有过报道。

目的

证明头皮瘢痕的氧化铁微色素沉着简单、安全且有效。

方法

所有操作均使用市售微色素沉着系统、无菌针头组件及颜色适配的氧化铁颜料。由于头皮瘢痕质地各异,部分区域需要更大力度才能使针头顺利刺入。瘢痕区域着色后,对周围头皮也进行着色以获得“羽化”效果。

结果

微色素沉着后的外观改善效果显著,所有患者对结果都很满意。约22%的患者要求对微色素沉着进行补色以强化残留色素。仅1例患者出现前额水肿这一并发症。

结论

头皮微色素沉着是一种用于遮盖头皮瘢痕的安全有效技术。

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