Clinical applications of temporoparietal hair-bearing flaps for male pattern baldness and mustache formation.

This article demonstrates some variations and clinical applications of pedicled, vascularized, hair-bearing temporoparietal flaps. The most important advantages are that the baldness can be repaired in one operation, there is no loss of scalp skin, the procedure can be done under local anesthesia, and it is not necessary to hospitalize the patient or to give a blood transfusion due to the use of a cephalic tourniquet. We also use the temporoparietal flap for mustache formation in cases in which we have to camouflage a scarred upper lip as a result of bilateral cleft lip sequelae, trauma, or cancer. Island hair-bearing flaps are transferred from the scalp to the upper lip through a hemirhytidoplasty incision.