既往移植毛发的再利用：毛囊单位提取的一种新适应症。
Recycling of Previously Transplanted Hair: A Novel Indication for Follicular Unit Extraction.
作者信息
Mohebipour Alireza, Gianfaldoni Serena, Lotti Torello, Ramirez-Fort Marigdalia K, Lange Christopher S, Sadeghi-Bazargani Homayoun, Wollina Uwe, Tchernev Georgi, Feily Amir
机构信息
Department of Dermatology, Azad University, Ardabil Branch, Islamic Azad University, Ardabil, IR Iran.
University G. Marconi of Rome, Dermatology and Venereology, Rome, Italy.
出版信息
Open Access Maced J Med Sci. 2018 Jun 17;6(6):1095-1097. doi: 10.3889/oamjms.2018.096. eCollection 2018 Jun 20.
BACKGROUND
Hair transplantation has enhanced the realm of procedural dermatology. Before the advent of follicular transplantation, androgenetic alopecia was a difficult disease to manage, as there is a limited armamentarium of topical and systemic pharmaceuticals. However, as with other novel surgical procedures, there is a steep learning curve, that may result in poor transplantation or cosmesis.
CASE REPORT
We present a case of androgenetic alopecia, where previously, poorly implanted hairs were recycled by follicular unit extraction to increase hair density at the vertex of the scalp, which resulted in improved cosmesis and patient satisfaction.
CONCLUSION
We have demonstrated that re-transplantation is not only feasible but is effective; therefore redesigning of previous transplantations should be considered as a possible indication follicle unit extraction, particularly in the setting of scarce follicular reserves. The utility of our recycling method may also inspire hope in patients that have undergone failed or unsatisfactory hair transplantations.
背景
毛发移植拓展了程序性皮肤病学的领域。在毛囊移植出现之前，雄激素性脱发是一种难以治疗的疾病，因为局部和全身用药的手段有限。然而，与其他新型外科手术一样，毛发移植存在陡峭的学习曲线，这可能导致移植效果不佳或美容效果不理想。
病例报告
我们报告一例雄激素性脱发病例，此前植入效果不佳的毛发通过毛囊单位提取进行再利用，以增加头皮顶部的头发密度，从而改善了美容效果并提高了患者满意度。
结论
我们已经证明再次移植不仅可行而且有效；因此，对于毛囊单位提取，应考虑将之前移植的重新设计作为一种可能的适应证，尤其是在毛囊储备稀少的情况下。我们的再利用方法的实用性也可能给那些毛发移植失败或效果不理想的患者带来希望。
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