Blanchard G, Blanchard B
J Natl Med Assoc. 1977 Sep;69(9):639-41.
A new concept and technique of treatment of male-pattern alopecia are described. The concept is to remove, in serial stages, segments of skin that measure about 3 cm by 7 to 10 cm from the bald area of an alopecic scalp, and to raise the remaining hairy portion into the previously bald area.The technique consists of undermining the skin in the normal plane of cleavage between the galea and the sub-aponeurotic loose connective tissue after each removal of bald skin and "lifting" of hairy skin into the operative defects as they are obliterated by primary closure. By this method, which we call hair-lifting, the patient benefits also from an associated partial face-lift. Whatever remains of baldness after as much hair-lifting as feasible has been performed, is filled with "punch" grafts or free or pedicled strips. Each stage of the procedure is done under local anesthesia. The entire procedure is particularly suitable for tonsure baldness in men and even in the skull-cap type of androgenic alopecia in women.
本文描述了一种治疗男性型脱发的新概念和新技术。该概念是分阶段从秃发头皮的秃发区域切除约3厘米×7至10厘米的皮肤段，并将剩余的有毛部分提升到先前的秃发区域。该技术包括在每次切除秃发皮肤后，在帽状腱膜和腱膜下疏松结缔组织之间的正常解剖平面分离皮肤，并在通过一期缝合消除手术缺损时，将有毛皮肤“提升”到手术缺损处。通过这种我们称为毛发提升的方法，患者还能从相关的部分面部提升中受益。在尽可能多地进行毛发提升后，剩余的秃发区域用“打孔”移植或游离或带蒂皮条填充。该手术的每个阶段均在局部麻醉下进行。整个手术特别适用于男性的圆形秃发，甚至适用于女性的头顶型雄激素性脱发。
