Lian Chao, Liu Xiao-Jun, Zhang Xuan-Fen
Department of Plastic Surgery, The Second Hospital and Clinical Medical School, Lanzhou University, Lanzhou, Gansu.
Department of Plastic and Aesthetic Surgery, Nanfang Hospital of Southern Medical University, Guangzhou, Guangdong, China.
J Craniofac Surg. 2025 Sep 1;36(6):e775-e776. doi: 10.1097/SCS.0000000000011678. Epub 2025 Jul 11.
Hair growth within the paramedian forehead flap remains a persistent challenge in total nasal reconstruction, often compromising esthetic outcomes and patient satisfaction. Conventional hair removal methods, such as electrolysis and laser therapy, are limited by inconsistent efficacy, procedural discomfort, and reduced effectiveness in certain skin and hair types. In this case report, the authors describe the use of preoperative follicular unit extraction (FUE) as a precise and minimally invasive approach for hair removal before flap transfer. A 24-year-old woman with a congenital melanocytic nevus involving the forehead, cheek, and nose underwent 2 sessions of FUE before nasal reconstruction using an expanded paramedian forehead flap. The procedure achieved complete hair clearance with minimal scarring and no regrowth at 1-year follow-up. This approach demonstrates the potential of FUE to enhance surgical planning, improve esthetic outcomes, and streamline postoperative care in nasal reconstruction.
在全鼻再造术中，正中旁前额皮瓣内的毛发生长仍然是一个持续存在的挑战，常常影响美观效果和患者满意度。传统的脱毛方法，如电解法和激光疗法，存在疗效不一致、操作不适以及对某些皮肤和毛发类型效果不佳等局限性。在本病例报告中，作者描述了术前毛囊单位提取（FUE）作为皮瓣转移前精确且微创的脱毛方法的应用。一名患有累及前额、脸颊和鼻子的先天性黑素细胞痣的24岁女性，在使用扩张的正中旁前额皮瓣进行鼻再造术前接受了2次FUE治疗。该手术实现了完全脱毛，瘢痕最小，在1年的随访中无毛发再生。这种方法显示了FUE在改善鼻再造手术规划、提升美观效果和简化术后护理方面的潜力。
