Stough D B, Cates J A, Dean A J
Ann Plast Surg. 1982 Apr;8(4):287-95. doi: 10.1097/00000637-198204000-00005.
Corrective surgery for baldness now includes scalp reduction, hair-bearing flaps, and punch autografts. When baldness is mild to extreme in the vertex or anterior vertex, scalp reduction is usually indicated. By reducing the bald area of patient with extreme alopecia, a dense back-ground of hair is provided for implants in both the anterior vertex and frontal regions. Hair-bearing flaps are recommended for those with a marginal outline pattern of excessive baldness and for those with very fine, sparse hair who wish to attain strong and dense frontal growth. Using these advancements results in immediate or "instant" hair. All available adjuncts should be considered for adequate coverage and a natural appearance in the extremely bald patient.
目前，秃发矫正手术包括头皮缩减术、带毛发皮瓣移植术和打孔自体移植术。当头顶或前额顶部的秃发程度为轻度至重度时，通常建议采用头皮缩减术。通过减少极度脱发患者的秃发区域，可为前额顶部和额部区域的植入物提供浓密的毛发背景。对于那些秃发边缘轮廓明显的患者以及那些头发非常细软、稀疏但希望在前额获得浓密头发的患者，建议采用带毛发皮瓣移植术。利用这些先进技术可实现即时或“瞬间”生发。对于极度秃发的患者，应考虑使用所有可用的辅助手段，以实现足够的覆盖并呈现自然外观。
