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The hair
The male seborrheic hair loss is most frequent of the hair losses.
The fall of the hair generally begins on the level from the temples where she discovers the temporal gulfs and evolves gradually to the back. Sometimes the hair loss occurs initially in the occipital region (tonsure) and extends then forwards.
The fall of the hair can be early and brutal or on the contrary settles gradually in several years.
The surgeon plastics technician will take account of these various elements (topography, evolutionarity, psychological profile of the patient) to propose one or more techniques which appear effective in the correction of these hair losses.
He has indeed a whole of therapeutic potentials to discuss a final hair loss, the capillary microcomputer-implantation, or grafts hair by hair, proves to be the technique most frequently practiced and that whose results are most natural.
If the reduction appears a good complement, the technique of the scraps is more rarely used just as the tissue expansion. It is possible during an operational meeting made under local anesthesia, to correct way very an even important hair loss.
The results obtained, by their more natural aspect, explains the greatest frequency of these interventions.
The Clerc's Office of the hair
This intervention is practiced under local anesthesia. Circular or spindle-shaped grafts are taken, in the hairy occipital region, and are grafted in the hairless area. This taking away is carried out using a circular bistoury (punch) and the number of grafts will depend on the importance on the hair loss. Once the made intervention, a bandage is set up during 24 hours and has as a role to maintain and protect the grafts. Showers and shampoos are possible quickly. Pushes back hair on the level of the grafts is carried out slowly, into two or three months on average. It is often necessary to practice many operational meetings to obtain a result satisfying especially in the wide hair losses. These meetings are spaced from approximately nth. The progress made in this field makes it possible to carry out according to the cases of the mini grafts, even of the grafts, which gives the most natural results.
The reduction
The purpose of this technique is to decrease the surface of the area and allows of this fact of reducing the number of grafts necessary to obtaining a satisfactory hedging. Realized most often under local anesthesia, the reduction is very useful in the processing of wide male baldnesses but also in the cicatricial and post-traumatic hair losses. It is possible to practice two, even three approximately two months reductions separated. The drawing of the will depend on the topography of the hair loss. These interventions, which each time make it possible to withdraw an hairless surface of skin of approximately three centimetres broad on twelve to fifteen centimetres length, reduce of this fact the number of grafts necessary and constitute a useful and effective complementary therapy of baldness.
Scalp scraps
The principle of this intervention is to take a scalp scrap and to transport it towards the hairless area. This technique has the advantage of bringing a tissue structure to strong density of hair, immediately visible because there is no rupture of the pilar cycle and to restore a natural aspect of the hairy implantation. The drawing of the scrap used depends on the topography of the hair loss and surface on the area to be covered. According to the cases, this intervention can be realized in one, two or three operational times. According to the cases also, one or two scraps can be necessary. These interventions are generally carried out under local anesthesia.
Technique of the tissue expansion
The principle of this technique is to distend the hairy area beforehand, to increase by this fact its surface, to then enable him to cover a area.
Two operational times necessary, are generally carried out under general anesthesia. During the first intervention, the tissue operative paragraph of expansion is placed under the hairy area.
Meetings of filling take place then, on average every ten days.
When the distension obtained is considered to be sufficient (four to six week later) the second time operational is practiced and the distended hairy area, because of its more large surface, comes to cover the area.
This intervention is especially used for the cicatricial hair losses and its disadvantage is to induce during the treatment duration a deformation related to its volume.
This technique is also used for certain seborrheic baldnesses and can facilitate the technique of the conventional scraps.
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