Anatomical and aesthetical reconstruction of complex hair-bearing areas: a three-step procedure including implant of dermal regeneration templates, skin grafting, and hair micrografting.

Abstract

Reconstructive surgery of complex hair-bearing skin defects often represents a challenge for the plastic surgeon; indeed, a multistage procedure is to be planned, including a first reconstructive step including local flaps, even if pre-expanded, or for larger defects, microsurgical flaps. To date, the implant of dermal regeneration templates has been proven an effective alternative. The authors relate their results of a complex hair-bearing reconstruction of a scalp and brow defect after a friction road burn with those reported in literature, concluding that a 3-staged reconstruction (dermal template implantation, skin grafting, and finally hair micrografting) can achieve good results in this complex kind of reconstruction. Histological specimens taken 2 years later confirmed a full anatomical reconstruction of the hair-bearing areas. Finally, this paper reports the first case of brow reconstruction performed with these techniques.

• Authors: Flavia Lupo, Maria Concetta Scarcella, Valeria Barresi, Francesco Stagno d'Alcontres, Michele Rosario Colonna, Gabriele Delia
• Journal: The Journal of craniofacial surgery (J Craniofac Surg) Vol. 26 Issue 3 Pg. 719-21 (May 2015) ISSN: 1536-3732 [Electronic] United States
• PMID: 25974778 (Publication Type: Case Reports, Journal Article)

Topics

• Hair
• Humans
• Male
• Prostheses and Implants
• Plastic Surgery Procedures (methods)
• Scalp (surgery)
• Skin Transplantation (methods)
• Soft Tissue Injuries (surgery)
• Surgical Flaps
• Young Adult