OFFICIAL ABSTRACT FORM
18th Annual Scientific Meeting
Boston
October 20-24, 2010
Abstracts must be received in the appropriate format in order to be considered. Type using single spacing. The abstract must be included in the space below, including diagrams.
Title: The Bouhanna long hair transplantation technique
Author(s): Pierre Bouhanna M.D. Paris, France
Center sabouraud, Saint-Louis Hospital, Paris, France
Abstract 1
Twenty years ago, the technique of long hair grafting we have described and published in 1989 has been set out thanks to a logical approach supported by repetitive observations and the discovery of new surgical techniques. Our intent was to take advantage of minoxidil's efficiency on grafts in order to set up a technique using long hair grafts. This hair transplant procedure consists of grafts being transplanted with long hairs thus allowing an instant result. A 2% topical minoxidil solution applied before and after surgery, helps to avoid in most of the cases, the post operative hair effluvium. Combining this local treatment and grafts with long hairs, the author describes a methodology to achieve an immediate reconstruction of baldness. Aesthetic results can be optimized with a combination of drugs (5% Minoxidil –
Finasteride) and transplantation of follicular unit grafts.
The long hair graft technique aim towards the restoration of an esthetic natural look of hairs, due to:
1- A fine implantation on the balding area with surgical needles and jewellery forceps allowing the good choice of hair emergence angle, hair orientation and obliquity.
2- The performance of a fine and irregular "one-by-one" frontal hair line
3- A good implantation of 2000 to 4000 hairs in each session.
4- A homogeneous distribution of many more micrografts and follicular units grafts
Indications of long hair grafts:
- In male and female androgenetic alopecia,
- For transsexuals,
- Permanent traction alopecia,
- Scars due to face lifting, scars of scalp, beard, moustache and eyebrows,
Abstract 2
Introduction – Advances in current treatments with hair micrografts allow a surgical therapy fitted to the correction of beard and moustache alopecia.
Objective – Follicular units or micrografts with the FUE or FUS procedures are a mere technical progress. These methods create a definitive hair restoration in an easy and painless way. It provides the individual with hairs emerging from a single orifice in a group of 1 to 2 hairs. Long hair micrograft or long hair follicular unit technique allows artistic achievement of transplantation as we know exactly the orientation and the obliquity of transplanted hair.
Results – Days after surgery the scabs are hidden by the long hair.
References:
Bouhanna P. Perez-pala G. Microinjerto de cabellos y de vellos: sus multiples indicaciones. Med Cutan Iber Lat Am 2005; 33: 35-40.
Bouhanna P. Newer techniques in hair replacement. In Roenigk R.K, Roenigk H : Surgical Dermatology. Advances in current practice. Londres, Martin Dunitz Publishers, 1993, 51 : 527-553.
Pubic hair alopecia.
1- Bouhanna P. Topical minoxidil used before and after hair transplantation. J. Dermatol Surg Oncol, 1989; 15(1): 50-53.
2- Bouhanna P. Greffes à cheveux longs immédiats- Grafts with immediate long hair. Nouv Dermatol, 1989 ; 8(4) : 418-420.
3- Bouhanna P. Androgenetic alopecia: combining medical and surgical treatments. Dermatol Surg, 2003; 29: 1130-1134.
Abstract 3
Introduction – various classifications of male androgenetic alopecia have been described (Hamilton, Ludwig). In fact, all the classification schemes proposed so far are only topographic. A more objective, accurate and detailed approach to classify male and female baldness is needed.
Objective – Ten years ago we have developed a Dynamic Multifactorial Classification with various parameters that can be quantitated and computerized.
It needs to do a precise evaluation of the parameters such as fixed distances of the face, measurements of the balding area and the hairy area, scalp laxity and thickness, and covering power of hair. This includes density, caliber, shape, length, growth rate, and hair color.
Results – classification proved to be efficient during the fluctuations of various parameters in hormonal, finasteride and minoxidil treatments. It also helps to determine immediate surgical indications of hair transplant and the stage of maximal baldness, to a better assessment of the baldness evolution during the patient's life.
Conclusion – This approach will lead to a better evaluation of the evolution of androgenetic alopecia in both sexes, either spontaneously or under treatment. It can also be used in the evaluation of any form of cicatricial alopecia (localized or diffused), leading to an objective follow-up of the alopecia and the efficacy of the medical or surgical treatment.
Reference:
- Bouhanna P. Multifactorial clasification of male and female androgenetic alopecia. Dermatol. Surg., 2000; 26: 555-561.
Abstract 4
If the excision of the strip is strictly parallel to the bulb and if closing the edges of the donor wound is done with care, attention, without any tension we usually end up a fine linear scar 1 mm width or less.
Actually short hair fashions need to produce scars as invisible as possible. Trichophytic donor closure is a simple way of improving our donor scars.
It is a procedure borrowed from the subepidermic technique for frontal transposition flap of Nataf that I have described in 1976 in my thesis and published in 1984 (figure).
I will develop the pro and cons of the trichophytic closure for using strip donor harvesting.
Reference :
- Bouhanna P. The postauricular vertical Hair-Bearing transposition Flap. J. Dermatol Surg. Oncol. 1984, 10: 7, 551-554.
| < Prev | Next > |
|---|
