With a unique emphasis on the ways in which hair restoration surgery can serve as a useful adjunct to their practice, Dr. Carlos K. Wesley has been invited to deliver a Grand Rounds lecture to the University of Colorado Department of Dermatology.  In addition to sharing with his colleagues current approaches to achieving the most natural appearance, Dr. Wesley’s lecture is to highlight corrective strategies in both male and female patients who have undergone facelifts, wide-margin excisions of skin cancers, and notable skin trauma to hair-bearing areas of the body.

Corrective strategies can be viewed in the slides below and include: transplanting at low density in areas of compromised blood supply (e.g. scar tissue, skin flaps, and skin grafts).  Strategies also include covering a large defect with either a skin graft or flap and transplanting hair follicles using a design to re-established a normal pattern of hair loss (as seen in the brief video clip here).

The lecture will provide a foundation for physicians who are not otherwise familiar with the field of hair transplant surgery.  In addition, it will provide insights and anecdotes regarding the use of hair transplantation coupled with full-thickness skin grafts and pedicled flaps.  Pedicled flaps are skin flaps that have an edge left attached to the donor site so that they retain their own blood supply when transposed (moved) to cover a new area (this is commonly used in breast reconstructive surgery).  In these scenarios, blood supply is often the limiting factor related to the ultimate success of the surgery.  Therefore, Dr. Wesley will describe methods to maximize hair follicle survival after transplantation.  In addition to minimizing trauma by lowering the density and the depth of incisions during transplantation, use of platelet-rich plasma (PRP) has shown some promise in retaining good survival of transplanted hair follicles.

Just as members of the Hair Transplant Network have collectively helped lift the stigma of “hair plugs” through their candid postings and testimonials, this lecture will serve as just one of the many information sessions to raise awareness amongst fellow physicians regarding the utility and advancement of the hair restoration surgical field as a whole.

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David (TakingThePlunge)
Editorial Assistant and Forum Co-Moderator for the Hair Transplant Network, the Coalition Hair Loss Learning Center, and the Hair Loss Q & A Blog.
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David aka - TakingthePlunge

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