title: 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.affiliation: *Departments of Experimental Medical and Surgical Sciences and Odontostomatology †Plastic Surgery ‡Human Pathology, University of Messina, Italy.
authors.forename: Flavia
authors.initials: F
authors.lastname: Lupo
authors.forename: Maria Concetta
authors.initials: MC
authors.lastname: Scarcella
authors.forename: Valeria
authors.initials: V
authors.lastname: Barresi
authors.forename: Francesco Stagno
authors.initials: FS
authors.lastname: d'Alcontres
authors.forename: Michele Rosario
authors.initials: MR
authors.lastname: Colonna
authors.forename: Gabriele
authors.initials: G
authors.lastname: Delia
mesh_terms: D006197:Hair; D006801:Humans; D008297:Male; D019736:Prostheses and Implants; D019651:Plastic Surgery Procedures / Q000379:methods; D012535:Scalp / Q000601:surgery*; D016038:Skin Transplantation / Q000379:methods*; D017695:Soft Tissue Injuries / Q000601:surgery*; D013524:Surgical Flaps; D055815:Young Adult