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KMID : 0358819810080020419
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Journal of Korean Society of Plastic and Reconstructive Surgeons
1981 Volume.8 No. 2 p.419 ~ p.426
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RESTORATION OF ANTERIOR HAIRLINE & EYEBROW
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Yang Soon-Jae
Kim Yong-Bae
Park Chong-Sup
Bang Yoo-Hyun
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Abstract
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Loss of anterior hair-bearing scalp with obliteration of the hairline and loss of eyebrows are common in facial burns. The resulting esthetic deformity is obvious and of great psychological import to the patient.
The area of loss is often large in this region. Small free "hair transplants" are inadequate because of poor vascularity of the recipient site, which leads to loss of many of the grafts. Further, the final appearance after multiple grafts of this type is often sparse and stubbly.
For restoration of the hairline, especially when the area is large, authers are using the "Bilateral Large Scalp Flaps" modified to bipedicle "Visor" sclap flap and single-stage of arterialized scalp flaps.
Loss of portion of the eyebrows may occur with facial burn injury. Total loss of the eyebrows is uncommon, but when this happens it results in an obvious esthetic defect that is difficult to camouflage with only surface cosmetics. The use of such cosmetics may be particularly disturbing for male patients.
When the temporal scalp and underlying superficial temporal artery are present, total eyebrow replacement is possible using an island pedicle flap of scalp.
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