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Scalp Expansion Surgery
Procedure with Illustrate
After Scalp Expansion Surgery
Scalp Expansion Surgery Advantages
Scalp Expansion Surgery
Side effects
Costs
of Scalp Expansion Surgery
Balloon-like devices (tissue expanders) are implanted under the hair-bearing sides and back of the scalp. These are gradually inflated over a four to twelve week period. This results in a great amount of loose hair-bearing tissue, allowing for massive scalp reductions or flap procedures. This technique works wonders in reconstructive scallp situations where there are large areas of hair loss from injury, tumors and burns.
Scalp Expansion Surgery
Procedure
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1. Expanders
fully inflated before removal and
definitive surgical procedure.
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After Scalp Expansion Surgery
After scalp expanison surgery, you will have
prescriptions for antibiotics to prevent infection
and pain pills to control discomfort. Many patients
do fine with acetaminophen (Tylenol) after surgery
and do not require stronger medication.
You will probably have a gauze dressing on overnight
to maintain pressure, minimize swelling, and absorb
any drainage. It is normal to see a few drops of
blood on the gauze. If you notice more than a few
drops, or if the area of blood is increasing, call
your doctor right away. The dressing usually is
removed after 1 or 2 days, and sutures come out
after 7 to 10 days.
Your hair expansion surgery may allow you to wash
your hair after a few days. At this point, most
peole return to work, if they haven't already. If
desired, follicular unit grafts (grafts of 1 to 4
hairs) can be placed along the flap edge for a more
natural appearance or to camouflage scars 6 weeks
after your surgery.
Scalp Expansion Surgery
Advantages
50% increase in the amount of bald scalp removed in scalp reduction
fewer procedures are needed to accomplish a final result
reduced "stretchback" of scalp skin and subsequent scarring
reduced postoperative hair loss
early development of postoperative scalp laxity
Scalp Expansion Surgery
Side effects
mild to severe pain during the first 24 hours after the scalp-expanding device is implanted
occasional bruising or edema in scalp over the implanted device
reduction in the number of donor grafts that can be harvested per session later for "fill-in"
hair transplantation should this be needed to achieve the desired hair restoration goal
postoperative scarring at the site where hair-bearing scalp is sutured together - most difficult to revise when the scar is a so-called "slot defect" the forms at the site where two previously non-adjacent scalp areas are now joined by suturing
postoperative drainage and delayed wound healing for up to several weeks
rarely, infection in the tissue around the implanted device
Costs
of Scalp Expansion Surgery
Scalp
expansion surgery can cost $5,000 to $10,000 or
more.
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