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Abstract #35



2012-02-06

Presenter:

Affidavit:
The majority of the submitted research above is a direct contribution of the presenting resident as well as the preparation of the abstract, manuscript, and presentations.

Director Name: Arun Gosain

How does this presentation meet the established conference educational objectives?
The submitted research addresses a novel approach for measuring and identifying potential factors in female alopecia.

How will your presentation be used by practicing physicians in the audience?
Physicians will be available to advise patients on potential exacerbating factors of female alopecia as well potentially avoid certain factors that may worsen follicular transplant outcomes.

Background: Alopecia can be a significant aesthetic concern associated with psychological morbidity across genders. The aim of the current study is to objectively demonstrate that in the hands of a practiced surgeon, the pre-trichial incision is not associated with post-surgical alopecia and may even have a beneficial, cosmetic effect on the female hair line.
Methods: This was a retrospective review from 1994 -2009 of 23 brow-lift patients (16 endoscopic and 7 open) with adequate "early" (within 1 year) and "late" (average of 8 years) post-operative photographs. 7 additional, age-matched cosmetic surgery patients were included as a control. Hair loss measurements were made using the Mirror program for Windows by averaging 2 successive perpendicular distances from the medial canthus to the hairline from both the left and right canthus and dividing by the inter-canthal distance. These values were used to assess the relative hair loss amongst these three groups
Results: There were no significant differences between groups in regards to age, medical history, or medications. Hair loss measurements demonstrated statistically significant less hair loss in the "endoscopic" (-122.14 pixels; p = 0.009 ) and "open" (-156.82 pixels; p = 0.042) forehead lift groups when compared to the control group (+117.16). The difference in hair loss measurements between the "endoscopic" and "open" forehead lift was not statistically significant (p = 0.619).
Conclusions: Both the open/pre-trichial incision and endoscopic techniques demonstrated a statistically significant decrease in objective hair loss measures over time when compared to age-matched controls.

Author Contact Information:
James Gatherwright
Department of Plastic Surgery, University Hospitals
11100 Euclid Ave
Cleveland, OH
44106

408-510-9404
408-510-9404 (cell)

Ohio,Pennsylvania,West Virginia,Indiana,Kentucky,Pennsylvania American Society of Plastic Surgeons

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