Predicting the Permanent Safe Donor Area for Hair Transplantation in Koreans with Male Pattern Baldness according to the Position of the Parietal Whorl

Background The most crucial factor in hair transplantation for male pattern baldness (MPB) patients is the efficient utilization of the donor-recipient ratio. However, there is no known factor that scientifically predicts the rate of progression of alopecia or indicates a permanently safe donor are...

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Main Authors: Jae Hyun Park, Young Cheon Na, Jae Seong Moh, Seung Yong Lee, Seung Hyun You
Format: Article
Language:English
Published: Thieme Medical Publishers, Inc. 2014-05-01
Series:Archives of Plastic Surgery
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2014.41.3.277
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author Jae Hyun Park
Young Cheon Na
Jae Seong Moh
Seung Yong Lee
Seung Hyun You
author_facet Jae Hyun Park
Young Cheon Na
Jae Seong Moh
Seung Yong Lee
Seung Hyun You
author_sort Jae Hyun Park
collection DOAJ
description Background The most crucial factor in hair transplantation for male pattern baldness (MPB) patients is the efficient utilization of the donor-recipient ratio. However, there is no known factor that scientifically predicts the rate of progression of alopecia or indicates a permanently safe donor area. Methods The study considered 1,008 Korean adult males with MPB; of these, it excluded 56 males with an absence of parietal whorls (PWs). The authors investigated the distance from the vertical bimeatal line (VM) to the PW, from the PW to the upper border of the helical rim (HR), and the distance from the PW to the occipital fringe (OF) in 952 subjects with a PW. Furthermore, we examined the distance from the PW to the OF considering the duration of alopecia and age in 322 subjects with vertex alopecia. Results The distance between the VM and PW varied from 1.5 to 11 cm, with an average distance of 6.25 cm. The PW-HR distance ranged from 3.4 to 17.5 cm, and the average distance was 7.79 cm. The PW-OF distance ranged from 0.5 to 5.5 cm, and the average distance was 2.37 cm. Conclusions For the PW, very large variations existed in the vertical direction. The position of the PW could predict the progression range of the total alopecia of the vertex. Alopecia mostly progresses within 6 cm of the PW toward the occipital side.
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spelling doaj.art-9fda1ef281cc469bbadc62fe3041355d2022-12-22T03:10:20ZengThieme Medical Publishers, Inc.Archives of Plastic Surgery2234-61632234-61712014-05-01410327728410.5999/aps.2014.41.3.277342Predicting the Permanent Safe Donor Area for Hair Transplantation in Koreans with Male Pattern Baldness according to the Position of the Parietal WhorlJae Hyun Park0Young Cheon Na1Jae Seong Moh2Seung Yong Lee3Seung Hyun You4Dana Plastic Surgery Clinic, Seoul, KoreaDepartment of Reconstructive and Plastic Surgery, Wonkwang University Hospital, Wonkwang University School of Medicine, Iksan, KoreaDana Plastic Surgery Clinic, Seoul, KoreaDana Plastic Surgery Clinic, Seoul, KoreaDana Plastic Surgery Clinic, Seoul, KoreaBackground The most crucial factor in hair transplantation for male pattern baldness (MPB) patients is the efficient utilization of the donor-recipient ratio. However, there is no known factor that scientifically predicts the rate of progression of alopecia or indicates a permanently safe donor area. Methods The study considered 1,008 Korean adult males with MPB; of these, it excluded 56 males with an absence of parietal whorls (PWs). The authors investigated the distance from the vertical bimeatal line (VM) to the PW, from the PW to the upper border of the helical rim (HR), and the distance from the PW to the occipital fringe (OF) in 952 subjects with a PW. Furthermore, we examined the distance from the PW to the OF considering the duration of alopecia and age in 322 subjects with vertex alopecia. Results The distance between the VM and PW varied from 1.5 to 11 cm, with an average distance of 6.25 cm. The PW-HR distance ranged from 3.4 to 17.5 cm, and the average distance was 7.79 cm. The PW-OF distance ranged from 0.5 to 5.5 cm, and the average distance was 2.37 cm. Conclusions For the PW, very large variations existed in the vertical direction. The position of the PW could predict the progression range of the total alopecia of the vertex. Alopecia mostly progresses within 6 cm of the PW toward the occipital side.http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2014.41.3.277alopeciahair follicletransplant donor sites
spellingShingle Jae Hyun Park
Young Cheon Na
Jae Seong Moh
Seung Yong Lee
Seung Hyun You
Predicting the Permanent Safe Donor Area for Hair Transplantation in Koreans with Male Pattern Baldness according to the Position of the Parietal Whorl
Archives of Plastic Surgery
alopecia
hair follicle
transplant donor sites
title Predicting the Permanent Safe Donor Area for Hair Transplantation in Koreans with Male Pattern Baldness according to the Position of the Parietal Whorl
title_full Predicting the Permanent Safe Donor Area for Hair Transplantation in Koreans with Male Pattern Baldness according to the Position of the Parietal Whorl
title_fullStr Predicting the Permanent Safe Donor Area for Hair Transplantation in Koreans with Male Pattern Baldness according to the Position of the Parietal Whorl
title_full_unstemmed Predicting the Permanent Safe Donor Area for Hair Transplantation in Koreans with Male Pattern Baldness according to the Position of the Parietal Whorl
title_short Predicting the Permanent Safe Donor Area for Hair Transplantation in Koreans with Male Pattern Baldness according to the Position of the Parietal Whorl
title_sort predicting the permanent safe donor area for hair transplantation in koreans with male pattern baldness according to the position of the parietal whorl
topic alopecia
hair follicle
transplant donor sites
url http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2014.41.3.277
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