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Slot Correction by the Frechet Flaps in Hair Restoration Surgery  

Shim, Jae Sun (Department of Plastic Surgery, Korea University College of Medicine)
Yoon, Eul Sik (Department of Plastic Surgery, Korea University College of Medicine)
Kim, Deok Woo (Department of Plastic Surgery, Korea University College of Medicine)
Dhong, Eun Sang (Department of Plastic Surgery, Korea University College of Medicine)
Yoo, Sang Chul (Department of Plastic Surgery, Korea University College of Medicine)
Publication Information
Archives of Plastic Surgery / v.34, no.3, 2007 , pp. 342-345 More about this Journal
Abstract
Purpose: A common side effect of the scalp reduction is a creation of a 'slot' with the hair growing in the opposite directions away from the scar. Overcoming the unnatural appearance of the slot has been a vexing problem in the scalp reduction surgery. None of the conventional corrective surgical techniques provides a complete and satisfactory aesthetic result. The Frechet flap is a triple transposition flap used for the correction of the slot defect secondary to scalp reduction surgery, seldom needing further scar revision. The Frechet technique provides a solution to the problem of the central slot concealment that is unattainable by other means, such as; Z-plasty and mini-graft. Methods: Authors applied the Frechet technique to Asian patients who had undergone scalp reduction and operated on 4 patients from March, 2000 to January, 2001. Average follow-up period was 13 months. Patients with long scars passing through the temporoparietoccipital zone were excluded. All the undermining was performed in the subgaleal plane, reaching the upper auricular sulcus and stopping just above the nuchal ridge. Results: None of the patients experienced infection, hematoma, nor any permanent hair loss. Transient telogen effluvium at the distal end of flap 2 and 3 was noticeable in one case. Conclusion: In conclusion, the results are aesthetically satisfactory without any significant complications.
Keywords
Frechet flap; Slot;
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  • Reference
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