Advances and Challenges in Hair Restoration of Curly Afrocentric Hair

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Advances and Challenges in Hair Restoration of Curly Afrocentric Hair Nicole E. Rogers, MD, Valerie D. Callender, MD Dermatologic Clinics Volume 32, Issue 2, Pages 163-171 (April 2014) DOI: 10.1016/j.det.2013.12.004 Copyright © 2014 Elsevier Inc. Terms and Conditions

Fig. 1 Two sisters with early and late forms of scarring hair loss in the vertex area, shown on biopsy to be CCCA. Dermatologic Clinics 2014 32, 163-171DOI: (10.1016/j.det.2013.12.004) Copyright © 2014 Elsevier Inc. Terms and Conditions

Fig. 2 Dermatoscopic exam: before (A) and after (B) medical therapy for CCCA. Dermatologic Clinics 2014 32, 163-171DOI: (10.1016/j.det.2013.12.004) Copyright © 2014 Elsevier Inc. Terms and Conditions

Fig. 3 Female patient with CCCA, immediately after placement of 10 test punch grafts. Dermatologic Clinics 2014 32, 163-171DOI: (10.1016/j.det.2013.12.004) Copyright © 2014 Elsevier Inc. Terms and Conditions

Fig. 4 Female patient with TA, after placement of 25 test follicular units of 1 to 4 hairs. Dermatologic Clinics 2014 32, 163-171DOI: (10.1016/j.det.2013.12.004) Copyright © 2014 Elsevier Inc. Terms and Conditions

Fig. 5 Anesthetic drawn up and properly labeled in advance for hair transplantation. Dermatologic Clinics 2014 32, 163-171DOI: (10.1016/j.det.2013.12.004) Copyright © 2014 Elsevier Inc. Terms and Conditions

Fig. 6 Curly Afrocentric hair on a tongue blade from side view. Dermatologic Clinics 2014 32, 163-171DOI: (10.1016/j.det.2013.12.004) Copyright © 2014 Elsevier Inc. Terms and Conditions

Fig. 7 The flexible DermaBlade® can be used to separate curly hair follicles. (Courtesy of Energizer Personal Care-Personna Medical, Verona, VA; with permission.) Dermatologic Clinics 2014 32, 163-171DOI: (10.1016/j.det.2013.12.004) Copyright © 2014 Elsevier Inc. Terms and Conditions

Fig. 8 Young African man with inherited hair loss (androgenetic alopecia). Dermatologic Clinics 2014 32, 163-171DOI: (10.1016/j.det.2013.12.004) Copyright © 2014 Elsevier Inc. Terms and Conditions

Fig. 9 (A) A 47-year-old African woman with CCCA before hair transplant surgery. (B) The same patient after undergoing hair transplantation with a total of 1124 follicular unit grafts of 1 to 4 hairs. This larger session was only performed after a test transplant showed successful growth. Dermatologic Clinics 2014 32, 163-171DOI: (10.1016/j.det.2013.12.004) Copyright © 2014 Elsevier Inc. Terms and Conditions

Fig. 10 Instruments used for recipient site creation. From left to right: 16-gauge needle (1.6 mm wide), spear-point blade 90 (1.5 mm wide), Minde knife (1.3 mm wide), 18-gauge needle (1.44 mm wide). Dermatologic Clinics 2014 32, 163-171DOI: (10.1016/j.det.2013.12.004) Copyright © 2014 Elsevier Inc. Terms and Conditions

Fig. 11 Demonstration of the ARTAS robotic harvesting of hairs using automated technologies for rapid FUE. (Courtesy of R. Shapiro, MD and Restoration Robotics, Inc., San Jose, CA; with permission.) Dermatologic Clinics 2014 32, 163-171DOI: (10.1016/j.det.2013.12.004) Copyright © 2014 Elsevier Inc. Terms and Conditions