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Copyright of Umsatzsteuer-Rundschau is the property of De Gruyter and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Umsatzsteuer-Rundschau is the property of De Gruyter and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

A hair transplant can achieve permanent improvements in advanced stages of androgenetic alopecia and scalp scars by redistributing numerous hair follicles. It is crucial to digitally plan the number and distribution of the transplants in the long term, taking into account a possible progression of the alopecia and the individual hair situation. The procedure requires sufficient donor hair, realistic patient expectations and a healthy scalp. Initially, intact follicular units containing 1-4 hair follicles are excised from the safe donor zone in the occipital and temporal scalp. These are always kept wet and prepared microscopically. The recipient site incisions must be carefully created by the doctor in a natural, irregular arrangement and direction. Finally, the grafts are meticulously inserted. In order to achieve an optimal and lasting result, careful graft handling by the hair surgeon and the team and further medico-trichologic follow-up care by the physician are important. [ABSTRACT FROM AUTHOR]

Hair transplants are very popular among people affected by hair loss. They often lead to good aesthetic results that were often never believed. The prerequisites are professional treatment with the best equipment and a specialized team. The individual removal of follicular units (FUE) has also established itself in Germany with over 70 percent of the population. The reason for this is minimally invasive, microsurgical techniques and the rapid recovery period after treatment. The key to success and a high degree of satisfaction among patients is the natural and timeless reconstruction of the hairline, which requires experience and the „artistic touch". [ABSTRACT FROM AUTHOR]

Copyright of Umsatzsteuer-Rundschau is the property of De Gruyter and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Introduction: Although DIEP (deep inferior epigastric perforator) is the gold standard for breast reconstruction, long-term results with a view to postoperative hairiness and flap skin colouration have rarely been described in the literature., Methods: Patients who underwent DIEP flap breast reconstruction followed by NAC reconstruction between 2010 and 2019 were invited to our clinic for a survey and a clinical examination. A total of 781 patients were invited. The survey included the BREAST-Q and a study-specific questionnaire. The clinical examination contained specific measurements regarding postoperative hairiness and skin colouration., Results: A total of 179 patients were examined, with 203 breasts having been reconstructed. Only breasts with a visible flap skin island were taken into further evaluation. A total of 109 DIEP flap and 77 NAC reconstructions were evaluated. In the patient-reported survey, 27.5% (30 of 109) reported additional flap hairiness and 62.4% (68 of 109) reported differences in flap skin colouration compared with the surrounding skin. The clinical examination revealed a significant difference between the skin colouration of the flap compared with the surrounding skin and the skin colouration of the reconstructed NAC compared with the existing original NAC. In both cases, the reconstructions appeared significantly "lighter" (p<0.05). No significant difference was found between patients with and without hair in terms of overall satisfaction evaluated by using the BREAST-Q. Neither did the colour difference have a significant influence on patients' satisfaction., Conclusion: Additional breast hairiness and different skin colouration is relevant and should be communicated preoperatively., Competing Interests: Die Autorinnen/Autoren geben an, dass kein Interessenkonfliktbesteht., (Thieme. All rights reserved.)

The article "Plea for a Hair Consultation" deals with the topic of hair loss and advancements in therapy. It emphasizes that hair loss is an aesthetic problem, regardless of the cause. The authors mention the merits of colleagues who have raised awareness of the problem and the implementation of a hair consultation in dermatological practices. It also points out the introduction of new treatment options such as the NWM MesoHair Cocktail and Platelet-Rich Plasma Therapy (PRP). Finally, it is mentioned that in addition to female patients, an increasing number of male patients are seeking medical practices to prevent baldness. The authors suggest that dermatologists should diagnose difficult-to-determine forms of hair loss, while aesthetic physicians should offer treatments such as MesoHair and medication. Hair transplants should be performed by surgically active colleagues. The goal of a hair consultation is to recommend the appropriate approach for treating the patient's hair loss. It emphasizes that comprehensive diagnostics are only ethically justified if they are a necessary prerequisite for therapy. Patients also have their own goals that go beyond those of the doctors, and it is pointed out that the patients' suffering should be taken into account. [Extracted from the article]

The article contains information about various medical conferences and events in the years 2024 and 2025, which will take place in different cities such as Munich, Düsseldorf, Graz, Paris, Vilnius, Miami, Orlando, Berlin, and Frankfurt. Various companies and their products in the field of aesthetic medicine are also presented. The focus of the article is on recommendations and guidelines for hair loss as well as questions and answers about hair transplantation. [Extracted from the article]

Copyright of Journal für Ästhetische Chirurgie is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal für Ästhetische Chirurgie is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal für Ästhetische Chirurgie is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background and Objectives: Microsurgical autologous hair transplantation, when performed as follicular unit transplantation, may permanently and naturally improve advanced androgenetic alopecia in men and women and also non-active scarring alopecias., Materials, Methods and Results: Sufficient donor hair and realistic patient expectations as well as an individual surgical planning of the hair distribution are crucial prerequisites for a sustainable hair restoration. They should be determined and evaluated during a personal pre-examination and consultation with the hair surgeon. Natural results can be achieved by transplanting up to several thousands of follicular units with high densities into small micro-slits. This technique also allows for increasing the hair density without injuring surrounding original pre-existing hairs. In progressive, early or advanced androgenetic alopecia, additional medical therapy is highly recommended to stabilize the condition. Otherwise, depending on supply and demand of donor hair, only a partial hair restoration can be achieved with a satisfying density., Conclusions: Since hair transplantation requires a precise sequence of surgical steps and careful handling of the tiny grafts, the skills and experience of the hair surgeon and his or her team are crucial. The medical risks of an assembly-line way of performing this surgery by non-licensed, non-physician staff, as reported from national clinics and medical tourism, should not be underestimated. The German Association of Hair Surgeons and the International Society of Hair Restoration Surgery offer patient information, as well as continuous medical education and guidelines for interested physicians to ensure the highest quality standard of care., (© 2022. The Author(s), under exclusive licence to Springer Medizin Verlag GmbH, ein Teil von Springer Nature.)

With microsurgical techniques it is possible to transplant eyebrows and eyelashes. This is a great advantage in reconstruction of the "orbital unit" in the rehabilitation of the patient. The surgeon has to be experienced in this demanding technique in order to achieve the most natural results for the patient. Mostly one and two hair units (" follicular units") are harvested and prepared from the donor area in the back of the scalp and are placed into the recipient area using the "stick and place" method., ((c) Georg Thieme Verlag KG Stuttgart New York.)

Anti-aging medicine is dedicated to the advancement of technology to detect, prevent, and treat aging related disease and to promote research into methods to retard and optimize the aging process. Dermatology offers good basics for rational preventive and therapeutic anti-aging strategies. The role of the skin in anti-aging medicine is not merely that aging is most obvious on the skin, but that the skin is a highly accessible and unique organ that offers unequaled opportunities to the gerontologist for the study of age-related effects. The study of skin aging focuses on two main streams of interest: On one hand, the esthetic problem and its management; on the other, the biological problem of aging in terms of microscopic, biochemical, and molecular changes. Probably the same molecular mechanisms underlying the aging of skin and its appendages, including the pigmentary system, underlie age-dependent degenerative changes of the inner organs and entire organism. The skin and hair are subject to intrinsic or physiologic aging, and extrinsic or premature aging due to external factors. Intrinsic factors are related to individual genetic and epigenetic mechanisms with interindividual variation. Extrinsic factors include ultraviolet radiation and cigarette smoking. Primary prevention encompasses measures that are taken before the aging process has started, secondary prevention when the first signs of aging have come into sight. Eventually, tertiary measures are aimed at correcting established signs of aging. Prevention starts with photoprotection and avoidance of cigarette smoking. In dermatologic practice sun protecting agents, dermocosmetic substances, hair growth promoting agents, and anti-aging compounds play an ever increasing role. Finally, tertiary anti-aging measures include minimally invasive cosmetic procedures such as chemical peels, microdermabrasion, soft tissue fillers, non-ablative laser rejuvenation, radiofrequency techniques and botulinum toxin, as well as laser skin resurfacing and corrective surgical procedures, including autologous hair transplantation.

Hair loss includes excessive shedding of hair (effluvium) and the alopecias, in which there is a decrease in the amount of hair. Both may occur diffusely, or in a circumscribed manner. The localization and pattern of circumscribed hair loss may give a clue to its cause. On the basis of morphologic criteria the alopecias are further classified into non-scarring and scarring types. Non-scarring alopecias (diffuse alopecia, androgenetic alopecia, alopecia areata) are essentially hair cycling disorders, while scarring alopecias result from irreversible destruction of the hair follicles with recognizable loss of follicular osita. Scalp biopsy should be an early step in the evaluation of any case of alopecia, in which scarring is suspected. Too little scalp hair is not a vital problem, but represents a major health care challenge. Only recently the psychological impact of hair loss has been appreciated by the medical community, though throughout history, too little hair has been a concern to mankind, and the object of cosmetic interest and quackery. Recent advances of the medical sciences have led to a better understanding of the underlying pathogenic processes and opened the venue to effective pharmacotherapy (minoxidil, finasteride) and technologies (autologous hair transplantation) for the treatment of the most common disorders. Together with the availability of such treatments, high technical standards for evaluating their efficacy have been developed and have become mandatory for appraisal of any hair growth promoting agent, both in clinical studies and in the individual patient.

Androgenetic alopecia (AGA) occurs in approximately 40% of men at the age of 40 and 50% at 50, respectively. Especially for young men progressive hair loss can be distressing. Therefore, understanding of these patients' concerns is important for appropriate management. Current understanding of the pathophysiology of AGA mainly focuses on androgen metabolism as it affects hair growth. As a result, pharmacologic treatment has made considerable progress through the introduction of selective 5 alpha-reductase inhibition with finasteride. In placebo-controlled clinical trials in men with AGA, treatment with oral finasteride proved to be effective. Minoxidil is the only pharmacological substance for topical application with proven efficacy. So far, other treatment modalities have no proven efficacy in clinical trials, so that their use cannot be recommended. Options for advanced AGA not amenable to pharmacologic treatment are autologous hair transplantation and hair replacement, both of which have recently also made progress in terms of cosmetic appeal.

We present the case of a 22-year-old female patient with alopoecia triangularis congenita. Hair transplantation was successfully performed.

With regard to the treatment of alopecia, the so-called bunch effect and the creation of an abrupt hair line are a major problem of the conventional method of hair transplantation. Employing a recently developed technique, autologous miniature grafts bearing 3-4 or 5-6 hair follicles are implanted into randomly distributed recipient punch holes. By means of this technique, we are able to achieve aesthetically acceptable hair growth even after a single operating session.

Uncontrolled bleeding at the recipient site is a complicating factor in hair transplant surgery. As a consequence, time consuming procedures as well as further discomfort for the patient is inevitable. In order to achieve adequate hemostasis, we present an easy method using cylindrical gelatin-plugs.