The Black scalp is a very sensitive area and hairstyles that put a lot of tension on the hair can result in TRACTION ALOPECIA, meaning hair loss due to continuous pull on the hair. These hairstyles include wearing extensions, braids or tight ponytails.
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Wearing a wig to cover up a receding hairline unfortunately only worsens the problem. The wig results in more hair loss at the front...which makes patients want to cover it up even more... a vicious cycle 👿
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Luckily the Black scalp allows significant advancement. In this case we could meet the set target of 4cm! 😅🤩
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No sugarcoating...it was hard work, as you must achieve a minimum of tension to secure the blood supply to the hair and allow the scar to heal tension free.
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4cm is certainly a noticeable advancement, but such numbers always depend on the anatomy of the patient. In some cases, 22mm might be all we can achieve and it is the same amount of sweat 💦😅.
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Keeping my patients safe is paramount, this is why the planning we perform during the in-person consultation is pivotal to set realistic goals.
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Looking at her preoperative marking reminds me of the words I used addressing the surgical team:”Game Day and we are not giving up one fraction of a millimetre!”
