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January 1974

Use of Hair Plugs From Skin Excised During Face-Lifting

Author Affiliations

Beverly Hills, Calif

Arch Dermatol. 1974;109(1):96. doi:10.1001/archderm.1974.01630010068020

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To the Editor.—  During the course of routine face-, temporal-, or submental-lifting in men, excised skin from the hair-bearing areas may be cut into 3-mm hair plugs and used for placement in balding areas of the scalp (Plast Reconstr Surg 50:416, 1972). The excised skin will yield from 70 to 100 plugs, which may be sufficient in a mild male-pattern baldness (Ann NY Acad Sci 83:463, 1959). In more advanced cases where 300 to 400 plugs are necessary, however, the donor site must be taken from the usual areas or again from the temporal area after six months.The technique involves the use of 0.05% lidocaine (Xylocaine) with epinephrine (Adrenalin) to dissect partially the temporal hair-bearing skin away from the temporal vessels. The skin is then incised perpendicular to the skin surface for 1 to 2 mm so that the plugs may be taken in situ. The remainder of the

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