RESUMO
Patient consultation, examination, and selection are crucial for successful outcomes in hair restoration surgery. The hair restoration surgeon must take a holistic approach in identifying those patients who are and who are not candidates for surgery. In this article, an overview of the consultation, pertinent physical examination features relating to patient candidacy, and several treatment paradigms are discussed. Additionally, those findings that may lead to poor results and conditions that are contraindications to hair restoration surgery are reviewed.
Assuntos
Alopecia/cirurgia , Técnicas Cosméticas , Procedimentos Cirúrgicos Dermatológicos , Cabelo/transplante , Planejamento de Assistência ao Paciente , Seleção de Pacientes , Cuidados Pré-Operatórios/métodos , Alopecia/diagnóstico , Procedimentos Cirúrgicos Dermatológicos/métodos , Humanos , Exame Físico , Encaminhamento e Consulta , Transplante Autólogo/métodosRESUMO
BACKGROUND: Safe and effective use of local anesthesia is essential in hair transplantation. OBJECTIVE: To review the agents and techniques of local anesthesia as applied to hair transplantation. METHODS: Information was retrieved from texts, journal articles found by MEDLINE searches, and related references. RESULTS: Agents, vasoconstrictors, maximum dosages, toxicity, and techniques are discussed. CONCLUSION: Effective local anesthesia can be maintained throughout hair transplantation. Care must be exercised to minimize discomfort through proper technique and to minimize toxicity through judicious use of vasoconstrictors and nerve blocks and by monitoring total dosage. Constant monitoring for toxicity is required, as is early intervention in the unlikely event that warning signs should appear.