Replacing facial hair.

The face is the second most common area for hair transplantation after the scalp. Areas that are transplanted include eyebrows, eyelashes, moustaches, beards, temples and temporal points, as well as scars either traumatic or the side effect of cosmetic procedures such as rhytidectomies or brow lifts. The hair is harvested from the same area as the hair that is transplanted to the head. For this reason, it grows longer than nongrafted facial hair and must be trimmed regularly. Occasionally, hair lower in the neck region is harvested, which is finer than occipital hair; however, because of movement in the neck area, the scars are often larger. Body hair has been suggested as donor hair but is not recommended because it spends as much as 85% of its time in the telogen phase.

Core curriculum for hair restoration surgery, recommended by the International Society of Hair Restoration Surgery (ISHRS).

BACKGROUND: Because hair restoration surgery (HRS) has changed so significantly, the International Society of Hair Restoration Surgery (ISHRS) presents the recently developed Core Curriculum for Hair Restoration Surgery (CCHRS). Physician competence in HRS demands a sound understanding of all of the alternate pathologic causes of hair loss, as well as their risks and treatments. OBJECTIVE: The CCHRS defines the knowledge, didactic information, medical insights, and surgical techniques that are essential to physician competence in the correct diagnoses and treatment of hair loss problems, in a manner consistent with patient safety and sound esthetic results. The ISHRS hopes that all existing surgical and dermatology training programs that teach HRS procedures will find the CCHRS useful in developing their curriculum relative to HRS and that this will facilitate the development of a new standard of training within the profession. METHODS: Developed and reviewed by a committee of experienced hair restoration surgeons. RESULTS: The CCHRS clearly defines the diagnosis and treatment of hair loss as a multidimensional specialty requiring knowledge of several medical disciplines, including genetics, endocrinology, dermatology, and surgery. CONCLUSION: The ISHRS believes that the CCHRS is an important contribution to physician education in HRS and that a clearly defined core curriculum will facilitate achieving contemporary results and higher patient satisfaction.