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Hair Restoration Surgery in Asians

D. Pathomvanich · K. Imagawa Editors

Hair Restoration Surgery in Asians

Editors Damkerng Pathomvanich, MD, FACS, ABHRS DHT Clinic, private practice, Bangkok, Thailand Consulting Staff at Bumrungrad Hospital, Bangkok General Hospital and Vichaiyuth Hospital Director Fellowship Training Program in Hair Restoration Surgery (ISHRS) since 2003 Kenichiro Imagawa, MD, PhD, ABHRS Medical Director, private practice, Yokobi Clinic, Yokohama, Japan Board of Governor of the Japan Society of Aesthetic and Reconstructive Surgery Program Director of ISHRS Regional Workshop Asian Hair Surgery 2007

ISBN: 978-4-431-99658-3 e-ISBN: 978-4-431-99659-0 DOI 10.1007/978-4-431-99659-0 Springer Tokyo Berlin Heidelberg New York Library of Congress Control Number: 2009939422 © Springer 2010 This work is subject to copyright. All rights are reserved, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in other ways, and storage in data banks. The use of registered names, trademarks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. Product liability: The publisher can give no guarantee for information about drug dosage and application thereof contained in this book. In every individual case the respective user must check its accuracy by consulting other pharmaceutical literature. Printed on acid-free paper Springer is a part of Springer Science+Business Media (www.springer.com)

Foreword

Why a new book on hair restoration surgery? The answer is simple: people of Asian physical characteristics make up approximately 60% of this planet’s population. The proportion is even greater if we include some of those from Oceania and the native races of North and South America who carry a large proportion of Asian genes. Asians are a genetically diverse group of people who may be subdivided into at least 30 distinct subgroups with varying physical characteristics and hair types. Their hair varies from the coarse, but relatively sparse, hair of the Japanese and Han Chinese to the fine, densely packed, and wavy hair seen in people from some parts of India. Baldness also varies from the minimal degrees seen in south Asia to the very severe grades commonly seen on the subcontinent. There is also considerable variation within each ethnic group, as within the Caucasian population. The surgical transplantation of autografts of human hair was first described in detail in a series of articles by Dr. Shoji Okuda in Japan in 1939 [1]. In his articles he alluded to prior work on hair implantation and autotransplantation done by several other researchers. Okuda’s technique was used for the replacement of eyebrows and pubic and axillary hair, but scalp hair was never mentioned. This omission does not mean that scalp hair transplantation was not done at a