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Review
. 2021 Dec 20;54(4):483-488.
doi: 10.1055/s-0041-1739248. eCollection 2021 Oct.

Beard and Moustache Reconstruction

Kapil Dua  1 , Vandana Verma  2 , Aman Dua  1
Affiliations
Review

Beard and Moustache Reconstruction

Kapil Dua et al. Indian J Plast Surg. .

Abstract

Beard and moustache reconstruction has gained more popularity and acceptance over the last decade. The procedure is done for the correction of facial areas with hair density deficit and also for the cosmetic enhancement of pre-existing facial hair. The surgical technique includes the harvesting of grafts from the scalp by the follicular unit excision (FUE) or follicular unit transplantation (FUT) technique and then placing them in either premade slits or by stick and place method. The advancement and refinement of procedure over the years has aided in achieving the optimal aesthetic results, with minimal side effects.

Keywords: beard reconstruction; follicular unit excision; moustache reconstruction; sideburn reconstruction.

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Conflict of interest statement

Conflict of Interest None declared.

Figures

Fig. 1
Fig. 1
Percentage of hair restoration surgical procedures by target recipient area as per 2020 ISHRS practice consensus. The results show the distribution of 15% of the nonscalp targeted areas of the body in males and females over different nonscalp regions, where eyebrow transplant accounted for the maximum procedures in females (12%) and beard and moustache reconstruction accounted for maximum procedures in males (5%).
Fig. 2
Fig. 2
Different zones over the face for the purpose of beard hair restoration as enumerated in Table 2 .
Fig. 3
Fig. 3
( a ) Scar due to burn and ( b ) the test patch done to check the viability of tissue and subsequent survival of grafts.
Fig. 4
Fig. 4
( a ) Traumatic scar. ( b ) After scar revision with single follicular units.
Fig. 5
Fig. 5
(a) Traction alopecia. (b) Results after 1 year.
Fig. 6
Fig. 6
(a) Congenital hypotrichia. (b) Immediate postoperative picture with grafts.
Fig. 7
Fig. 7
(a) Congenital atrichia. (b) Results after 1 year.
Fig. 8
Fig. 8
Nerve supply of the face.
Fig. 9
Fig. 9
Midoccipital region on the scalp provides the most optimal grafts which match the caliber and texture of the beard hair. Selecting single and double unit grafts during extraction provides much better yield for maximal coverage.
Fig. 10
Fig. 10
Image demonstrating placement of grafts for achieving better aesthetic look from beard hair transplant.
Fig. 11
Fig. 11
Bumpiness and redness of skin seen 5 days after the hair.
Fig. 12
Fig. 12
Cobblestoning.
Fig. 13
Fig. 13
Results for the case of hypotrichia where 1,800 grafts were implanted using the FUE technique.
See this image and copyright information in PMC

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