Objective To reconstruct beard with single-follicular-unit grafts in patients with upper lip scar.Methods From May 2001 to May 2005, one-hair follicular units were harvested to treat 20 patients with partial beard loss due to scar formation, 9 out of whom resulting from repair of congenital lip cleft. During the operation, a 1-2mm two-edged sapphire knife was used to make micro-slits. Results A 6-month follow-up revealed that 20 patients recovered quickly and looked natural, with small blood loss and high survival rate, yet 3 with severe scar needed a two-stage operation. Conclusion One-hair follicular unit transplantation is a good option for patients with cicatrical beard loss.
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