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Short reports and Correspondence| Volume 60, ISSUE 8, P968, August 2007

Tissue expanders in post-burn alopecia: supragaleal or subgaleal placement?

In response to: Prakash, Tandon, Mantri ‘Supragaleal placement of tissue expander for post-burn alopecia’ Journal of Plastic, Reconstructive & Aesthetic Surgery 2006;59:1102–1104
      In your paper ‘Supragaleal placement of tissue expanders for post-burn alopecia’ you advocate, in three cases, that this technique gives the best results compared to those when the subgaleal plane is used,
      • Prakash V.
      • Tandon R.
      • Mantri R.
      Supragaleal placement of tissue expander for post-burn alopecia.
      as supported by most surgeons.
      • Gürlek A.
      • Alaybeyoglu N.
      • Demir C.Y.
      • et al.
      Aesthetic reconstruction of large scalp defects by sequential tissue expansion without interval.
      • Mascio D.D.
      • Castagnetti F.
      • Mazzeo F.
      • et al.
      Over expansion technique in burn scar management.
      • Silfen R.
      • Hudson D.A.
      • Soldin M.G.
      • et al.
      Tissue expansion for frontal hairline restoration in severe alopecia in a child.
      • Ramos R.R.
      • Moura J.M.
      The use of tissue expanders in extensive alopecias.
      We believe that galeal tissue is important to protect the integrity of the hair follicles, preserving their circulation during the procedure and the expansion.
      • Ramos R.R.
      • Moura J.M.
      The use of tissue expanders in extensive alopecias.
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      References

        • Prakash V.
        • Tandon R.
        • Mantri R.
        Supragaleal placement of tissue expander for post-burn alopecia.
        J Plast Reconstr Aesthet Surg. 2006; 59: 1102-1104
        • Gürlek A.
        • Alaybeyoglu N.
        • Demir C.Y.
        • et al.
        Aesthetic reconstruction of large scalp defects by sequential tissue expansion without interval.
        Aesthetic Plast Surg. 2004; 28: 245-250
        • Mascio D.D.
        • Castagnetti F.
        • Mazzeo F.
        • et al.
        Over expansion technique in burn scar management.
        Burns. 2006; 32: 490
        • Silfen R.
        • Hudson D.A.
        • Soldin M.G.
        • et al.
        Tissue expansion for frontal hairline restoration in severe alopecia in a child.
        Burns. 2000; 26: 294-297
        • Ramos R.R.
        • Moura J.M.
        The use of tissue expanders in extensive alopecias.
        Rev Hosp São Paulo Esc Paul Med. 1994; 5: 23