Advantages of Microvascular Free Scalp Flap Transfer as a Means of Hair Transplantation

  • Kitaro Ohmori


Hair restoration using a microsurgical free scalp flap was first reported in 1973. Since then, many articles have been written in scientific journals and medical books about this as a method of choice in restoring male pattern baldness and scalp defect [1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16]. Four main types of free scalp flap were reported to meet the different requirements of the recipient site (Fig. 1). The surgical steps are outlined in Fig. 2.
Fig. 1.

Four types of free scalp transfers: temporoparietal (a); occipitotemporal (b); temporo- occipitoparietal (c); occipito-occipital (d) (From [15], with permission)

Fig. 2.

Free temporoparietal flap transfer is accomplished by microvascular anastomosis. With use of this method, the grafted hair exhibits a normal hair direction. (From [15], with permission)


Recipient Site Microvascular Anastomosis Androgenetic Alopecia Male Pattern Baldness Scalp Defect 
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  1. 1.
    Harii K, Ohmori K, Ohmori S (1974) Successful clinical transfer of ten free flaps by microvascular anastomoses. Plast Reconst Surg 53:259–270PubMedGoogle Scholar
  2. 2.
    Harii K, Ohmori K, Ohmori S (1974) Hair transplantation with free scalp flap. Plast Reconst Surg 53:410–413PubMedCrossRefGoogle Scholar
  3. 3.
    Ohmori K (1980) Free scalp flap surgery. Ann Plast Surg 5:17–23CrossRefPubMedGoogle Scholar
  4. 4.
    Ohmori K (1980) Free scalp flap. Plast Reconstr Surg 65:42–49PubMedCrossRefGoogle Scholar
  5. 5.
    Ohmori K (1982) Application of microvascular free flaps to scalp defects. In: Whitaker LA (ed) Clinics in plastic surgery, vol. 9. Saunders, Philadelphia, pp 263–268Google Scholar
  6. 6.
    Ohmori K (1983) Hair transplantation with microsurgical free scalp flaps. In: Williams B (ed) Transactions of the VIII international congress of plastic and reconstructive surgery, Canada, p 682Google Scholar
  7. 7.
    Ohmori K (1992) Microsurgical free scalp flaps in surgery for male pattern baldness. Plast Surg 1:581–583Google Scholar
  8. 8.
    Ohmori K (1987) Restoration of the anterior hairline with microsurgical free scalp flaps. In: Stark RB (ed) Plastic surgery of the head and neck. Churchill Livingstone, New York, pp 38–45Google Scholar
  9. 9.
    Ohmori K (1987) Microsurgical scalp reconstruction. In: Brent B (ed) The artistry of reconstructive surgery. Mosby, St. Louis. pp 477–487Google Scholar
  10. 10.
    Unger WP, Nordstrom REA (1988) Microsurgical free scalp flap and androgenic alopecia. In: Hair transplantation, 2nd edn. Dekker, New York, pp 661–674Google Scholar
  11. 11.
    Kobayashi S, Ohmori K (1988) Chronic abscess and partial scalp defect treated by vascularized free omental transfer. In: Brunelli G (ed) Textbook of microsurgery. Masson SpA, Milano, pp 1035–1038Google Scholar
  12. 12.
    Ohmori K (1989) Microsurgical free scalp flaps. In: Baker SR (ed) Microsurgical reconstruction of the head and neck. Churchill Livingstone, New York, pp 269–285Google Scholar
  13. 13.
    Ohmori K (1990) Microvascular free scalp flaps. In: McCarthy JG (ed) Plastic surgery, vol 2. Saunders, Philadelphia, pp 1531–1533Google Scholar
  14. 14.
    Ohmori K (1990) Microvascular free transfer of temporo-occipital scalp flaps. In: Encyclopedia of flaps, vol 1. Little, Brown, Boston, pp 32–36Google Scholar
  15. 15.
    Ohmori K (1991) Microsurgical free temporoparietal flaps in surgery for male pattern baldness. In: Whitaker LA (ed) Clinics in plastic surgery, vol 18. Saunders, Philadelphia, pp 791–796Google Scholar
  16. 16.
    Boo-Ghai K, Zhang, D (1983) Free scalp flap in correcting alopecia of temporofrontal region. Plast Reconstr Surg 17:736CrossRefGoogle Scholar

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© Springer 2010

Authors and Affiliations

  • Kitaro Ohmori
    • 1
    • 2
  1. 1.Clinica IchigayaTokyoJapan
  2. 2.Japan Society of Aesthetic and Reconstructive SurgeryJapan

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