The Exclusive Use of Slit Mini-Micrografting for the Correction of a Large Frontoparietal Scalp Defect

In this article slit mini-micrografting is used exclusively for the correction of a large frontoparietal scalp defect. This method was used as an alternative to tissue expansion, transposition-rotation flaps, free flaps, or conventional punch hair-grafting. The protocol consisted of three well-organized sessions of #15 blade and 18-gauge needle slits made very obliquely into the scarred defect. Mini- and micrografts were then placed into these incisions. This approach yielded a good result which was felt to be due to the combination of the minimal trauma caused by slits and the limited circulation required for the survival of mini- and micrografts. Minigrafts were also much easier to insert into scar tissue when compared with conventional grafts. In conclusion, it was felt that the exclusive use of slit mini-micrografting appears to be a viable method for the correction of frontoparietal cicatrial alopecia.