RA II Hair replacement and hypodermic tissue building

Define wig

A manufactured cover for the head made of natural or synthetic hair.

Define fall

A partial wig designed to be applied in existing hair to add length.

Define toupee

A small hairpiece for men.

Define hair patch

A number of hairs grouped for use as a replacement.

Define hair stylist

A person licensed to cut and style hair

Define crepe hair

Fake hair made of wool or vegetable fibers; typically used in theatrical makeup

What is considered minor hair restoration?

Care and treatment of the hair, on the normal case

• Washing and drying

• Applying hair products

• Use of dryers, rollers, irons

• Minor trims (around the ears or neck)

• Wigs, toupee’s

What is considered major hair restoration?

Replacement of hair that is missing or damaged

• Falls, hair patches, transplantation of hair

What is the best source for hair?

The body itself – any hair 2” or longer can be used

• Thinner than facial hair but acceptable

What is the second best source for hair?

Hairpieces (Wigs, Falls, Toupees)

What is the third best source for hair?

Barber Shops/Hair Salons

What is the least best source for hair?

Brushes

• Shorter, thicker “hair” can be taken from a dyed camel-hair brush

What is the most difficult hair treatment?

The replacement of all or large portions of the hair that is missing due to illness, medication or trauma.

How does the method of hair attachment vary?

It depends upon the length of the hair, the quantity, the underlying surface, and the area involved (visible vs. hidden).

List the hair attachment methods

• Wax

• Liquid Cement

• Sutures

• Embedding

• Melted Wax

• Any combination of the above

Describe the wax attachment method

Natural appearing anchor for hair

What is wax attachment method the best method of attachment for?

• All short hair applications

• Hair-line restoration

• Completing the marginal portion of a cemented attachment

Describe the liquid cement attachment method

The strongest attachment technique

What is the liquid cement attachment method the best method of attachment for?

• Long or dense hair restorations

• The most extensive restorations

What is the suggested technique for the liquid cement attachment method?

Used everywhere on the cranium and/or face except for “marginal” areas(eyebrows, eyelashes etc) because:

• Dries with a visible shine or gloss

• Line of attachment lies flat (unless you turn the hair over on itself)

Describe the suture attachment method

Limited use for restoration techniques

The suture attachment method is the best attachment option for:

When used with a cap or scarf and the attachment site is not visible

What is the suggested technique for the suturing attachment method?

The first encircling suture is augmented by several small stitches around small sections of hair with a continuous lock stitch. The two ends of ligature will be tied together.

• Cement can be added as well if needed

Describe the embedding attachment technique

Used for restoring stray or straggler hairs

The embedding attachment method is the best attachment option for:

For small areas that need only a few independent hairs replaced such as an eyebrow or sideburn.

What is the suggested technique for the embedding attachment method?

Remove half the eye of a sewing needle and use the remaining half as your embedding instrument.

• The remaining part of the eye acts as a receptacle for the hair.

• Form a handle from a wooden dowel or imbed in the eraser of a pencil for better control.

Describe the melted wax attachment method

Limited application use

The melted wax attachment method is the best attachment option for:

Long strands placed on an otherwise bald head

What is the suggested technique for the melted wax attachment method?

Melt small amount of flesh-colored wax in a spoon with a match or lighter

• The extreme end of the narrow strand is inserted in the hot wax and then placed directly on the skin surface till cool and dry.

• The hair must be long enough to extend over the entire surface being restored.

What are the growth patterns of eybrows?

Occurs naturally along the supraorbital arch

• Hair is angled upward and outward toward the distal edge

What is the replacement technique for eyebrows?

• Glue or wax is placed thinly along the supraorbital arch

• Individual or small tufts of hair are then inserted into the glue or wax with your fingers, spring forceps or a needle.

• Insert lateral to medial in the pattern of normal hair growth

What is the growth pattern of side burns?

downward towards the chin.

What is the hair replacement technique for sideburns?

Apply wax or cement (glue or rubber cement) in a thin layer

• Arrange small tufts of hair beginning at the bottom and working to the top in an overlapping pattern

What is the growth pattern of moustaches?

Lateral to medial, working from both ends.

• Hairs should point downward and towards the corners of the mouth.

What is the hair replacement technique for moustaches?

Apply a thin layer of wax or glue to the superior integumentary lip, inserting small tufts of hair from lateral to medial from each side of the mouth.

Whats a good common practice to follow when trimming hair replacement areas?

To cover the wax/cosmetic restoration with plastic wrap PRIOR to trimming the hair.

What is most commonly used to replace the hair on the entire head?

A hairpiece, wrap, scarf or hat will be supplied by the family.

• Address this issue during the arrangement conference

What should you do if no wig or covering is supplied?

• Purchase a wig

• Use a scarf or hat -If there is trauma, use a head bandage (p. 144)

• Replace all the hair (p. 143-144)

How is hair replacement for the entire head done?

• Find replacement hair

  • Theatrical supply stores

  • Barber shops, hair salons

  • Donation by friend or family

• Style the hair PRIOR to cementing

• Easily plan on spending 6-8 hours doing this type of restoration

• Most commonly you can find a wig

• More often you’ll use this technique to replace only a section of hair

What is the replacement technique for replacing the hair on the entire head?

• Clean shave the head

• Determine and mark a hairline

• Apply cement (glue or double-faced tape)

• Apply tufts of hair beginning on the outer borders (the lateral, inferior hairline, near the ears) to achieve a natural overlapping growth pattern

• Continue working inward (towards the crown)

• Gently comb and style as needed.

Define Hypodermic Tissue Building

Injection of tissue builder into the skin with the use of a syringe and needle.

Define tissue builder

Substance used to elevate sunken (emaciated) skin to normal levels.

Define point of entry

A place at which access to inner positions may be held; hidden; done with a hypodermic needle.

Define solvent

Substance that dissolves another substance

Define contour

Outline or surface form

When is hypodermic tissue building best performed?

After embalming

What are some areas that are commonly tissue builded?

• Temples

• Supraorbital area

• Eyes

• Mouth

• Cheeks

• Neck

• Lips

• Forehead

• Hands

• Chin

What is the general technique for tissue building?

• Select a hidden injection “point of entry”

• Insert needle superficially with the opening of the needle facing upwards.

• Begin at the furthest area to be built up and move outward towards your entry point, withdrawing and injecting fluid slowly.

• For large areas, radiate or fan the needle to inject the desired area.

• Inject until the surface is slightly elevated to the surrounding skin.

• Smooth and mold the injected area with your fingers until you get the desired, normal contour – this should be done immediately!

When tissue building what is the hidden point of entry for the eyes/orbits?

Medial or lateral canthus

When tissue building what is the hidden point of entry for the supraorbital area?

Eyebrows

When tissue building what is the hidden point of entry for the temples?

• Lateral brow

• Hairline

• Behind top of ear

• Sideburn, when present

When tissue building what is the hidden point of entry for the cheeks?

• Behind wing of nose

• Lateral corners of mouth

• Behind lobe of ear

• Inside ear, behind the tragus

• Behind angle of the jaw

When tissue building what is the hidden point of entry for the lips?

• Lateral corners of the mouth, behind the weather line

• Behind medial lobe

When tissue building what is the hidden point of entry for the forehead?

• Eyebrow

• Hairline

When tissue building what is the hidden point of entry for the neck?

• Inside or behind the ear

• Behind the angle of the jaw

When tissue building what is the hidden point of entry for the chin?

• Behind earlobe

• Lower center of chin

When tissue building what is the hidden point of entry for the nose?

• Bridge of nose

• Inside nose

When tissue building what is the hidden point of entry for the ear?

• Lobe

• Behind top of helix

When tissue building what is the hidden point of entry for the hands?

• Fingers

• Back of hand

• Sides of hand

When tissue building what is the hidden point of entry for the fingers?

• Sides of fingers

• Between knuckles

When tissue building what is the hidden point of entry for the back of the hands?

• Between closest knuckles

• Wrists

When tissue building what is the hidden point of entry for the sides of the hands?

• Between thumb and index finger

• At knuckle of the pinky finger