scholarly journals Various Types of Minor Trauma to Hair Follicles During Follicular Unit Extraction for Hair Transplantation

2017 ◽  
Vol 5 (3) ◽  
pp. e1260 ◽  
Author(s):  
Jae Hyun Park ◽  
Seung Hyun You
2016 ◽  
Vol 49 (03) ◽  
pp. 390-396
Author(s):  
Chandrakant Rambhau Gharwade

ABSTRACTFollicular unit extraction (FUE) is one of the widely practiced minimally invasive follicular harvesting techniques employed during hair transplantation. FUE technique has an advantage of utilising lower occipital area and supra-auricular region as a safe donor area described by Unger, in addition to the standard occipital donor area used in strip method (follicular unit transplant). Despite its potential advantages such as rapid recovery, minimal scarring and reduced post-operative pain; its widespread acceptance is limited due to various factors in variable contribution like steeper learning curve and potentially higher follicular transection rates (FTRs). The main practical drawbacks in harvesting FUE from lower occipital donor region that lie inferior to the standard donor area, is its acute angle (10°–15°) of emergent hair from scalp skin, higher variance angle (15°–35°) between hairs below the skin and hair exit angle above the skin and comparatively loose scalp, preventing to provide stable platform for punching. Hair transplant surgeon faces difficulty in aligning and engaging the FUE punch leading to very high hair follicle transection rate, and therefore, it is not a preferred site for harvesting follicles in FUE. Authors description of modified technique using reverse rake scalp elevator helps in negating the acute angle of the hair follicles exit from scalp skin and reducing the variance angle between emergent hair and hair below the skin in lower occipital region thereby reducing FTR. Furthermore, an added advantage of reducing the overall operative time and surgeon fatigue, improve donor area healing, availability of a comparatively larger donor area which increases the confidence of the beginners. This method will be of help as it is easy to duplicate and follow by novice hair transplant surgeons and also for those who are routinely doing mega hair transplants sessions.


2017 ◽  
Vol 9 (3) ◽  
pp. 127 ◽  
Author(s):  
Shimona Garg ◽  
Anand Kumar ◽  
Ankita Tuknayat ◽  
GurvinderPal Thami

2001 ◽  
Vol 38 (5) ◽  
pp. 538-540 ◽  
Author(s):  
Michael L. Reed ◽  
Barry H. Grayson

Objective: To present the case of an 18-year-old boy with a cleft lip scar and an obligatory need for facial hair who underwent single–follicular-unit graft hair transplantation that resulted in significant moustache hair restoration in a single procedure. Setting: The surgery was performed in an outpatient private practice setting using oral sedation and local anesthesia. Results: Advances in instrumentation technology and an increased understanding of the anatomical clustering of hair follicles into so-called “follicular units” containing one to six hairs per unit has resulted in a rapid expansion of hair restoration surgery into new areas including female–pattern alopecia, scarring alopecias, and cosmetic surgery scars. These new techniques can be employed to create natural-looking hair lines in front of artificial hair replacement systems; to improve unnatural looking, old “large-plug” hair transplants; and to correct discontinuity of eyebrows and hairlines in patients with congenital facial clefts. Increased awareness is needed to incorporate follicular-unit graft hair transplant surgery into the family of corrective surgery subspecialties.


2014 ◽  
Vol 40 (12) ◽  
pp. 1319-1327 ◽  
Author(s):  
Marc R. Avram ◽  
Shannon A. Watkins

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