Tumescent Anesthesia for Strip or Elliptical Harvesting

1997 ◽  
Vol 14 (4) ◽  
pp. 457-458
Author(s):  
Bernard P. Nusbaum
Keyword(s):  
Tumescent Anesthesia ◽  
Cosmetic Results ◽  
Hair Transplant ◽  
Donor Area ◽  
Graft Yield

Tumescent anesthesia can be used to facilitate donor harvesting in hair transplant procedures. The technique increases the speed of surgery, optimizes graft yield, and improves cosmetic results in the donor area.

Total Excision Techniques in Donor Area Harvesting for Hair Transplanting

1994 ◽  
Vol 11 (1) ◽  
pp. 15-22 ◽  
Author(s):  
W. P. Unger
Keyword(s):  
Total Excision ◽  
Transplant Patients ◽  
Parietal Area ◽  
Hair Transplant ◽  
Donor Area ◽  
Graft Yield

The use of Total Excision Techniques (TET) in the donor area of hair transplant patients is described and recommended. Excision of scars from prior harvestings concomitant with new ones is also advantageous. Using this approach even multiple sessions will result in not more than 2 narrow scars in the occipito-parietal area and one in each of the two temporal areas. The less scar produced in the donor area the more grafts that can be removed without cosmetically overdepleting it. The author estimates that his graft yield has increased by at least 50% since he started using TET and considers it as important an advance in hair transplanting as the concepts of alopecia reduction and minigrafting.

scholarly journals Innovative modified hair follicle harvesting technique with reverse rake scalp elevator for lower occipital donor area in follicular unit extraction hair transplantation

2016 ◽  
Vol 49 (03) ◽  
pp. 390-396
Author(s):  
Chandrakant Rambhau Gharwade
Keyword(s):  
Hair Follicle ◽  
Acute Angle ◽  
Hair Follicles ◽  
Hair Transplantation ◽  
Hair Transplant ◽  
Harvesting Technique ◽  
Donor Area ◽  
Follicular Unit Extraction ◽  
Follicular Unit ◽  
Scalp Skin

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.

scholarly journals Complications of Hair Transplant Procedures—Causes and Management

2021 ◽  
Vol 54 (04) ◽  
pp. 477-482
Author(s):  
Anil Kumar Garg ◽  
Seema Garg
Keyword(s):  
Medical History ◽  
Surgical Complication ◽  
Hypertensive Crisis ◽  
Medical Science ◽  
Wound Dehiscence ◽  
Diabetic Patients ◽  
Hair Transplant ◽  
Donor Area ◽  
Significant Life ◽  
History Of

AbstractHair transplant surgery per se has low risk, is relatively safe, and has minimum incidence of complications. However, it is a well-accepted fact that no medical science procedure exists without any potential risk of complications. The complication may be a single complaint in the form of pain, itching, dissatisfaction related to the procedure's outcome, or surgical complication in the form of infection, wound dehiscence or skin necrosis. Inadequate counselling increases unsatisfaction. Improper examination increases the complications, and incomplete medical history and history of allergy increases the risk during surgery.The author collected data of his 2896 patients, operated over a period of 10 years, and recorded the complains and complications. The most common complications were sterile folliculitis, noted in 203 patients, vasovagal shock in seven patients of, hypertensive crisis in one patient, hiccups in six patients, facial edema after hair transplant in 18 patients, graft dislodgement in 8 patients, infection in two diabetic patients, minor necrotic patches in recipient area in three patients, keloid development in one patient, numbness in 18 cases, and hypersensitivity in recipient and/or donor area. Donor area effluvium was seen in one case and three patients showed recipient area effluvium. Twenty-six patients were not happy with the results, and five cases showed partial loss of implanted hair. The overall significant life-threatening or major complications were zero, but the total minor complications' percentage was 0.10%.The key to minimize complaints and complications are detailed counselling, taking careful medical history and history of allergy, and proper examination of patients.

Localized Telogen Effluvium of the Donor Area After Hair Transplant Surgery in 12 Patients

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Alba Gómez-Zubiaur ◽  
Patricia García-Morrás ◽  
Ángela Hermosa-Gelbard ◽  
Sergio Vañó-Galván
Keyword(s):  
Hair Transplant ◽  
Donor Area

Successful Hair Transplant of Eyebrow Alopecia Areata

2005 ◽  
Vol 9 (4) ◽  
pp. 162-164 ◽  
Author(s):  
Benjamin Barankin ◽  
Muba Taher ◽  
Norman Wasel
Keyword(s):  
Medical Therapy ◽  
Alopecia Areata ◽  
Hair Growth ◽  
Topical Steroids ◽  
Tumescent Anesthesia ◽  
Hair Transplant ◽  
Cortisone Injection ◽  
The Right ◽  
First Time

Background: Alopecia areata of the eyebrows can be difficult to treat. Intralesional triamcinolone or potent topical steroids are considered the mainstay of medical therapy. This case illustrates the results of an experimental hair transplant to the eyebrows following years of modest response to intralesional triamcinolone. Objective: The aim of this study was to ascertain the benefits of a hair transplant for chronic eyebrow alopecia areata not responding to appropriate medical therapy. Methods: A hair transplant was performed with tumescent anesthesia and a total of 85 mini and micrografts placed in the right eyebrow. Followup after the hair transplant occurs every 8 weeks. Results: The patient was free of eyebrow alopecia areata for 8 months following the initial hair transplant. Although the disease relapsed, hair growth is now manageable with intralesional cortisone injection performed six times per year. Conclusions: For the first time in years, this patient was given 8 months of reprieve from his eyebrow alopecia areata and is currently well-maintained on monthly intralesional cortisone which originally was of only modest benefit. The patient is pleased with the outcome.

scholarly journals Clinical Outcome and Safety Profile of Patients Underwent Hair Transplantation Surgery by Follicular Unit Extraction

2018 ◽  
Vol 56 (209) ◽  
pp. 540-543 ◽  
Author(s):  
Rupak Bishwokarma Ghimire
Keyword(s):  
Subjective Evaluation ◽  
Good Growth ◽  
Age Group ◽  
Poor Growth ◽  
Patient’S Satisfaction ◽  
Transplantation Surgery ◽  
Hair Transplant ◽  
Donor Area ◽  
Follicular Unit Extraction ◽  
One Year

  Introduction: Hair transplant surgery is a minimally invasive surgery, where hair follicle is transplanted from donor area of patient’s own body to the desired area. Methods: Patient with hair transplant surgery from a clinic were followed up for one year. The patients were asked for their complications within 2 days, 7 days, one month, 2 to 6 months and one year for assessment of results, side effects. At the end of one-year, subjective evaluation was done with patient’s satisfaction to growth as- poor growth, satisfactory and good growth. Results: Out of 152 patients, maximum patients 74 (48.6%) were in age group 21-30, followed by 61 (40.01%) in age group 31-40, mean age was 31.79, youngest being 21 years and oldest being 70 years of age. Among the complications, swelling of forehead was in more than two- thirds of the patients 106 (69.74%), followed by temporary hair fall noted in 65 (42.76%) of patients. Clients’ remarks noted at the end on one-year revealed 86.18% as excellent results, 11.84% as satisfactory and 1.97% as poor results. Conclusions: Hair transplant sugary by FUE is a relatively safe surgery with optimum results and minimum complications, which can be useful to patients with androgenetic alopecia.

scholarly journals Outcomes of staple closure of the donor area during hair transplant by follicular unit transfer

2014 ◽  
Vol 7 (2) ◽  
pp. 103 ◽  
Author(s):  
Kumaresan Muthuvel ◽  
Deepa Subburathinam ◽  
Sornakumar Lakshmikanthan
Keyword(s):  
Hair Transplant ◽  
Donor Area ◽  
Follicular Unit

The Use of Infrared Coagulation in Hair Transplant and Scalp Reduction Surgery

1995 ◽  
Vol 12 (1) ◽  
pp. 35-39 ◽  
Author(s):  
Gary S. Hitzig ◽  
John P. Schwinning ◽  
Seymour L. Handler
Keyword(s):  
The United States ◽  
Hair Transplantation ◽  
Electrical Shock ◽  
Laser Technology ◽  
Arteriovenous Fistulas ◽  
Hair Transplant ◽  
Donor Area ◽  
Infrared Coagulation ◽  
Bleeding Hemorrhoids ◽  
The Ideal

The infrared coagulator, a spin off of laser technology, has been used for more than a decade, first in Europe and then in the United States, for the in-office elimination of first and second degree hemorrhoids. Even more recently, it has been employed in the treatment and removal of unwanted tattoos. This device has been FDA approved for both anorectal and dermatologic applications. Within the last year, we have conducted a thorough study in our practice of the use and comparison of electrocoagulation, radiosurgical coagulation, and infrared coagulation during both hair transplantation and scalp reduction surgery. The infrared coagulator with its multiple-sized tips and pinpoint accuracy has proven to be superior (especially in a wet field) in providing excellent hemostasis, allowing minimal blood loss, and in allowing the clearest visual field in performing both hair transplant and scalp reduction surgery. Because no ground or antenna plates are necessary for the use of the device, it is extremely safe and effective and thus minimizes both patient risk and electrical shock. Its excellent effect in a wet field (it's used in bleeding hemorrhoids) as well as its uncumbersome size and versatility, makes it the ideal instrument for use during hair transplant and scalp reduction surgery. The device has been tested in the treatment of arteriovenous fistulas in the donor area of the scalp as well and has proved to be quite safe and effective. This paper presents a study encompassing 110 patients undergoing either hair transplant or scalp reduction surgery. Each different modality of coagulation is utilized for the various transplant or scalp reduction sessions on the same patient. Comparisons of effectiveness and postoperative complications are made. Detailed results and photographs are presented.

scholarly journals Trichoscopy for the Hair Transplant Surgeon—Assessing for Mimickers of Androgenetic Alopecia and Preoperative Evaluation of Donor Site Area

2021 ◽  
Author(s):  
Naiem T. Issa ◽  
Antonella Tosti
Keyword(s):  
Hair Loss ◽  
Preoperative Evaluation ◽  
Donor Site ◽  
Androgenetic Alopecia ◽  
Histologic Diagnosis ◽  
Site Assessment ◽  
Hair Transplant ◽  
Female Pattern Hair Loss ◽  
Donor Area ◽  
Preoperative Diagnostic

AbstractPreoperative diagnostic confidence and donor site assessment are important for all hair transplant surgery patients. While the majority of patients seek hair transplantation for male or female pattern hair loss (androgenetic alopecia [AGA]), there are mimickers that must be differentiated from patterned hair loss, as they alter the candidacy of the patient for transplantation. They are termed mimickers as they also can present with patterned hair loss. The use of trichoscopy has become increasingly popular for such use. Patterned hair loss mimickers, which include the underappreciated alopecia areata incognita (AAI) and fibrosing alopecia in patterned distribution (FAPD), can be identified clinically with key trichoscopic findings such as yellow dots and peripilar casts, respectively, that correlate with their histologic diagnosis. Donor hair density and putative hair pathology of the safe donor area can also by assessed via trichoscopy. This article discusses the use of trichoscopy, particularly for diagnosing mimickers of patterned hair loss as well as preoperative donor site assessment.

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