Figure - uploaded by Ravi Sharma
Content may be subject to copyright.
Simple protocol for hair transplant (FUE)
Source publication
The hair transplant has become widely popular aesthetic procedure. Follicular unit transplantation (FUT) and follicular unit extraction (FUE) are two commonly used and accepted techniques. FUT requires excision of strip of tissue from occipital donor area leading to linear scar. To overcome scarring and other complications of FUT, FUE technique has...
Context in source publication
Context 1
... transplant is a developing technique, and no standard recommendations have been put forth yet. A very simple, easy to understand protocol for planning and performing hair transplant is proposed here (Table 4), which may be adopted or modified by surgeons as per their experience with the procedure. Standardization of punches, forceps, motorized devices, holding solutions, etc., is the need of time [11,20,27]. ...Citations
... Studies have also shown that both tofacitinib and ruxolitinib significantly promote hair growth; however, hair growth induced by ruxolitinib tends to be of shorter duration compared to tofacitinib (59). Additionally, current research indicates that ruxolitinib, baricitinib, and tofacitinib are effective treatments for vitiligo (60). Given the shared pathogenic mechanisms between AA and vitiligo, JAK inhibitors hold potential for treating comorbid cases, potentially providing dual therapeutic benefits. ...
Vitiligo is an autoimmune disease characterized by the loss of functional melanocytes in the hair follicles and epidermis, leading to white patches on the skin and mucous membranes. Alopecia areata (AA) is a common immune-mediated condition in which autoimmune attack on hair follicles cause non-scarring hair loss. Both diseases significantly impact patients’s physical and mental health. Hair follicles, dynamic mini-organs, house diverse stem cell populations that form hair structures. Melanocyte stem cell (McSCs) and hair follicle stem cells (HFSC) located in the hair follicle bulge contribute to follicular structures during each anagen phase of the hair cycle, synchronizing periodic activities to impact color to the hair. Hair follicle dysfunction may contribute to hair loss and could potentially interfere with repigmentation efforts in vitiligo lesions. This article reviews the role of hair follicles in the pathogenesis, clinical manifestations, and therapeutic options for vitiligo and AA, aiming to deepen clinicians’ understanding of follicular involvement in these diseases and explore potential treatment avenues.
... The hair follicle extraction technology used for hair transplantation in the early stage is the follicular unit transplantation (FUT), which has caused problems such as relatively large wounds, slow wound healing, and apparent linear scar. Today, it has been predominantly replaced by follicular unit excision (FUE) that carries advantages of quick recovery and smaller punctate scars [5]. ...
Background
The robotic hair transplant technology, ARTAS, has a series of fine mechanical structure and an intelligent recognition system that allows it to independently select hair follicular units (FUs) and effectively harvest hair. After entering China in 2016, ARTAS has attracted the attention of hair transplant surgeons and hair loss patients given its advantages in a short learning curve and simple operation.
Objective
To compare the efficacy and safety between the ARTAS system and follicular unit excision (FUE) in the treatment of male androgenetic alopecia (AGA) and to further promote the improvement and upgrading of ARTAS technology concerning hair transplantation.
Methods
Thirteen Chinese male patients with Norwood–Hamilton II–IV AGA aged 25–35 years were enrolled in this study. The donor site of each patient was randomly divided into left and right regions, receiving ARTAS on one side and FUE on the other. Yield, transection, and discard rates of hair FUs from both sides were compared. Safety of the procedures in whole, as well as follow‐up results were investigated and evaluated.
Results
The total yield rate on the ARTAS side was lower than on the FUE side (82.05% vs. 90.03%, p > 0.05); the total discard rate on the ARTAS side was higher than on the FUE side (10.71% vs. 5.46%, p < 0.05); the total transection rate on the ARTAS side was lower than on the FUE side (13.17% vs. 13.96%, p > 0.05). No significant difference was found in patient satisfaction (efficacy), and no side effects or complications were detected during or after all surgeries.
Conclusion
The current iteration of Robotic hair transplant technology is effective and safe, and can be recommended for AGA hair transplantation surgery.
... Since graft harvesting in FUE is a blind process, unlike the strip method (FUT), graft damage during punching is frequent. 11 In agreement with Saxena et al., An observer reported a reduction in skin atrophy in the areas with scar tissue and an improvement in the quality of the scarred tissue after transplantation, thanks to the inclusion of PRP treatment. This can be attributed to the activity of the PRP, as well as the neovascularization and dermal remodeling of the transplanted hair itself. ...
... The hair transplantation technique became popular and received scientific success in the 1950s when Dr. Orentreich introduced large punch grafts 2-4 mm in size with 15 to 30 follicular units in each graft. He obtained the grafts from the posterior and lateral scalp in patients with androgenic alopecia and introduced the term "donor dominance," which refers to the fact that grafts maintain their original characteristics after they are placed in the recipient area [3]. Hair transplantation took an impressive leap in the early 1990s with the development of the Follicular Unit Transplantation (FUT) technique, which involves excising a linear strip of skin from the mid-occipital scalp. ...
Introduction /Objective. The most modern technique for follicular extraction in hair transplantation is the Follicular Unit Extraction (FUE) method, first described by Rassman et al. in 2002. With this method, individual intact follicular units are extracted "without visible scarring" and then implanted into the balding areas. A challenge with FUE is the lack of a single device that can adequately meet the requirements of different donor areas. The purpose of the present study is to share our initial experience with a new vacuum-automated FUE device with the ability to sterilely store follicles in an optimal environment in terms of temperature and humidity and to evaluate its capabilities to serve as a universal follicular unit extractor. Methods. Over a period of two years (2018-2020), 60 transplants were performed, of which 57 patients were male and three females, using this device for follicle extraction. Patients were divided into two groups: the first group with FUE vacuum-assisted extraction at 26.7% (n = 16), and the second group with forceps extraction at 73.3% (n = 44). Results. The mean graft numbers transplanted at the point of study were 2015.0 ? 507.2, and the mean graft numbers after 12 months were 1915.6 ? 480.6 (t = 10.33; p = 0.000). In both groups (at the point of the study and after 12 months), there was a statistically significant difference between the graft numbers transplanted and the age distribution, surgical technique, and donor area (p 0.05). The younger group generally requires fewer grafts to be transplanted and has better skin quality, leading to a greater success rate. Conclusion. Our initial experience shows that with such a device, it becomes possible to achieve more than a thousand grafts in one day when working in different donor areas, which is minimally invasive for the patient and maximally ergonomic for the surgeon. Sterile storage of the follicles in an optimal environment is a prerequisite for increasing the viability of the transplanted follicles and achieving much better cosmetic results.
... When contrasted with FUT, a significant disadvantage of FUE is transection, or physical harm to the grafts, which is one of the main causes of graft failure. There are variations in size, structure, sharpness, and layout for the FUE punches [18] . ...
... Hair transplantation is used for covering the features of hair loss and it has become one of the main popular procedures in cosmetic field (particularly scars) now with satisfactory results. 47 Follicular unit transplantation (FUT) and follicular unit extraction (FUE) are common techniques hired for hair transplantation. In FUT technique, a band-shaped tissue of occipital region is used as donor, which results a linear scar. ...
... To avoid its complications, including scarring, FUE technique was introduced, in which, small units of hair follicles are harvested. 47 Osman et al. performed hair transplantation on the cleft lip area scar. They hired fat grafting procedure on 20 patients suffering from scar and alopecia. ...
Key Clinical Message
Microcystic adnexal carcinoma (MAC) is a rare kind of cutaneous neoplasm with a very aggressive local infiltration that destructs the affected tissues. Its rate of recurrence is high and it mostly involves the face and scalp regions and most of the patients get affected in the fourth or fifth decades of their life. Here in, we report a 61‐year‐old woman with a right‐sided eyebrow MAC lesion with recurrency. Total excisional surgery was performed. A‐T Flap surgery was applied on the involved area, and after a 2‐year period of follow‐up, with no recurrency, hair transplantation with follicular unit transplantation method was successfully performed on the scarred area. Although microcystic adnexal carcinoma is an uncommon neoplasm; dermatologists and ophthalmologists should consider it as a differential diagnosis, due to its aggressive local infiltration. Complete surgical excision and long‐term follow‐up must be applied to manage the disease. Also, hair transplantation with follicular unit transplantation technique can be considered as a beneficial method for treating scars resulted from MAC excisional surgery.
... As previously observed, Sharma et al. [10] reported that the follicular density in terms of FUGs/cm2 in the PRP versus non PRP group showed a non-significant difference from one month up to three months; however, after 6 months we found a pronounced significant difference between both groups. In addition, Abdelkader et al. [3] has also shown that pretreatment preservation of hair transplants in PRP rather than saline before to implantation results in increased hair density, graft uptake, and hair thickness. ...
... The two most important factors in the success of FUE are accuracy and speed which come with time and practice. Unlike strip technique [FUT], graft harvesting in FUE is a blind procedure, and hence, injury to the grafts during punching is common, transection or physical injury to the grafts is a major drawback of FUE when compared to FUT which is one of the major reasons of failure of grafts [10] . ...
... Hair transplantation is used for covering the features of hair loss and it has become one of the main popular procedures in cosmetic field (particularly scars) now with satisfactory results (47). ...
... In FUT technique, a band-shaped tissue of occipital region is used as donor, which results a linear scar. To avoid its complications, including scarring, FUE technique was introduced, in which, small units of hair follicles are harvested (47). ...
... [1][2][3][4][5]. In the last few years, new studies proved the efficacy of therapies based on the autologous grafting of adult mesenchymal stem cells to accelerate the healing and regenerative processes of the skin and mesenchymal tissues [8][9][10][11][12][13][14][15][16]. ...
... Taking into consideration all the above therapeutic strategies, and the strengths and weaknesses of each of them, we decided to test a new type of outpatient protocol for the treatment of AGA. We structured a such as variation in hair shaft diameter or differences in number of hair shafts per follicular unit between the diseaseaffected areas and the comparison occipital region can be used to identify the disease severity and assess the therapeutic response [7][8][9]. The first step of our protocol. ...
... In addition, it is also worth noting that, in addition to or as a substitute for therapies, there is an exponential increase in hair transplant surgeries procedures (FUE or FUS), which today offer an excellent possibility to successfully correct baldness. Without going into the details of this method the limits of the surgical approach are inextricably linked to the capacity of the donor area and the aggressiveness of the baldness [7][8][9]. ...
... Em razão do método de extração em tira, a chance de transecção bulbar se torna menor quando comparada à técnica de extração fio a fio 11 . Ademais, no FUE é bastante comum a presença de coceira na área doadora, além da perda dos folículos extraídos, cicatriz na área doadora em aparência de traça ou cicatrizes hipopigmentadas, crescimento retardado, resultados inestéticos ou abaixo das expectativas 8 . ...
... Como forma de amenizar possíveis complicações, o teste FOX pode ser realizado no início da extração dos folículos pelo método FUE, de modo a analisar os primeiros enxertos e pontuá-los em uma escala que varia de 1 a 5. Tal pontuação é avaliada pelo cirurgião: FOX 1 e FOX 2 representam a pontuação ideal para prosseguir a cirurgia, enquanto o FOX 3 é considerado neutro e FOX 4 e FOX 5 indicam que o risco de transecção de folículos será alto com perda significativa de gordura circundante, sendo recomendado, nesses casos, a utilização da técnica FUT 8 . ...
O transplante capilar é um procedimento estético que vem ganhando destaque e popularidade nos últimos anos, devido ao grande avanço das técnicas cirúrgicas, a Extração de Unidade Folicular (FUE) e Transplante de Unidades Foliculares (FUT). Partindo disso, a pesquisa objetivou avaliar, por meio de revisão de literatura, as principais vantagens e desvantagens das duas técnicas, assim como suas principais aplicações e complicações. Através de quatro descritores, as pesquisas foram realizadas nas bases de dados U.S. National Library of Medicine (NIH), através de sua ferramenta de busca PubMed e base de dados MEDLINE. Após a análise do conteúdo encontrado e exclusão dos materiais que não atendiam ao tema do estudo, além de teses, monografias e dissertações, nove artigos foram selecionados para o embasamento do artigo. Ao fim da revisão de literatura proposta, concluiu-se que tanto a técnica FUT quanto a FUE podem ser recomendadas aos pacientes interessados em realizar transplante capilar, embora cada uma possua particularidades que atendem melhor determinados perfis de pacientes. De acordo com uma série de avaliações médicas, o cirurgião pode indicar ou contraindicar as técnicas cirúrgicas, comumente utilizadas para contornar casos de alopecia.
