Title : The art in Follicular unit excision
Abstract:
Follicular Unit Extraction or Follicular Unit Excision (FUE), is the latest technique and the major advancement in hair transplant surgery. FUE has evolved and improved substantially during this time and is believed to becoming even better because of recent innovations that in order not to be associated with more harm than good must be applied thoughtfully and conservatively and honestly while avoiding overly aggressive use. ( Walter Unger Forum Nov- Dec. p245) . FUE is performed using small rotating dull or sharp punch to harvest the individual follicular units from the scalp back donor region.There are many FUE devices available , including the most expensive and highly mechanised device ,Robotics ( ARTAS), but still, the most sophisticated instrumentation cannot replace the skill and experience of the physician To be able to perform FUE procedure , physician needs training, continuous knowledge and the choice of FUE device technology . Physician ’s higher skills, efficiency and speed in harvesting the 1000s of intact individual grafts with the device affects the end results.When individual follicular units are removed from a donor site and transplanted to a recipient site, the follicles should be all physiologically healthy and anatomically intact. Healthy, intact follicles are more likely to thrive and produce hair at the transplant recipient site. In this presentation I share with you my choice of FUE device which are : 1mm disposable punch and the POWERED SAFE SCRIBE . I use 0.8 and 0.9mm blunt punches to extract the individual’s follicular units . With these FUE devices, even the most advanced FUE techniques such as body hair transplant and non-shaven FUE are possible.In addition , importance of attention to procedure details and a good surgical team to optimize the hair transplant procedure results will be highlighted . The FUE applications from my experience are the following.: Patients who want to wear their hair very short Patients who do not want a linear scar on the back Combines with strip procedure to harvest more grafts Patients who tend to heal with thickened and wide linear scars despite good surgery Patients discouraged to undergo another strip because of unacceptable ugly scarring from previous strip poor surgery Patients with old scars from scalp infection , accident or surgery trauma and do not want further scar formation Patients who require small session i.e eyebrow retouch , small scars .. Patients with tight scalp Patients who need to resume high level of activity soon after the procedure. Patients who have significant dislike to after surgery pain Patients with extremely thick hair shafts and who require finer hairs from the supra-auricular or low neck regions to place on frontal hairline or eyebrows for more aesthetic result . Facial Hair Transplant: Eyebrows , Eyelash, Moustache,Beard Body hair transplant Patients with limited or depleted donor supply for additional grafts harvest Correction of unnatural results Permanent hair removal of blond excessive hair unresponsive to laser surgery Even in men with severe cases of hair loss, there is an abundant supply of lifelong hair follicles, allowing for the success of a hair transplant surgery. These follicles can be found concentrated in the horseshoeshaped area at the very back of the head. Due to the concentration of these lifelong hair follicles, this area is known as the “donor area.” During a hair transplant surgery, excess hairs will be relocated from the donor area to the areas of the head with thinning and balding, most often the top or front of the head. The surgical transplanting of the hair follicles themselves is a very simple outpatient procedure. The true artistry of the procedure is within the surgeon’s decisions in designing and creating a new hairline. It takes great skill and experience to be able to carefully craft a new hairline that complements the patient’s individual facial features, and goes well with the patient’s age and lifestyle. Dr. Law’s skill is shown in the remarkably natural looking results of his surgeries, and he takes a deep interest in tailoring the results to suit each patient’s needs. Patient approval is of course completely necessary before starting any procedure, and Dr. Law will work closely with each patient throughout the design process.
