Day 02 Hair Transplant Surgery

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HAIR TRANSPLANT PROCEDURE
INTRODUCTION
Hair transplantation is a surgical modality for the treatment of androgenetic alopecia.[1] Hair follicles in the occipital scalp are harvested and then planted on to the frontal scalp, and less often to the vertex. There are two methods of harvesting the follicles from the occipital scalp. In the first method, also called follicular unit transplantation (FUT), a strip is harvested from the occipital scalp, whereas in the second method individual follicular units are harvested. The latter is called follicular unit extraction (FUE).[1]

Subjects and Methods:
The patients willing to undergo hair transplantation by the technique of follicular unit extraction were enrolled for the surgery. After administration of local anaesthesia, the recipient sites were created. Thereafter, the processes of scoring the skin with a motorized punch, graft extraction and implantation were performed simultaneously. These patients were followed up to look for the time period of initiation of hair growth, the growth achieved at the end of 6–8 months and any adverse events. The results of patients with noticeable improvement in the photographs and reduction in baldness grade were taken as ‘good’, whereas, in other patients, it was classified as ‘poor’.

Results:
All patients were males with age ranging from 21 to 66 years (median 30 years). Twenty-six patients had androgenetic alopecia, 1 patient had traction alopecia and 2 patients had scarring alopecia. Twenty-seven patients showed ‘good’ results, whereas 2 patients showed ‘poor’ results.

Conclusion:
Direct hair transplantation is a simple and feasible modification in the follicular unit extraction technique. It is an efficacious surgical treatment modality for baldness.

Keywords: Androgenetic alopecia, follicular unit extraction, hair transplantatioN
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