XVII International Course on Plastic and Aesthetic Surgery - Barcelona, 16-19 June 2010
Hairline creation with micrografts - P. BOUHANNA M.D. (Paris)
Small scalp fragments such as micrografts or follicular unit grafts of 1 to 3 hairs are used for hair transplant surgery. Implanting 2000 to 3000 hairs during each session which lasts for 3 to 4 hours, will provide a well defined and natural frontal hair line and the densification of a more or less widespread hair thinning area.
Two techniques are actually available:
1- Follicular units Segmentation (FUS)
Hairs, harvested will keep their ability to grow after implantation throughout the patient's life.
This procedure based upon the implantation of 1 to 3 hair grafts, aims at restoring the natural emergence of 2 to 3 hairs from each pilo-sebaceous orifice and avoids the unsight ful hair doll's appearance.
2- Follicular Unit Extraction (FUE)
Follicular unit extraction consists to harvest from the donor area, intact follicular units with 1 mm punches inserted at a depth of 4 to 5 mm. the obtained unit is then very gently extracted from the surrounding tissue.
FUE can be considered in patients: who shave their scalp, who have less or no scalp laxity, who wish a small session, who don't have a baldness evolution.
Advances in hair transplant techniques aim towards the restoration of an esthetic natural look of hairs, due to:
- A fine implantation on the balding area with surgical needles and jewelry forceps allowing the good choice of hair emergence angle, hair orientation and obliquity
- The performance of a fine and regular "one-by-one" frontal hair line
- A homogeneous distribution of many more micrografts and follicular units grafts.