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Follicular
Unit Transplant Method
OUTCOME AND PROGNOSIS
The goal is to make the final product look so natural that it
cannot be distinguished as a transplant. The tight packing of
grafts provided by microscopic dissection generates a natural
appearance acceptable to most patients. Although this method is
time and labor intensive, the results justify the meticulous attention
to detail.
PICTURES
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1. Pattern VI alopecia before and after follicular unit
micrografting |
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2. Dorsal view of pattern V alopecia before and after approximately
2000 follicular unit micrografts |
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3. Frontal and temporal hairline design and transplant results |
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4. Hairline design. Note that the frontotemporal design
rises slightly above the horizontal plane. |
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5. Comparison of donor densities. Left donor has 72 follicular
units per cm2; right donor has 134 units per
cm2. |
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6. Donor ellipse and sutured donor site |
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7. Margin of donor ellipse and follicular unit micrografts
of 1, 2, and 3 hairs |
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8. Recipient sites. Left is immediately postoperative. Right
is 7 days postoperative (note complete healing characteristically
present by 7 d). |
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9. Eyebrow transplantation. Left is preoperative. Right
is after 400 follicular unit micrografts. |
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10. Close-up view of frontal hairline before and after micrografts |
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BIBLIOGRAPHY
- Bernstein RM, Rassman WR, Szaniawski W: Follicular transplantation.
Int J Aesthetic Restor Surg 1995; 3: 119-32.
- Bradshaw W, Unger WP, Nordstrom REA, eds: Quarter-grafts:
a technique for minigrafts. In: Hair Transplantation. 2nd ed.
Marcel Dekker; 1988: 333-51.
- Fujita K: Reconstruction of eyebrow. La Lepro 1943; 22: 364.
- Hamilton JB: Patterned loss of hair in a man: types and incidence.
Ann N Y Acad Sci 1951; 53: 708-28.
- Headington JT: Transverse microscopic anatomy of the human
scalp. A basis for a morphometric approach to disorders of the
hair follicle. Arch Dermatol 1984 Apr; 120(4): 449-56[Medline].
- Limmer BL, Buchwach KA: Hair transplantation using follicular
unit micrografting. Facial Plast Surg 1999 Nov; 7(4): 523-35,
viii[Medline].
- Limmer BL: Elliptical donor stereoscopically assisted micrografting
as an approach to further refinement in hair transplantation.
J Dermatol Surg Oncol 1994 Dec; 20(12): 789-93[Medline].
- Marritt E: Single-hair transplantation for hairline refinement:
a practical solution. J Dermatol Surg Oncol 1984 Dec; 10(12):
962-6[Medline].
- Nordstrom REA: "Micrografts" for improvement of the frontal
hairline after transplantation. Aesthetic Plast Surg 1981; 5:
97-101.
- Norwood O, Limmer BL: Advances in hair transplantation. Adv
Dermatol 1999; 14: 89-113; discussion 114[Medline].
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Int 1998; 8(2): 10-11.
- Okuda S: [Clinical and experimental studies of transplantation
of living hairs]. Jpn J Dermatol Urol 1939; 46: 135-8.
- Orentreich N: Autografts in alopecias and other selected dermatological
conditions. Ann NY Acad Sci 1959; 83: 463.
- Seager D: Binocular stereoscopic dissecting microscoping-should
we use them? Hair Transplant Forum Int 1996; 6: 2-5.
- Stough DB 4th, Nelson BR, Stough DB 3rd: Incisional slit grafting.
J Dermatol Surg Oncol 1991 Jan; 17(1): 53-60[Medline].
- Tamura H: Pubic hair transplantation. Jpn J Dermatol 1943;
53: 76.
- Uebel CO: Micrografts and minigrafts: a new approach for baldness
surgery. Ann Plast Surg 1991 Nov; 27(5): 476-87[Medline].
- Vallis CP: Surgical treatment of the receding hairline. Plast
Reconstr Surg 1967 Aug; 40(2): 138-46[Medline].
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Reconstr Surg 1969 Sep; 44(3): 271-8[Medline].
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