A Comment on a Study of Donor Area in Follicular Unit Hair Transplantation

    January 2014 in “ Journal of Cutaneous and Aesthetic Surgery ”
    Arvind Poswal
    Image of study
    TLDR The document suggests that for better patient satisfaction in hair transplants, high-quality photos are needed, and using a narrow donor strip might lead to fewer grafts and dissatisfaction, but filling the scar with FUE grafts and using tranexamic acid can improve results.
    The document contains a comment on a study regarding donor area in follicular unit hair transplantation (FUHT), emphasizing the importance of high-quality pictorial proof for the 30 patients followed up in the study, including details of grafts and the Norwood level of hair loss. The author suggests that patient satisfaction should be pre-determined based on donor area healing and cosmetically pleasing results in the bald recipient area. They propose that taking a narrow donor strip may lead to dissatisfaction due to fewer grafts, especially in cases of extensive hair loss. An alternative approach mentioned is filling the strip scar at a later date with grafts extracted by Follicular unit extraction (FUE), which allows for maximizing graft harvest and provides the option to correct the strip scar with hair at the desired angle and direction. The author also discusses the use of tranexamic acid in a tumescent solution to reduce blood loss and bruising in surgeries, suggesting its potential use in liposuction to decrease bruising. Tranexamic acid is highlighted for its anti-fibrinolytic effect and its use in various surgeries without increasing thrombosis risk.
    Discuss this study in the Community →

    Related Community Posts Join

    6 / 171 results

      community Verteporfin and Microneedling

      in Treatments 6 months ago
      Clinical studies by Dr. Barghouthi and Dr. Bloxham indicate that Verteporfin, when used with FUE and FUT hair transplantation methods, shows promise in hair follicle regeneration and minimal scarring due to its ability to inhibit Yes-associated protein (YAP). Microneedling at depths of 3-3.5mm, combined with Verteporfin, could potentially reactivate dormant follicles, although the optimal dosage and application method are still under investigation. Concerns remain about the DHT sensitivity of regenerated follicles, highlighting the need for further research to optimize trauma levels and Verteporfin concentrations to achieve effective and scar-free hair regeneration.

      community How is verteporfin doing in trials?

      in Chat  9 upvotes 1 year ago
      The conversation is about the progress of verteporfin in hair loss trials, with users expressing curiosity about its effectiveness and updates. Specific treatments mentioned include FUE (Follicular Unit Extraction) combined with verteporfin, with one reported case of donor area regrowth after a year, and three patients being monitored post-treatment by Dr. Bloxham with monthly updates on YouTube.
      Diffuse hair loss and scalp biopsies

      community Diffuse hair loss and scalp biopsies

      in Research  692 upvotes 4 months ago
      Scalp biopsies are crucial for diagnosing hair loss conditions like Diffuse Unpatterned Alopecia (DUPA) and retrograde hair loss, as treatments like finasteride and dutasteride may not be effective if other conditions are present. Combining PPAR-GAMMA agonists with retinoids could improve treatments for conditions like Lichen Planopilaris.

    Related Research

    2 / 2 results