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.
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