Controversies in Hair Transplantation

    M Kumaresan, Venkatram Mysore
    TLDR The article discusses debates on hair transplant techniques, safe donor areas, PRP use, and practitioner qualifications in hair restoration.
    The document "Controversies in hair transplantation" discussed debated topics in hair transplantation as of 2018, including the optimal donor area, techniques for graft extraction and implantation, and donor site scarring management. It highlighted the potential benefits of platelet-rich plasma (PRP) in improving transplant outcomes, though large-scale studies were lacking. The concept of the Safe Donor Area (SDA) was examined, noting the lack of consensus on its boundaries and ethical concerns of harvesting from non-safe areas. The document compared Follicular Unit Extraction (FUE) and Follicular Unit Transplantation (FUT), noting that FUE avoids linear scars but results in more total scarring and potentially lower graft quality, while FUT yields higher quality grafts but involves more postoperative pain and scarring. The authors emphasized the need for standardized guidelines, more research, and ethical considerations to improve patient outcomes.
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