Using Feily's Method to Prevent Scalp Necrosis in Three Patients Prone to Scalp Recipient Necrosis: What Is New in Prevention of Scalp Necrosis?

In the paper, Feily's method was used to prevent scalp necrosis in three patients undergoing dense hair transplantation. Scalp necrosis is a serious complication that can occur when a large number of grafts are used, leading to de-vascularization of the scalp. Feily's method involves delaying graft insertion for 24 hours after slitting to allow for reperfusion, particularly in areas that appear dark after slitting, which may indicate potential danger zones. The three cases presented involved patients who experienced persistent dark areas after slitting, which required more than the standard 24-hour rest period before grafting could safely proceed. By allowing these dark areas to rest and ensuring adequate reperfusion time, scalp necrosis was successfully avoided in all three cases. The authors concluded that while more clinical trials are needed, not rushing the procedure and allowing for sufficient rest and reperfusion time is crucial for preventing scalp necrosis in dense hair transplantation.