Follicular-Unit Hair Grafting

    September 2003 in “ Archives of Facial Plastic Surgery ”
    John H. Epstein
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    TLDR Follicular-unit grafting is an effective hair transplant method that looks natural and has a high success rate.
    The document from 2003 details the advancements in hair restoration, particularly focusing on follicular-unit grafting, which was considered the most advanced and natural-looking method at the time. Jeffrey S. Epstein, MD, reported performing 615 hair transplant procedures over the past 3 years, using follicular-unit grafting in 95% of cases, with graft numbers ranging from 250 to 3115 per procedure. The technique, which requires a team of experienced assistants, involves transplanting 1 to 4 hair micrografts, resulting in a more natural appearance, faster healing, and minimal trauma to existing hairs. Over 90% of transplanted hairs grew successfully, with high patient satisfaction and minimal complications. The document also discusses the procedure's technical aspects and the preference for follicular-unit grafting in over 90% of cases, with micro/minigrafting being an option for certain situations. Epstein's initial 3-year experience with the technique confirmed its effectiveness and preference for achieving natural-looking hair transplantation results.
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