Follicular Unit Excision in Hair Restoration Surgery

    November 2023 in “ Facial Plastic Surgery ”
    Steven Gabel
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    TLDR Follicular Unit Excision (FUE) is a popular, less invasive hair restoration method with high patient satisfaction when done correctly, despite some complications from untrained practitioners.
    The document "Follicular Unit Excision in Hair Restoration Surgery" discusses the evolution and impact of Follicular Unit Excision (FUE) in hair restoration. FUE, a technique that extracts individual follicular units, has become the dominant method for obtaining donor hair worldwide, surpassing traditional linear strip harvesting. This shift was driven by FUE's less invasive nature and almost imperceptible scarring, even with short hair. However, the rise of FUE also led to poor outcomes and complications due to the procedure being delegated to untrained or unlicensed assistants, contributing to a black market in hair restoration clinics. Despite these issues, when FUE is performed correctly, it yields excellent results and high patient satisfaction. The document also explores topics specific to FUE, such as device development, patient selection, anesthesia, and the impact of FUE on the donor area. It also discusses the current medical treatment options for hair loss and ethical considerations in hair restoration surgery.
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      in Is this regrowth?  210 upvotes 1 year ago
      The post discusses a user's six-year progress with finasteride and a Follicular Unit Transplant (FUT) for hair loss. The user shared before and after photos in reverse order, leading to confusion, but overall, the community responded positively to the user's hair regrowth.

      community How is verteporfin doing in trials?

      in Chat  9 upvotes 11 months ago
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      in Progress Pictures  118 upvotes 2 months ago
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      community Verteporfin and Microneedling

      in Treatments 5 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.

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