Punch Hair Grafting Methods

January 1985 in “ Facial Plastic Surgery ”

Rolf E. A. Nordström

punch hair grafting hair restoration motor punches donor graft harvesting inflatable hemostat edema loss of sensation buried grafts recipient scalp graft popping

TLDR The document recommends careful planning and techniques for successful punch hair grafting in hair restoration.

The 1985 document outlines the methodology and considerations for punch hair grafting, a hair restoration surgical technique. It emphasizes preoperative care, including avoiding certain substances and using medicated shampoo, and the importance of designing a natural-looking frontal hairline. The author describes the use of motor punches for efficient donor graft harvesting and a self-designed inflatable "hemostat" to reduce bleeding. The paper highlights the goal of achieving an average of 20 surviving hairs per 4.0 mm graft and suggests techniques to address challenges such as thin recipient scalp and graft "popping." Complications like edema, loss of sensation, and buried grafts are discussed, with most being manageable and non-harmful. The author's experience is based on 10 years and approximately 4000 operations, although no specific patient study numbers are provided. Overall, the document advocates for meticulous execution and quality control for successful hair transplantation outcomes.

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