Standardizing the Classification and Description of Follicular Unit Transplantation and Mini-Micrografting Techniques

    September 1998 in “ Dermatologic Surgery ”
    Robert Bernstein, William R. Rassman, David Seager, Ron Shapiro, Jerry E. Cooley, O’Tar T. Norwood, Dowling B. Stough, Michael L. Beehner, Jessica A. Arnold, Bobby L. Limmer, Marc R. Avram, Robert E. McClellan, Paul T. Rose, Guillermo Blugerman, Marcelo Gandelman, Paul C. Cotterill, Robert Haber, Roy B. Jones, James E. Vogel, Ronald L. Moy, Walter Unger
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    TLDR Surgeons suggested a standard system for hair transplant methods to improve communication and results.
    In 1998, hair restoration surgeons proposed a standardized classification system for follicular unit transplantation (FUT) and mini-micrografting techniques to improve communication and allow for accurate comparison of procedures. The system recorded seven key elements of the surgical process and emphasized the importance of microscopic dissection for preserving follicular anatomy. The paper highlighted the benefits of large sessions in FUT for creating a natural-looking hairline and reducing the number of treatment sessions. It also stressed the significance of harvesting and dissection techniques on implant quality, recommending the use of stereo-microscopy to minimize follicle transection and a single-strip method for donor tissue to preserve follicular units. The classification aimed to standardize documentation, stimulate research, and enhance patient care, while also providing definitions for terms related to FUT and mini-micrografting.
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