The physician who will perform FUE technique hair transplantation should definitely examine the structure of the hair in the donor area. Curly, straight, thin, thick, the layers in the skin (upper skin, lower skin and subcutaneous fat layer) should know the relationship appropriately. Of course, this is not a standard measurement. In other words, this information will not be the same in every patient, but it is also different for different areas in the donor area of the patient. For example, the depth of the hair follicles in the middle of the two ears is different, and it is different in the above-ear area. The physician should know the structure of these different regions and combine this knowledge with the hair structure of the patient in the donor area.
In some patients, straight and heavy hair may be thought to be easy to extract when viewed from the outside, but if the patient’s hair follicles are deeply located in the skin (usually longer than 5 mm) and the hair follicle structure is split, especially in multiple grafts, extraction may be very difficult, contrary to what is believed.
In summary, the information that starts with the appropriate examination should be combined with the information obtained in the first minutes of the attempt, and a careful extraction should be performed in the light of this information in order to achieve the aim of reaching the total number of grafts expected to be removed. Parameters such as the depth of the hair follicles, the presence or absence of split legs, the elasticity or firmness of the skin, the frequency of the donor area, and the multiple graft ratio determine the success of the extraction.
The correct selection of the diameter of the extraction punches used, together with these parameters and data, affects the success of the extraction. Let’s give an example: Let’s say it is desired to collect 3000 grafts from a donor area with a 0.8mm punch. If the patient has a donor area within 3000 grafts, which we can call normal/average density and quality; single graft rate should not exceed 15%. In other words, a maximum of 450 single grafts should be removed. If the doctor can do this with a 0.8mm punch, he has chosen the punch diameter correctly. However, it cannot do this with 0.7mm diameter, if it produces 700-800 units when it works with this diameter, but if it extracts 3200 grafts in total, it means that it cannot achieve a maximum of 15%. If we say 3200/800, we get a 25% single graft rate, which indicates that the donor site is “not well-used”.
Ez sentence; It is more possible to remove more grafts in small-diameter punches, but if this affects the quality of the graft, it reduces the success of the operation. Because the main factor that provides fullness and density in hair transplantation is the high quality of the graft and the high ratio of triple / multiple graft number in the total number of grafts.
Let’s continue by giving an ideal patient operation example here:
Let’s say you collected 3000 grafts, used a 0.8mm punch, extracted 350 singles, and the remaining 2650 grafts were configured as 50/50% double/triple.
Now, according to your operation plan, you will transfer this ideal to a patient with a total number of 35-40 grafts per cm2 with norwood4 degree hair loss. The number 35-40 is also an ideal number. The reason is that it creates combable hair density. In addition, the number of grafts 40 per cm2, the retention rate is the highest density ratio. So if you want to make 60, this time you risk the retention rate.
When you pass to the October stage;
You can experience the advantage of using 0.8mm punch instead of 0.9mm punch in the planting channels to be opened. Because the diameter of the sowing channels should also coincide with the diameter of the intake punches. To give an example again, if you want to open a 0.6mm diameter channel and place the graft you have taken with 0.8mm, unfortunately that graft is damaged during placement and does not grow, hold or grow.
You have determined the ideal number of grafts to be planted per cm2 in the sowing channels and you have chosen the diameter of the planting channels, but this is not enough. You need to change the densities according to the special areas of the planting area, for a smoother result and image. If you lay these 3000 grafts on a parquet floor instead of an ordinary place for your nrw4 degree patient, where you have a beautifully collected, single/multiple ratio ideal, where you will place an average of 40 grafts per cm2, you can probably find yourself successful in the “before/after” photographs when the image emerges, but the details are important, the details are great. you may not be. For example, a transplant with equal density may not bring happiness to the patient, and indeed to you, when you carefully examine them. This is most likely the reason. The density in the “Brigde” area, that is, the bridge area, should definitely be slightly higher, so that the patient does not see this area that covers the “roundness of the head” when looking in the mirror, still nestled and slightly open…
We call this region the “curtain planting” region. Studying this area more often carries the result of hair transplantation to a much more devastating quality for the patient and the doctor.
And that’s not enough either. Let’s say you also created the curtain. Here’s what the doctor needs to know at this stage. Even if it opens the planting channels by choosing the appropriate diameters when it reaches the hairline, the front area, the curtain and bridge area and finally the back area, it needs to open the planting channels at different depths in these different areas. He should know that too. At the same time, he should combine these choices with the length of the hair follicles he removed from the donor area. The channels that are opened too deep and frequently disrupt the blood circulation of the skin and result in the “not holding” of the transplanted hair to a large extent.
This is the most undesirable result for the patient and the physician in hair transplantation.
A physician who has made everything real until this step has no other cure but trusting his assistants to place the grafts in the planting channels without any damage. If a physician who has done everything real until this stage has a long, stable, stable association with placement assistants, that is, if the assistants are also “trained” in this regard, there is no reason for the result to be incomplete.
– – Meticulous analysis
– Real information about the structure of the donor area hair follicles at the beginning of the operation
– With this information, the number of quality extractions / sufficient grafts
– Truth plan and truth cultivation configuration
– Truth cultivation channels
– Meticulous placement
Physicians who integrate these 6 parameters with each other, match each other harmoniously and can revise this technical scenario according to the hair loss pattern of each patient, who have aesthetic knowledge and produce vision, have always helped their patients and produced true analyzes for their complaints and hair loss problems.
Great results are always possible thanks to this.