Harvested vs estimated follicular units in hair transplantation

Background The follicular unit transplantation strip harvesting surgery is one of the gold standard methods of hair transplantation; the counting follicular unit ratio and hair density is a major step in donor site evaluation. Aims We conducted the study for analyzing the preoperative donor site eva...

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Veröffentlicht in:Journal of cosmetic dermatology 2019-06, Vol.18 (3), p.902-907
Hauptverfasser: Huang, Yau‐Li, Lee, Mei‐Ching, Chang, Shyue‐Luen, Hu, Sindy, Chang, Chun‐Shin, Lin, Ying‐Fang, Cheng, Chun‐Yu
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container_end_page 907
container_issue 3
container_start_page 902
container_title Journal of cosmetic dermatology
container_volume 18
creator Huang, Yau‐Li
Lee, Mei‐Ching
Chang, Shyue‐Luen
Hu, Sindy
Chang, Chun‐Shin
Lin, Ying‐Fang
Cheng, Chun‐Yu
description Background The follicular unit transplantation strip harvesting surgery is one of the gold standard methods of hair transplantation; the counting follicular unit ratio and hair density is a major step in donor site evaluation. Aims We conducted the study for analyzing the preoperative donor site evaluation and comparison of the actual harvested and estimated follicular units in hair transplantation. Patients/Methods In this retrospective study, we enrolled 65 male patients with androgenetic alopecia who underwent follicular unit transplantation. Before the donor strip harvesting procedure, we counted the follicular unit density and calculated the percentage of each follicular unit. And then, we compared them to actual harvesting grafts. Result The number of actual harvested transplanted hairs (3162.22 ± 958.30) were less than estimated transplanted hairs (3319.25 ± 1007.86). Both the number and percentage of actual harvested 1‐hair follicular unit were more than estimated 1‐hair follicular unit. In contrast, the number and percentage of actual harvested 3‐hair follicular unit was less than estimated 3‐hair follicular unit. The follicular unit density was lower in older patients. Those received more than one session of hair transplantation tended to have lower follicular and hair density (P = 0.007 and 0.01, respectively). The scalp laxity was lower in older patients and those received multiple sessions of hair transplantation. Conclusion The actual harvested grafts yield more 1‐hair follicular units and less 3‐hair follicular units than estimation. Old age and multiple sessions of hair transplantation caused more limitation of harvesting donor scalp.
doi_str_mv 10.1111/jocd.12740
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Aims We conducted the study for analyzing the preoperative donor site evaluation and comparison of the actual harvested and estimated follicular units in hair transplantation. Patients/Methods In this retrospective study, we enrolled 65 male patients with androgenetic alopecia who underwent follicular unit transplantation. Before the donor strip harvesting procedure, we counted the follicular unit density and calculated the percentage of each follicular unit. And then, we compared them to actual harvesting grafts. Result The number of actual harvested transplanted hairs (3162.22 ± 958.30) were less than estimated transplanted hairs (3319.25 ± 1007.86). Both the number and percentage of actual harvested 1‐hair follicular unit were more than estimated 1‐hair follicular unit. In contrast, the number and percentage of actual harvested 3‐hair follicular unit was less than estimated 3‐hair follicular unit. The follicular unit density was lower in older patients. Those received more than one session of hair transplantation tended to have lower follicular and hair density (P = 0.007 and 0.01, respectively). The scalp laxity was lower in older patients and those received multiple sessions of hair transplantation. Conclusion The actual harvested grafts yield more 1‐hair follicular units and less 3‐hair follicular units than estimation. Old age and multiple sessions of hair transplantation caused more limitation of harvesting donor scalp.</description><identifier>ISSN: 1473-2130</identifier><identifier>EISSN: 1473-2165</identifier><identifier>DOI: 10.1111/jocd.12740</identifier><identifier>PMID: 30084223</identifier><language>eng</language><publisher>England</publisher><subject>Adult ; Age Factors ; Alopecia - surgery ; androgenetic alopecia ; follicular unit ; Hair Follicle - transplantation ; hair transplant ; Humans ; Male ; Middle Aged ; Retrospective Studies ; Scalp ; Skin Transplantation - methods ; Tissue and Organ Harvesting - methods ; Transplantation, Autologous - methods</subject><ispartof>Journal of cosmetic dermatology, 2019-06, Vol.18 (3), p.902-907</ispartof><rights>2018 Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3290-e6a9c19f66af5fea4e3f3b930b8da5cd9ef1ed6733e96b54c86054c027bc49d43</citedby><cites>FETCH-LOGICAL-c3290-e6a9c19f66af5fea4e3f3b930b8da5cd9ef1ed6733e96b54c86054c027bc49d43</cites><orcidid>0000-0002-3746-9561</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjocd.12740$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjocd.12740$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30084223$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Huang, Yau‐Li</creatorcontrib><creatorcontrib>Lee, Mei‐Ching</creatorcontrib><creatorcontrib>Chang, Shyue‐Luen</creatorcontrib><creatorcontrib>Hu, Sindy</creatorcontrib><creatorcontrib>Chang, Chun‐Shin</creatorcontrib><creatorcontrib>Lin, Ying‐Fang</creatorcontrib><creatorcontrib>Cheng, Chun‐Yu</creatorcontrib><title>Harvested vs estimated follicular units in hair transplantation</title><title>Journal of cosmetic dermatology</title><addtitle>J Cosmet Dermatol</addtitle><description>Background The follicular unit transplantation strip harvesting surgery is one of the gold standard methods of hair transplantation; the counting follicular unit ratio and hair density is a major step in donor site evaluation. Aims We conducted the study for analyzing the preoperative donor site evaluation and comparison of the actual harvested and estimated follicular units in hair transplantation. Patients/Methods In this retrospective study, we enrolled 65 male patients with androgenetic alopecia who underwent follicular unit transplantation. Before the donor strip harvesting procedure, we counted the follicular unit density and calculated the percentage of each follicular unit. And then, we compared them to actual harvesting grafts. Result The number of actual harvested transplanted hairs (3162.22 ± 958.30) were less than estimated transplanted hairs (3319.25 ± 1007.86). Both the number and percentage of actual harvested 1‐hair follicular unit were more than estimated 1‐hair follicular unit. In contrast, the number and percentage of actual harvested 3‐hair follicular unit was less than estimated 3‐hair follicular unit. The follicular unit density was lower in older patients. Those received more than one session of hair transplantation tended to have lower follicular and hair density (P = 0.007 and 0.01, respectively). The scalp laxity was lower in older patients and those received multiple sessions of hair transplantation. Conclusion The actual harvested grafts yield more 1‐hair follicular units and less 3‐hair follicular units than estimation. 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Aims We conducted the study for analyzing the preoperative donor site evaluation and comparison of the actual harvested and estimated follicular units in hair transplantation. Patients/Methods In this retrospective study, we enrolled 65 male patients with androgenetic alopecia who underwent follicular unit transplantation. Before the donor strip harvesting procedure, we counted the follicular unit density and calculated the percentage of each follicular unit. And then, we compared them to actual harvesting grafts. Result The number of actual harvested transplanted hairs (3162.22 ± 958.30) were less than estimated transplanted hairs (3319.25 ± 1007.86). Both the number and percentage of actual harvested 1‐hair follicular unit were more than estimated 1‐hair follicular unit. In contrast, the number and percentage of actual harvested 3‐hair follicular unit was less than estimated 3‐hair follicular unit. The follicular unit density was lower in older patients. Those received more than one session of hair transplantation tended to have lower follicular and hair density (P = 0.007 and 0.01, respectively). The scalp laxity was lower in older patients and those received multiple sessions of hair transplantation. Conclusion The actual harvested grafts yield more 1‐hair follicular units and less 3‐hair follicular units than estimation. Old age and multiple sessions of hair transplantation caused more limitation of harvesting donor scalp.</abstract><cop>England</cop><pmid>30084223</pmid><doi>10.1111/jocd.12740</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-3746-9561</orcidid></addata></record>
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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Adult
Age Factors
Alopecia - surgery
androgenetic alopecia
follicular unit
Hair Follicle - transplantation
hair transplant
Humans
Male
Middle Aged
Retrospective Studies
Scalp
Skin Transplantation - methods
Tissue and Organ Harvesting - methods
Transplantation, Autologous - methods
title Harvested vs estimated follicular units in hair transplantation
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