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Extended Hair Transplant: Combination of Two Techniques

Background: The hair restoration surgery is performed as a ‘strip harvest’ surgery or ‘follicular unit extraction’. These two procedures can be combined in a single sitting to increase the number of hair. The study was conducted as to share the experience of both the procedures in a single session.

Materials and methods: The study was conducted in a private hair restoration surgery clinic. Only the patients undergoing combined surgery, i.e., FUT and FUE in the same session, were included after informed consent. The procedure was performed under local anaesthesia. First of all, the area for FUE was marked and then the strip was marked after checking the vertical scalp mobility. An area of about 1 cm was left on either side of the wound margins and FUE was performed using 0.8–1.0 mm punch with a motorized machine. An antibiotic ointment was applied on the donor area. Oral antibiotics were prescribed for five days. Any complication arising in these patients was managed accordingly.

Results: A total of 54 patients were included. The mean age of the patients was 34.2 years. The average number of grafts harvested was 3180.8 (range, 1022 to 4751). The average number of grafts harvested by FUT was 1763.5 (range, 333 to 2744). The average number of grafts harvested by FUE was 1417.3 (range, 110 to 2450). In majority of the patients more than 2500 grafts were harvested.

Conclusion: Combining both the techniques increases the total number of grafts which results in patient satisfaction.


Muhammad Ahmad and Muhammad Humayun Mohmand

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