Follicular Hair Unit Transplantation (IFHUT) in androgenetic alopecia

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Hair transplantation in the current context has emerged as one of the most sought after treatments for andro-genetic alopecia. In conventional FUE technique of hair transplantation graft damage may occur due to various factors which can be eliminated by Instant Follicular Hair Unit Transplant (IFHUT), an innovative technique which involves extraction of hair follicle one by one from the safe donor area and implanting them immediately after extraction. Methods: 10 patients of andro-genetic alopecia were inducted to the study. One half of the donor area was utilized for IFHUT, while the other for conventional FUE and the implantation results were compared pictographically as well as with trichoscopy and documented at each follow up. Results: Significantly, better growth was seen by the naked eyes, pictographic comparison and hair scope examination in the IFHUT site in 9 patients. Conclusion: Although this technique presents a steeper learning curve for the surgeon, need for clear protocols and proper execution, the efficacy and superiority of results presented by the IFHUT method show the potential of this technique to reshape the future of the hair transplant industry. Donor harvesting techniques have evolved along with the size of the grafts. Elliptical donor harvesting involves excising a long narrow ellipse from the midocc.ipital scalp. The ellipse is carefully dissected into individual follicular units by trained surgical assistants using magnification to minimize transection of hair follicles.3 The number of follicular units created depends on the density and size of the donor ellipse and the density and size of the recipient site to be transplanted. Elliptical donor harvesting is an efficient technique to harvest follicular units but it creates a linear scar of 10 to 20 cm in length. For the vast majority of patients, this scar historically was of no practical concern in the short or long term because their remaining hair in the posterior scalp camouflages the scar. For a minority of patients, particularly men who prefer short hairstyles, the scar could limit styling options.

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Sandra Jones

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Hair Therapy and Transplantation

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